Professional and Linguistic Assessments Board (PLAB) Practice Exam

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What is the primary indication for the use of Propranolol in migraine treatment?

  1. Propagating blood flow

  2. Migraine prophylaxis

  3. Control of acute migraine attack

  4. Decrease stress-induced headaches

The correct answer is: Migraine prophylaxis

Propranolol is primarily indicated for migraine prophylaxis, meaning it is used to prevent migraine attacks rather than to treat them as they occur. This medication belongs to a class of drugs known as beta-blockers, which can stabilize vascular function and are believed to help reduce the frequency and severity of migraines for those who experience chronic headaches. By taking propranolol regularly, patients often experience a decrease in the number of migraine days, which greatly improves their quality of life. In contrast, the other options do not represent the primary indication for propranolol. It is not widely used for propagating blood flow, as this option is more about the vascular actions that may not specifically relate to migraine treatments. While propranolol can have some effectiveness in controlling stress-induced headaches, it is not its main indication; acute migraine attacks are better treated with different medications known as acute treatments. Therefore, understanding propranolol's role in migraine management focuses on its preventive capabilities rather than immediate intervention.