skip to main content

Traumatic epidural haematoma — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

ModerateTraumaTraumatic epidural haematomaRCPSC EM

CTAS 2: A 22-year-old is struck in the temporal region during hockey. He was briefly unconscious, then lucid, and now has worsening headache and vomiting. Vitals are BP 152/86, HR 58. Exam shows a right fixed dilated pupil and left arm weakness. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CEpidural haematoma

A temporal blow with lucid interval, expanding mass effect and ipsilateral third nerve compression is classic for epidural haematoma needing urgent neurosurgical intervention.

Reference: Canadian CT Head Rule; ATLS head injury principles