Question

question 1
1 pts
which of the following set of symptoms should raise suspicion of a brain tumor?
○ recurrent, severe headaches that awaken the patient and are accompanied by visual disturbances.
○ vague, dull headaches that are accompanied by a reported sense of impending doom.
○ periorbital headaches occurring primarily in the evening and accompanied by pupillary dilation and photophobia.
○ holocranial headaches present in the morning and accompanied by projective vomiting without nausea.

Explanation:

Holocranial headaches (headaches all over the head) in the morning accompanied by projectile vomiting (a forceful type of vomiting) without just nausea (a more general queasy feeling) are classic signs that can raise suspicion of a brain tumor. Brain tumors can cause increased intracranial pressure. As the patient lies down overnight, the pressure can build up, leading to morning - onset headaches. The increased pressure also affects the vomiting center in the brain, causing projectile vomiting.
Other options:

• Photophobia (sensitivity to light) can be seen in many conditions like migraines, meningitis, etc., not specific to brain tumors.
• Periorbital (around the eye area) headaches with pupillary dilation can be related to conditions like cluster headaches (not typically a brain tumor sign).
• Vague, dull headaches with a sense of impending doom can be seen in anxiety disorders, some migraines, etc., not specific to brain tumors.
• Recurrent, severe headaches with visual disturbances can be a sign of migraines (common migraine aura symptoms).

Answer:

Holocranial headaches present in the morning and accompanied by projectile vomiting without just nausea.