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Penetrating neck injury — RCPSC EM MCQ

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HardTraumaPenetrating neck injuryRCPSC EM

CTAS 2. A 40-year-old has a stab wound in zone II of the neck. He is haemodynamically stable, speaking normally, with no expanding haematoma. There is mild subcutaneous emphysema and a normal neurologic exam. What is the most appropriate investigation?

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Correct answer: E — CT angiography of the neck

Stable penetrating neck trauma with possible aerodigestive or vascular injury is commonly evaluated with CT angiography rather than mandatory exploration.

Reference: EAST penetrating neck trauma guideline; ATLS Student Course Manual