A 25-year-old woman presents for follow-up with a 12-year history of intermittent headache reported as unilateral throbbing pain with nausea, photophobia, phonophobia that usually lasts about 12 to 24 hours. At the onset of her headache, she takes oral high dose ibuprofen with Sumitriptan reporting, "my headache is usually gone within an hour or so." She reports no particular pattern to the headache trigger and denies headache prodrome. Family history is positive for mother and sister with similar headache. She's currently headache free and her neuro exam is within normal limits. Today she asked if she needs, "any tests to find out what causes my headache." The NP considers the following.

A. head MRI due to duration of headache

B. order a head CT with contrast due to frequency of headache

C. discuss the utility of carotid Doppler ultrasonography in confirming the diagnosis of migraine

D. advise the patient that neuroimaging is not routinely indicated in this clinical scenario

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