A 43-Year-Old Man Comes to the Physician Due to a 1-Month

question 1672

Multiple Choice

A 43-year-old man comes to the physician due to a 1-month history of worsening frontal headaches, blurred vision, and occasional falls.  The blurry vision is provoked when he leans forward.  His symptoms are particularly bothersome as they interfere with his sleep.  The patient has no history of head trauma or seizure.  He says "I occasionally get a head cold at this time of year."  He does not take any medications.  His mother has a history of glaucoma.  He works as a real estate agent and does not use tobacco or alcohol.  His vital signs are normal.  On physical examination, his pupils are equally round and reactive to light.  Which of the following is the most likely cause of this patient's condition?

• A)High intraocular pressure
• B)Intracranial hypertension
• C)Medium- and large-vessel vasculitis
• D)Meningeal irritation
• E)Paranasal sinus inflammation

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Definitions:

Havelock Ellis

A British physician, writer, and social reformer who studied human sexuality and was a pioneer in the emerging field of sexology in the late 19th and early 20th centuries.

Abnormal Sexual Behaviors

Sexual activities that deviate from what is typically considered to be the norm or socially acceptable.

Exaggerations

Overstatements or embellishments of facts or details, often making something seem larger, better, worse, or more important than it actually is.

Evelyn Hooker

A psychologist known for her pioneering research on homosexuality, fundamentally changing the perception that it was a mental illness.