Close
13th August 2024
A 41-year-old female presents with a 4 month history of headaches and visual changes
A 41-year-old female presents with a 4 month history of headaches and visual changes. She reports experiencing episodes of blurred vision which often occur in the mornings or if she coughs. On further questioning, she reports sometimes hearing a strange noise in her head which follows a regular rhythm. On examination, her BMI (body mass index) is 35 and her observations are normal. Cranial nerve exam shows reduced visual acuity in both eyes and blurring of the optic disc edges.
Blood tests are performed:
| Hb 121 (115-160) | Plt 404 (150-400) | K⁺ 4.9 (3.5-5) | Creatinine 78 (45-84) |
| WBC 9.7 (4-11) | Na⁺ 138 (135-145) | Urea 5.1 (4-7) | CRP 3 (<5) |
A CT head with contrast is performed which does not show any abnormal intracranial abnormalities.
What would be the next most appropriate investigation to request?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
