Question

A 59-year-old woman presents with sudden-onset severe headache described as the worst of her life. Blood pressure is 160/92 mm Hg. Neurologic exam is normal. Noncontrast CT head is negative for hemorrhage. What is the most appropriate next diagnostic step?

Accepted Answer

No further testing is needed

Answer

MRI brain with contrast

Answer

CT angiography of the head

Answer

Lumbar puncture

Answer

Carotid Doppler ultrasound

Practice question

A 59-year-old woman presents with sudden-onset severe headache described as the worst of her life. Blood pressure is 160/92 mm Hg. Neurologic exam is normal. Noncontrast CT head is negative for hemorrhage. What is the most appropriate next diagnostic step?