Approach to headache or facial pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 54-year-old man presents to the emergency department for evaluation of headache and vision loss for the past three weeks. The headache worsens with bending over or coughing. Blurry vision and horizontal double vision are also reported. Medical history includes bipolar disorder managed with lithium and rheumatoid arthritis previously treated with chronic corticosteroids, which were recently discontinued. Temperature is 37.0°C (98.6°F), pulse is 88/min, respirations are 15/min, and blood pressure is 124/72 mmHg. Fundoscopic examination reveals bilateral optic disc swelling. Bilateral abducens nerve palsies are noted. There is no meningismus, and the remainder of the neurologic examination is unremarkable. Non-contrast head computed tomography (CT) is normal. Which of the following diagnostic tests is most likely to confirm the underlying diagnosis?

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Cerebrospinal fluid (CSF) opening pressure

Temporal artery biopsy

Serum C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR)

Cerebrospinal fluid (CSF) analysis

Magnetic resonance imaging (MRI) of the brain without contrast