Q:

An employer sent his worker to the emergency department after having hit his head on a machine. Examination: normal. What is the single most likely investigation you would do?

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An employer sent his worker to the emergency department after having hit his head on a

machine. Examination: normal. What is the single most likely investigation you would do?


  1. Skull X-ray
  2. CT head
  3. MRI head
  4. Reassure

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The key is A. Reassurance. [Indications for CT are not fulfilled by given criteria for CT. NICE has

mentioned X-ray skull is no more preferred over CT. As no sign of basal or skull fracture no need to do

skull X-ray. Hence answer for this question is D. Reassurance].

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