Which of the following characteristics differentiates a migraine with aura from a migraine without aura?
A) Gastrointestinal involvement in the hours leading up to the headache
B) A decrease in mood and affect prior to the headache
C) Lack of response to nonpharmacologic treatments
D) Visual symptoms that precede the headache
Ans: D
Feedback:
An aura is visual (flickering lights, spots, or loss of vision), sensory (feeling of pins and needles, or numbness), and/or speech disturbance that precedes a migraine. Nonpharmacologic treatments may be used with varying success in both types of migraine, and nausea and vomiting may precede or accompany each. Changes in mood and affect are not central to an aura.
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