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A 25-Year-Old Obese Woman Comes to the Office Due to Sudden

question 53

Multiple Choice

A 25-year-old obese woman comes to the office due to sudden onset of blurry vision and pain in her left eye with a headache that began 2 days ago. She was watching television when she noticed a throbbing headache behind her left eye and eye pain that is exacerbated with movement. She has also noticed that colors in her visual field, especially red, have become less bright. She has had no diplopia, vertigo, dysphasia, pulsatile tinnitus, dysarthria, or weakness.
Medical history is unremarkable. Family history is significant for stroke and diabetes mellitus. The patient takes no medications except for birth control pills. She is a stay-at-home mom and does not use tobacco, alcohol, or illicit drugs.
Blood pressure is 130/80 mm Hg and pulse is 88/min and regular. The patient is awake, alert, and oriented. Cranial nerve testing reveals a visual acuity of 20/30 in the right eye and 20/200 in the left eye. Funduscopic examination of both eyes is unremarkable. The pupils are round and symmetrical; however, there is a relative afferent pupillary defect on the left with the swinging flashlight test. Muscle power is 5/5 and deep tendon reflexes are 2+ in all 4 extremities. The remainder of the neurological examination is unremarkable.
Which of the following is the best next step in management of this patient?

Definitions:

Average Fixed Costs

The total fixed costs of production divided by the number of units produced, representing the per-unit fixed cost.

Microwave Ovens

Kitchen appliances that use microwave radiation to heat and cook food rapidly.

Marginal Cost

The increase in total cost that arises from producing one additional unit of a product or service.

Microwave Oven

A microwave oven is a kitchen appliance that heats and cooks food by exposing it to microwave radiation in the electromagnetic spectrum.