Advanced Trauma Life Support (ATLS) Practice Exam 2025 - Comprehensive All-in-One Guide for Exam Success!

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Which imaging modality should be used to assess a brain injury?

X-ray

CT scan

The most appropriate imaging modality for assessing a brain injury is a CT scan. In cases of suspected traumatic brain injury, especially when there is a potential for intracranial hemorrhage or fracture, a CT scan is preferred due to its speed, availability, and ability to quickly identify critical conditions such as bleeding, skull fractures, and mass effect. CT scans are particularly beneficial in the acute setting, allowing for immediate assessment and intervention planning.

While MRI is an excellent tool for evaluating soft tissue and detecting subtle changes in brain morphology, it is not typically used in acute settings due to its longer acquisition time and sensitivity to patient movement. Additionally, MRI is often contraindicated in the presence of certain types of metal implants or foreign bodies.

Ultrasound can be useful in certain circumstances, such as in pediatric patients or for assessing certain conditions like hydrocephalus, but it is not effective for comprehensive evaluation of brain injuries in adults. X-rays are limited in their ability to provide detailed information about brain tissue and are mainly used for evaluating skull fractures rather than brain injuries themselves.

In summary, for trauma-related brain injuries, the CT scan stands out as the imaging modality of choice due to its ability to rapidly and effectively visualize critical abnormalities that can emerge from such

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MRI

Ultrasound

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