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 EMQ 3

 

   

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EMQ: 3

Headache

a)      Meningitis

b)      Subarachnoid haemorrhage

c)      Subdural haematoma

d)      Migraine

e)      Cluster headache

f)        Temporal arteritis

g)      Cerebral metastases

h)      Trigeminal neuralgia

i)        Benign intracranial hypertension

j)        Acute glaucoma

Select the most likely condition from the list above that would account for the following scenario:

1) A 50-year-old female who has had a mastectomy followed by radiotherapy and chemotherapy for breast cancer presents with a severe headache associated with nausea and vomiting. On examination of the fundus there is bilateral papilloedema.

2) A 63-year-old female presents with headache. She gives a history of pain in her jaw when she eats. On examination the scalp is tender.

3) A 45-year-old female presents with sudden onset headache. She is drowsy and has neck stiffness

4) A 35-year-old female presents with recurrent unilateral throbbing headaches that are accompanied by nausea and vomiting. The headache is preceded by an aura where she experiences the sensation of seeing flashing lights.

5) A 75-year-old male presents with headache. He is unsteady on his feet and has periods of drowsiness. His relatives say that he has had several falls in the last few weeks.

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