INBDE (Integrated National Board Dental Examination) Practice Exam

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What type of chronic headache is bilateral, non-pulsating, and not aggravated by routine activity?

Tension
Migraine
Cluster
Sinus

The correct answer is: Tension

Tension headaches are typically described as bilateral (affecting both sides of the head), non-pulsating (steady pain), and not aggravated by routine physical activity. These headaches are often characterized by a feeling of tightness or pressure around the head, rather than a severe throbbing pain. Migraine headaches, on the other hand, are often unilateral (affecting one side of the head), pulsating, and can be aggravated by routine physical activity. Migraines are usually accompanied by other symptoms such as nausea, sensitivity to light or sound, and aura in some cases. Cluster headaches are also distinct from tension headaches. They are characterized by severe, unilateral pain around the eye or temple, often accompanied by symptoms such as redness and tearing of the eye on the affected side. These headaches typically come in clusters over a period of time. Sinus headaches are usually associated with sinus congestion and inflammation, often due to a sinus infection or allergies. The pain is typically located around the forehead, cheeks, and eyes, and can be worsened by bending forward or lying down.