Best of Five 2.222

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BOF: 2.222

A 22 year old female presents with a history of headaches of several weeks duration. The headaches are most severe in the morning and associated with nausea. She was on long term tetracycline for acne and was also using high doses of vitamin B complex supplements and vitamin C as she had heard that this carried health benefits. There is a strong family history of migraine .On examination of her visual fields you note enlargement of the blind spot, there was bilateral papilloedema and left lateral rectus palsy.

A CT scan of her head does not show a mass lesion.

In this patient which of the following would indicate the likely cause of the condition?

a)      Vitamin C supplementation

b)      Vitamin B supplementation

c)      Family history of migraine

d)     Treatment with tetracycline

e)      Lateral rectus palsy

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