Sudden-onset in Medicine / Internal Medicine — 46yo Man | Neurology | SMLE Q#11020
SMLE Question #11020
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 46-year-old man presents to the emergency department with sudden-onset, severe occipital headache that started 4 hours ago while resting. He has nausea and photophobia. Neurologic examination shows anisocoria with the left pupil larger and nonreactive to light; motor and sensory testing are otherwise normal. A noncontrast head CT shows no acute hemorrhage. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.