Neuro 1

Question 1

Time limit for TPA for stroke in pts under 80

Answer 1

4.5 hours

Question 2

Time limit for TPA for stroke in pts over 80

Answer 2

3 hours

Question 3

Time limit for mechanical thrombectomy for stroke (per 2017 guidelines)

Answer 3

6 hours

Question 4

Time limit for mechanical thrombectomy if large vessel stroke with significant reperfusible brain on angiogram by RAPID software estimate

Answer 4

16-24 hours

Question 5

Only Tx for both cerebral salt wasting and SIADH

Answer 5

Hypertonic saline

Question 6

2 meds for hypotension in Guillain-Barre

Answer 6

Fludrocortisone and midodrine

Question 7

_____ is mandatory if SAH is suspected, but CT head is negative.

Answer 7

Lumbar puncture

Question 8

Next step once SAH is diagnosed (and pt is stable)

Answer 8

Identify the source of bleeding

Question 9

What are 2 non-traumatic sources of bleeding in SAH

Answer 9

Aneurysm and AVM

Question 10

3 tests to identify source of bleeding in SAH

Answer 10

Digital subtraction angiography (DSA), CTA, and MRA

Question 11

If SAH confirmed but no evidence of cerebral aneurysm or other source of bleeding in the brain, do this.

Answer 11

Look for spinal AVM (e.g. with spine MRI)

Question 12

Location of stroke required for mechanical thrombectomy at <6 hrs

Answer 12

internal carotid or MCA