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Radiology · Stroke imaging
Sample itemA patient presents with acute focal deficit. Noncontrast CT excludes hemorrhage, and CT angiography shows a proximal middle cerebral artery occlusion. What additional CT technique can estimate infarct core and salvageable penumbra in selected cases?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. CT perfusion
CT perfusion assesses cerebral blood-flow and volume parameters and can help estimate core infarct and hypoperfused tissue in selected acute stroke pathways. Imaging selection follows local stroke protocol.
Option by option
A. CT colonography
CT colonography evaluates the large bowel.
B. CT perfusion (correct)
Correct. Perfusion maps support assessment of potentially salvageable tissue.
C. DEXA
DEXA measures bone mineral density.
D. High-resolution CT temporal bone
Temporal-bone CT evaluates osseous ear structures.
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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