MCQ IN MEDICINE

MEDICINE MCQ

RENAL MEDICINE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Jen has been admitted for migraines and is required to go for a CT scan of the brain, this will be her 2nd CT Brain for migraines. Select the correct answers as to what you will advise Radiology when they call for funding:
A
1 scan per benefit year
B
DH doesnt fund for CT Brain in hospital
C
There is no limit to brain scans for migraines
D
Additional clinical info is required
Explanation: 

Detailed explanation-1: -Migraine cannot be diagnosed with a CT scan or MRI. Migraine is an electrical and inflammatory phenomenon that is invisible on imaging studies. The diagnosis of migraine is based on clinical criteria found in the history of the patient, exclusion of red flags and a normal neurological examination.

Detailed explanation-2: -CT is indicated in acute headache with focal neurological signs, nausea, vomiting or GCS <14. MRI is better for inflammatory causes of acute headache.

Detailed explanation-3: -Many providers would consider ordering brain imaging studies, such as CT scans and MRIs, to help them diagnose worsening headache. CT scan is an x-ray-based imaging study. It is an excellent initial imaging test for detecting bleeding, skull fractures, and space-occupying lesions such as tumors.

There is 1 question to complete.