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A 35-Year-Old Woman Comes to the Physician Because of Recurring

Question 191

Multiple Choice

A 35-year-old woman comes to the physician because of recurring episodes of headache for the past 5 months. During this period, she has had headaches for approximately 18 days per month. The episodes last for about 2 hours each. She describes the headaches as dull, pressing, and nonpulsating holocranial pain. The symptoms do not increase with exertion. She has no vomiting, nausea, phonophobia, or photophobia. She has been taking ibuprofen irregularly when the headaches are particularly severe. Which of the following is the most likely diagnosis?


A) Chronic sinusitis
B) Cluster headache
C) Giant cell arteritis
D) Intracranial neoplasm
E) Migraine without aura
F) Tension headache

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