QuestionSBA
QuestionChoice
Seizures may be seen in cases of brain tumours but are not common in cases of idiopathic intracranial hypertension.
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c
Generalised tonic-clonic seizures
QuestionChoice
This is more suggestive of a gynaecological pathology or antiphospholipid syndrome.
10035588
b
Recurrent miscarriages
QuestionChoice
This finding is not in keeping with a diagnosis of idiopathic intracranial hypertension. Anosmia can be associated with infections and congenital causes.
10035590
d
Loss of sense of smell
QuestionChoice
This is correct. The patient is presenting with signs and symptoms of idiopathic intracranial hypertension, with a space-occupying lesion excluded. The biggest risk factors for this condition are obesity and the use of tetracyclines, common in the treatment of acne.
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a
Poorly controlled acne vulgaris
QuestionChoice
This is not in keeping with the clinical story with persistent daily headaches and features of focal neurology described as opposed to nasal congestion and discharge and short-lived episodes of intense agony.
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e
Cluster headaches
QuestionComment
Got this question correct for the wrong reasons:( Assumed her raised ICP was due to obesity secondary to PCOS, which patient would likely also have acne due to PCOS
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QuestionComment
dw i thought the same hahah but a win is still a win 
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Axillary RNA
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Loose Lung
Concept
Chapter
2693
6145
Idiopathic Intracranial Hypertension
Topic
141
Neurology
19521
Tetracyclines, especially doxycycline, are associated with an increased risk of idiopathic intracranial hypertension (IIH), which can cause symptoms like headaches and vision changes, and other risk factors include obesity, certain medications, medical conditions like PCOS, and hormonal changes,
A 24-year-old obese woman comes to the GP describing a 4-month history of right-sided headaches and blurry vision, worst in the morning.

Fundoscopy reveals bilateral papilloedema and a CT Head is reported as normal.

Which of the following is most likely to be present in her past medical history?
a