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Radiology · CT head: extradural hematoma
Sample itemAfter a temporal bone fracture, CT shows a biconvex lens-shaped extra-axial hyperdensity that does not cross suture lines. Which hemorrhage is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Extradural hematoma
Extradural hematoma is classically lens shaped and limited by sutures because the dura is tightly adherent at suture lines. It may be associated with arterial bleeding after skull fracture.
Option by option
A. Extradural hematoma (correct)
Correct. Biconvex shape and suture limitation are classic for extradural bleeding.
B. Subdural hematoma
Subdural blood is crescentic and can cross sutures.
C. Subarachnoid hemorrhage
Subarachnoid blood follows sulci and basal cisterns.
D. Intraparenchymal hemorrhage
Intraparenchymal hemorrhage lies within brain tissue.
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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