A 22-Year-Old Woman Comes to the Physician After Several Months

question 161

Multiple Choice

A 22-year-old woman comes to the physician after several months of headaches.  She describes them as moderate intensity and occurring frequently, now daily.  She occasionally hears a noise similar to wind blowing during the headaches.  The patient has taken escalating doses of over-the-counter painkillers with some relief.  She smokes marijuana occasionally. 
Her blood pressure is 132/80 mm Hg and heart rate is 87/min.  On neurologic examination, there is no muscle weakness or sensory loss.  Deep-tendon reflexes are normal.  The neck is supple.  Funduscopic findings (as shown) are the same in both eyes.

Which of the following is the most likely diagnosis?

• A)Idiopathic intracranial hypertension
• B)Medication overuse headache
• C)Meniere disease
• D)Multiple sclerosis
• E)Open-angle glaucoma

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Definitions:

Trend Analysis

The practice of collecting information and attempting to spot a pattern, often used in financial markets, but also applicable in analyzing business metrics over time.

Delphi Technique

A method used for forecasting or decision making that involves a panel of experts answering questionnaires in several rounds, with the anonymous responses being aggregated and shared with the panel after each round until a consensus is reached.

Expert Opinion

Insights or views given by a person recognized as an authority in a specific field, often used to inform decisions or clarify complex issues.

Management Forecast

The process of predicting future trends, outcomes, or behaviors in business operations based on current data and analysis.