This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Headache And Migraine, Subject name: Medicine
[{'content': 'A 22-years-old man presents with a history of a headache for 6 months which is mainly in the frontal region, occasionally associated with nausea. He has been taking paracetamol 3g per day, Hydroxycodeine 50 mg 3 times a day and Aspirin 300 mg 3 times a day for a headache but only with temporary relief from symptoms no focal signs on neurological examinations. What is the diagnosis? \nSelect and explain. \nA. Cluster headache, B. Migraine, C. Depression associated headache, D. Analgesic abuse headache', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Disease Features Analgesic Abuse Headache -Headaches refractory to analgesics -Asthenia, nausea, restlessness, anxiety, irritability, -Difficulty in intellectual concentration, -Depression Migraine -More common in Female -Presents with pulsating throbbing headache with photophobia -Responds to medication Depression Associated Headache -No history of depression -No psychiatric history of patient has been mentioned. Cluster Headache -Retro-orbital pain -Epiphora -Red eye.', 'role': 'assistant'}]