An 18-Year-Old Man Is Evaluated Due to Worsening Headaches

question 217

Multiple Choice

An 18-year-old man is evaluated due to worsening headaches.  For the last several months, the patient has had intermittent, dull, occipital headaches, which are often brought on by physical activity, cough, or straining.  The pain is usually accompanied by nausea and dizziness, and the symptoms spontaneously resolve after several minutes.  There is no history of fever, chills, photophobia, vision disturbances, or focal weakness or numbness.  He has no prior medical conditions and takes no medications.  Vital signs are normal.  Physical examination, including neurologic examination, shows no abnormalities.  MRI of the head is shown in the image below: This patient is at greatest risk for which of the following in association with his current condition?

• A)Cardiac rhabdomyoma
• B)Optic neuritis
• C)Parathyroid adenoma
• D)Syringomyelia
• E)Vestibular schwannoma

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Definitions:

Confidence Interval

A variety of values coming from collected sample information, presumed to hold the value of an unknown parameter within the population.

Service Time

Service time refers to the amount of time required to complete a particular task or service, often used in the context of customer service or manufacturing.

Sample Means

The average value of a set of observations taken from a population, used as an estimate of the population mean.

Public Service Jobs

Employment positions within governmental organizations or agencies serving the public, often focused on providing administrative, healthcare, educational, or safety services.