Neuroimaging: hypertensive haemorrhage site: 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 · Neuroimaging: hypertensive haemorrhage site

Sample item

A 60-year-old hypertensive man has sudden right hemiparesis. Non-contrast CT shows a hyperdense haematoma. At which site is hypertensive haemorrhage most common?

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

The answer and the reasoning

C. Putamen and adjacent external capsule

Hypertensive bleeds arise from rupture of small lenticulostriate perforators, most commonly in the putamen, followed by the thalamus, pons and cerebellum. Lobar haemorrhages in older patients suggest amyloid angiopathy. CT is the first test.

Option by option

  • A. Superior sagittal sinus

    Sinus abnormality causes venous infarcts, not hypertensive bleeds.

  • B. Anterior frontal convexity

    Convexity bleeds are more often traumatic or aneurysmal.

  • C. Putamen and adjacent external capsule (correct)

    Correct. The putamen is the commonest site.

  • D. Occipital cortex

    Occipital cortical bleeds favour amyloid angiopathy or a vascular lesion.

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 C, Putamen and adjacent external capsule. Hypertensive bleeds arise from rupture of small lenticulostriate perforators, most commonly in the putamen, followed by the thalamus, pons and cerebellum.

Why is "Superior sagittal sinus" not the answer?

Sinus abnormality causes venous infarcts, not hypertensive bleeds.

Why is "Anterior frontal convexity" not the answer?

Convexity bleeds are more often traumatic or aneurysmal.

Why is "Occipital cortex" not the answer?

Occipital cortical bleeds favour amyloid angiopathy or a vascular lesion.

What concept does this question test?

It tests Neuroimaging: hypertensive haemorrhage site in Radiology. Lobar haemorrhages in older patients suggest amyloid angiopathy. CT is the first test.

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 Neuroimaging: hypertensive haemorrhage site?

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.