Approach to vomiting (chronic) 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 32-year-old woman presents to the emergency department for evaluation of a headache and vomiting which started 2 hours ago. The headache is pulsating and worse with physical activity. Noises sound louder than usual and make the headache worse. She has vomited twice since the onset of the headache. She has had six similar episodes in the last year, usually around the onset of her menstrual period. The patient has no chronic medical conditions and does not take any medications. Temperature is 37.0°C (98.6°F), pulse is 102/min, respiratory rate is 20/min, and blood pressure is 142/88 mmHg. On examination, the patient appears to be in pain. There is no abdominal tenderness. Cranial nerves II-XII are grossly intact and the rest of the neurologic exam is nonfocal. Which of the following sets of additional findings would most likely be seen in this patient? 

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