Free headache disorders board review questions sample from Med-Challenger.
Med-Challenger offers headache disorders review along with everything else for diagnosing and treating nervous system disorders and neurology disorders with in-depth review questions with detailed explanations. More free headache disorders review questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:
This week’s case-based question:
A 45-year-old woman presents with sudden-onset severe headache, 2 episodes of vomiting, and photophobia without neurologic deficit. She tells you that 10 days ago she was evaluated for these exact symptoms and underwent non-contrast computed tomography (CT) of the head followed by an unremarkable lumbar puncture (LP). However, those findings were negative. She then saw a neurologist in follow-up who subsequently diagnosed her with reversible cranial vasoconstriction syndrome (RCVS).
What is your next step in evaluation today?
Treat with intravenous metoclopramide 10 mg and discharge her home.
Obtain repeat CT of the head and follow-up with LP if CT findings are nondiagnostic.
Obtain magnetic resonance imaging (MRI) of the brain with magnetic resonance angiography (MRA) and magnetic resonance venography (MRV).
If a pregnancy test is negative, then prescribe her sublingual ergotamine 2 mg.
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