MRCEM Intermediate SBA Practice Questions - MRCEM Intermediate SBA Examination (formerly FRCEM Intermediate) Exam

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A 22-year-old man presents with a sudden severe occipital headache, described as 'the worst headache of my life', that peaked within seconds. A CT head performed 4 hours after onset is reported as normal. What is the most appropriate next step?

Discharge with simple analgesia and safety-netting Lumbar puncture at least 12 hours after symptom onset Immediate CT cerebral venography Commence oral nimodipine and admit

Correct Answer:

Lumbar puncture at least 12 hours after symptom onset

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