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MMLU / 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?

choices

  1. Begin a trial of a β-blocking medication
  2. Order CT scan of the head
  3. Order EEG
  4. Refer him for consultation with a neurologist

subject

professional_medicine

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