NURS 6501: Week 7 Quiz:

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 Question 8

Which one of the following statements is true about the type of headache produced by a brain tumor or mass?

• Localization of the headache implies the tumor’s location.
• The onset of the headache is usually sudden.
• Each tumor has a classic headache syndrome.
• The headache is typically worse in the morning.

Correct answer: The headache is typically worse in the morning.

Explanation:

Headaches caused by brain tumors or masses are typically due to:

• Increased intracranial pressure (ICP), which builds up overnight when the patient is lying down.
• As a result, the headache is often worse in the morning and may improve as the day goes on and the patient assumes an upright posture (which helps reduce ICP).

Why the other options are incorrect:

• Localization of the headache implies the tumor’s location
  Not always true. Headache from increased ICP is often diffuse, and location does not reliably localize the tumor.
• The onset of the headache is usually sudden
  Tumor-related headaches typically have a gradual onset, not sudden like in subarachnoid hemorrhage or stroke.
• Each tumor has a classic headache syndrome
  There is no specific headache pattern that uniquely identifies a tumor type. Symptoms vary widely.

Classic red flags for tumor-related headache include:

• Worse in the morning
• Wakes patient from sleep
• Associated with nausea/vomiting
• Progressively worsening over time