Question: A 18 year old female comes into the clinic with complaints of a progressive headache for the last 3 days. She describes is a a constant diffuse pressure. Yesterday evening she began with mildly blurred vision and today began with nausea and has vomited twice. She has a history of congenital hydrocephalus and has a VP shunt. Based on this history you believe the most appropriate initial evaluation should be... Group of answer choices Brain CT with IV contrast Brain CT without IV contrast Brain MRI without IV gadolinium Brain MRI with IV gadolinium