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USMLE 2CK Practice Question for February 28th

A 35-year-old man has had nocturnal attacks of severe periorbital headache for the past five days. Each episode awakens him at night within two hours of falling asleep, lasts for less than an hour, and is associated with ipsilateral rhinorrhea and lacrimation. There is no family history of similar headaches. His temperature is 37.0° C (98.6° F), pulse is 72/min, and blood pressure is 125/75 mm Hg. Complete neurologic examination does not reveal any abnormal findings. Which of the following is the most likely diagnosis?

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