Q:

A woman previously in good health presents with sudden onset of severe occipital headache and vomiting. Her only physical sign on exam is a stiff neck. Choose the most likely diagnosis

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A woman previously in good health presents with sudden onset of severe occipital headache

and vomiting. Her only physical sign on exam is a stiff neck. Choose the most likely diagnosis.


  1. Subarachnoid hemorrhage
  2. Subdural hematoma
  3. Cerebellar hemorrhage
  4. Migraine
  5. Cerebral embolus

All Answers

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The key is A. Subarachnoid hemorrhage. [Sudden onset severe occipital headache and vomiting

with stiffness makes the likely diagnosis to be subarachnoid hemorrhage].

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