18 Hours Of Persistent | Nausea and Vomiting (Assessment & Diagnosis) — 24yo Woman | Neurology | MCCQE1 Q#13444
MCCQE1 Question #13444
Dimension of Care
Acute Care
Activity
Assessment & Diagnosis
Objective
Nausea and Vomiting
Section
Medicine / Family Medicine
Subject
Neurology
Last updated: February 2026
A 24-year-old woman presents with 18 hours of persistent vomiting and a new severe diffuse headache, worse when lying flat, with brief episodes of blurry vision. She has not tolerated oral fluids. She takes a combined oral contraceptive pill and denies abdominal pain, fever, or recent travel. Examination shows dry mucous membranes, a soft non-tender abdomen without guarding, and bilateral papilledema on fundoscopic examination with no focal motor deficits. Which additional physical examination finding would most strongly indicate the need for urgent intervention for a non-gastrointestinal cause of her vomiting?
Full answer analysis and choices are available inside the practice session.
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