PAEA Surgery End Of Rotation (EOR) Practice Exam

What is usually the first step in the management of subarachnoid hemorrhage?

1. Administering anticoagulants

2. Immediate surgical intervention

3. CT scan for diagnosis

4. Observation in emergency setting

The correct answer is: CT scan for diagnosis

In the management of subarachnoid hemorrhage, obtaining a CT scan for diagnosis is typically the first crucial step. The CT scan is essential because it helps confirm the presence of blood in the subarachnoid space and assists in assessing the extent of the hemorrhage. By utilizing a CT scan, healthcare providers can determine the appropriate course of action based on the severity and specific characteristics of the hemorrhage. Once a diagnosis is established through imaging, clinicians can evaluate the need for further interventions, such as surgical procedures or endovascular treatments, depending on the underlying cause (e.g., aneurysm) and the patient's condition. It's important to confirm the diagnosis through imaging before deciding on immediate management strategies or treatments like anticoagulants or observation, which are not appropriate until the diagnosis is established.