How to Answer Year Female Evaluated Questions (Complete Guide)

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Original Question

A 25-year-old female is evaluated in the emergency department after a car collision that occurred 2 hours ago. A head CT demonstrates a small subdural hematoma over the right parietal lobe and a hemorrhagic contusion in the left temporal lobe. Her GCS score is 9 (E2, V2, M5), and her pupils are 3 mm bilaterally and react slowly to light. What is the appropriate monitoring and treatment plan based on the patient’s clinical condition? Give tranexamic acid (TXA) within 3 hours of injury, admit to ICU, perform neurological exam with focus on GCS and pupils every hour, and repeat head CT in 24 hours following the initial injury Give TXA within 3 hours of injury, admit to ICU, perform neurological exam with focus on GCS and pupils every hour, and repeat head CT in 4-6 hours following the initial injury Continue to monitor in the emergency department, perform neurological exam with focus on GCS every 1 hour, and repeat head CT in 12 hours following the initial injury Perform neurological exam every 1 hour, admit to ICU, give TXA if there is any clinical worsening, and repeat head CT in 4-6 hours following the initial injury Perform neurological exam every 2 hours, admit to a stepdown unit, and repeat head CT in 6-8 hours following the initial injury

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