Neonatal imaging: germinal matrix haemorrhage: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Neonatal imaging: germinal matrix haemorrhage

Sample item

A premature infant born at 28 weeks has cranial ultrasound on day 3 showing echogenic blood in the caudothalamic groove with extension into non-dilated ventricles. How is this graded?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Grade 2 intraventricular haemorrhage

Bleeding from the fragile germinal matrix is graded by extent: grade 1 is confined to the matrix, grade 2 extends into the ventricle without dilatation, grade 3 with ventricular dilatation, and grade 4 includes parenchymal haemorrhagic infarction. Cranial ultrasound is the screening tool.

Option by option

  • A. Grade 4 haemorrhage

    Grade 4 involves the parenchyma.

  • B. Normal appearance

    Blood in the groove is not normal.

  • C. Grade 1 haemorrhage

    Grade 1 is confined to the germinal matrix.

  • D. Grade 2 intraventricular haemorrhage (correct)

    Correct. Intraventricular extension without dilatation is grade 2.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is D, Grade 2 intraventricular haemorrhage. Bleeding from the fragile germinal matrix is graded by extent: grade 1 is confined to the matrix, grade 2 extends into the ventricle without dilatation, grade 3 with ventricular dilatation, and grade 4 includes parenchymal haemorrhagic infarction.

Why is "Grade 4 haemorrhage" not the answer?

Grade 4 involves the parenchyma.

Why is "Normal appearance" not the answer?

Blood in the groove is not normal.

Why is "Grade 1 haemorrhage" not the answer?

Grade 1 is confined to the germinal matrix.

What concept does this question test?

It tests Neonatal imaging: germinal matrix haemorrhage in Radiology. Cranial ultrasound is the screening tool.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neonatal imaging: germinal matrix haemorrhage?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.