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Radiology · Emergency imaging
Sample itemWhat is the preferred initial imaging test for suspected acute intracranial haemorrhage in an unstable patient?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Non-contrast CT head
Non-contrast CT is rapid and sensitive for acute blood, making it the usual first test when intracranial haemorrhage is suspected urgently.
Option by option
A. Plain skull radiograph
Skull radiographs do not exclude intracranial bleeding.
B. Contrast-enhanced MRI brain
MRI may be useful later but is slower and less available acutely.
C. Carotid Doppler ultrasound
Carotid Doppler does not image acute intracranial blood.
D. Non-contrast CT head (correct)
Correct: acute blood is readily detected rapidly on non-contrast CT.
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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