BOF 83

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BOF: 83

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. 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 one of the following options would be useful in managing the cause of her headaches?

a)      Stopping the vitamin C supplementation

b)      Stopping the vitamin B complex supplementation

c)      Stopping the tetracycline

d)     Starting her on spironolactone

e)      Starting her on a NSAID

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