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Stable penetrating neck injury — RCPSC EM MCQ

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HardTraumaStable penetrating neck injuryRCPSC EM

A 25-year-old man has a penetrating zone II neck wound. He is stable, has hoarseness and minor haemoptysis, and the wound violates platysma. BP is 126/78, HR 98, and there is no expanding haematoma. What is the most appropriate investigation?

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Correct answer: B — CT angiography of the neck with aerodigestive evaluation as indicated

Stable penetrating neck trauma with hard aerodigestive symptoms requires vascular imaging, commonly CTA, and targeted airway/oesophageal evaluation.

Reference: Royal College Emergency Medicine exam format and training experiences