Q:

A 6-year-old male child brought to emergency department after been hit by a car while riding his bike

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A 6-year-old male child brought to emergency department after been hit by a car while riding his bike. GCS was 6 and brain CT was normal. However, immediate MRI demonstrates multiple areas of punctate hemorrhages consistent with diffuse axonal injury.Regarding the classification of traumatic brain injury (TBI), the child in this scenario has


  1. mild TBI
  2. moderate TBl
  3. severe TBl
  4. pure axonal brain injury
  5. parenchymal brain hemorrhage

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(C). The key for severity of TBI is GCS score, patient with GCS of 3-8 regarded as severe type while those between 9-12 regarded as moderate.

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