American Board of Internal Medicine (ABIM) Certification Practice Exam

What is a common aggravating factor for migraine pain according to diagnostic guidelines?

1. Resting in a dark room

2. Changing weather conditions

3. Aggravation with physical activity

4. Eating certain foods

The correct answer is: Aggravation with physical activity

Migraine headaches are known to exhibit specific characteristics according to diagnostic guidelines, including their aggravating factors. Among these, aggravation with physical activity is a recognized feature. Individuals suffering from migraines often find that routine activities such as climbing stairs, bending over, or even simple movements can intensify the pain. This is a crucial symptom that distinguishes migraines from other types of headaches, such as tension-type headaches, which may not worsen with physical activity. In contrast, resting in a dark room is often a relief measure, while changing weather conditions and certain foods can also serve as triggers for some individuals. However, the emphasis for diagnosis leans towards the pain's response to physical activity, making it a vital factor to consider when evaluating a patient with headaches.