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Headache

A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.

A 24-year-old woman with obesity has daily headaches worse on lying down, transient visual dimming and papilledema. MRI is normal. What is the most likely diagnosis?

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The answer is D: Intracranial hypertension.

Raised pressure with normal imaging in a young woman with obesity suggests IIH. Confirm with LP opening pressure; treat with weight loss and acetazolamide.

This question comes from Week 6 of MCC Vault: Neurology and aging. That week has 124 more exam-style questions like it, 5 short lessons and 150 flashcards. The course starts free with Week 1 and reaches this topic in week 6, as part of a five-month plan with full mock exams along the way.

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