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 71-year-old woman is brought to the emergency department for evaluation of right arm weakness. The symptoms began suddenly during dinner with friends, accompanied by an intense headache. The patient leaned to the right in the chair, dropped a cup, and became aphasic. Medical history includes type 2 diabetes mellitus, hypertension, and hyperlipidemia managed with metformin, lisinopril, and simvastatin. Temperature is 37.0°C (98.6°F), pulse is 56/min, respirations are 8-10/min and irregular, and blood pressure is 188/90 mmHg. Glasgow Coma Scale (GCS) score is 8. Eyes are open, and the patient withdraws the left extremities to pain but has no verbal response. Flaccid paralysis is present in the right upper and lower extremities. Which of the following is the most appropriate next step in management?

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Magnetic resonance imaging (MRI) without contrast

Intravenous tissue plasminogen activator (tPA)

Intubation and mechanical ventilation

Computed tomography (CT) of the brain without contrast

Flatten the head of the bed