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MMLU-Pro / 6360 / A 36-year-old man comes to the office because of headaches that began 2 weeks…

Problem

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question

A 36-year-old man comes to the office because of headaches that began 2 weeks ago. The headaches are moderately severe, are present when he awakens in the morning, and are relieved with over-the-counter analgesics. He has no prior history of headaches. He tells you he was promoted to an upper-level managerial position in his accounting firm about 8 months ago, which necessitated relocating. Physical examination now discloses no abnormalities except for blurring of the optic disc margins bilaterally. Which of the following is the most appropriate next step?

category

health

options

  1. Refer him for consultation with an ophthalmologist
  2. Begin a trial of a β-blocking medication
  3. Begin a trial of an anti-inflammatory medication
  4. Refer him for consultation with a psychiatrist
  5. Prescribe over-the-counter analgesics for long term use
  6. Refer him for consultation with a neurologist
  7. Order CT scan of the head
  8. Advise him to reduce stress and monitor symptoms

src

ori_mmlu-professional_medicine

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