A 44-year-old woman presents with a 4-month history of a whooshing sound in her right ear that is synchronous with her heartbeat. It is worse when she lies down and disappears with gentle pressure on the right side of her neck. She also reports daily headaches and brief episodes of blurred vision lasting a few seconds when she stands up. Her BMI is 41 kg/m2, she takes no medications, and she has no known drug allergies. On examination, otoscopy is normal with no retrotympanic mass, a bruit is audible over the right mastoid, and the cranial nerve and motor examinations are normal.
| Heart rate | 74/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 132/80 mm Hg |
Question 1 of 6
Which of the following are the most appropriate next steps in the assessment of this patient?
Select 3. (0 / 3 selected)
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