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 Best of Five 247

 

   

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BOF: 247

A 72-year-old male is admitted with a history of headache. The headache is present when he wakes up in the morning and is accompanied by nausea. He also gives a history of collapse a few weeks prior to admission. He had been playing cards with his friends and had asked them whether anyone noticed an unusual smell and then fell and lost consciousness. He had been seen at the accident and emergency department, nothing abnormal had been found and he had been discharged.

On examination of the patientís fundus, the optic cups were filled and the medial margins of the discs were blurred. Apart from this no abnormality could be found on clinical examination.

The most likely cause of this patientís condition is:

a)      Subdural haematoma

b)      Posterior fossa tumour

c)      Frontal lobe tumour

d)      Obstructive hydrocephalus

e)      Benign intracranial hypertension (pseudotumour cerebri)

 

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