An 18-Year-Old Woman Comes to the Clinic Due to Persistent

question 1231

Multiple Choice

An 18-year-old woman comes to the clinic due to persistent headaches, which have occurred daily for 3 months.  The headaches are holocranial, pulsating, and especially bothersome at night.  Ibuprofen has not helped the pain.  The patient has double vision when looking sideways and blurry vision in both eyes.  She has no history of head trauma prior to the onset of symptoms and no fever, vomiting, photophobia, or weakness.  The patient has no chronic medical conditions and does not use tobacco, alcohol, or illicit drugs.  Her mother and sister have migraine headaches.  Temperature is 37 C (98.6 F) , blood pressure is 130/85 mm Hg, and pulse is 90/min.  BMI is 34 kg/m².  Physical examination shows no nuchal rigidity or sinus tenderness.  Eye examination reveals optic disc edema and left lateral rectus palsy.  CT scan of the head without contrast is normal.  Which of the following is the best next step in management of this patient?

• A)CT angiogram of the head
• B)CT scan of the paranasal sinuses
• C)Erythrocyte sedimentation rate
• D)Lumbar puncture with opening pressure
• E)Sumatriptan abortive therapy

Explore the international relations and foreign policy strategies of the Nixon administration.

Evaluate the impact of key events and decisions on the course of the Vietnam War.

Discuss the role of media and public opinion in shaping US policies and attitudes towards the Vietnam War.

Understand the reasons and outcomes of protests against the Vietnam War.

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Definitions:

Accounts Receivable Turnover

A financial ratio that measures how efficiently a company collects revenue by comparing net credit sales to the average accounts receivable.

Days' Sales

A measure of how efficiently a company converts its inventory into sales, typically calculated as days' sales in inventory or days sales outstanding.

Credit Terms

Conditions under which credit is extended by a seller to a buyer, detailing the repayment period, discount for early payment, and penalty for late payment.

Comparative Balance Sheet

Financial statements that show the financial position of a business at different points in time, allowing for comparison.