Professional and Linguistic Assessments Board (PLAB) Practice Exam

What is the most common cause of headache in children?

1. Cluster headaches

2. Sinusitis

3. Migraine headaches

4. Tension-type headaches

The correct answer is: Migraine headaches

The most common cause of headache in children is indeed tension-type headaches, which are often characterized by bilateral, pressing or tightening sensations. These headaches can be triggered by stress, anxiety, fatigue, or muscle tension and do not usually come with the intense symptoms associated with migraines, such as nausea or vomiting. While migraines can also occur in children and are indeed a significant type of headache, they are not as prevalent as tension-type headaches. Cluster headaches, on the other hand, are rare in children and are more commonly seen in adults. Similarly, although sinusitis can cause headaches, these are generally secondary to the underlying issue of sinus infection and are not classified as a primary headache disorder in children. Tension-type headaches are typically episodic and can be managed with simple analgesics, making them a more benign cause of headache compared to other types. Understanding the common types of headaches and their presentation helps in identifying and managing them effectively in clinical practice.