Neurology

Question 1

Risk Factors for stroke?

Answer 1

A Fib

Coronary Artery disease

Hypertension

Smoking

Diabetes

Vasculitis

Contraceptive Pill

Question 2

Tool for assesing Stroke?

Answer 2

Face
Arm
Speech
Time (call 999)

Question 3

Imaging/Management of stroke?

Answer 3

Admit to specialized stroke center

Exlude hypoglycemia

Imaging:
- CT brain to exclude intracerebral hemorrage
- Difusion Weighted MRI (Gold standard)
- Carotid ultrasound to asses fort stenosis

Aspirin stat (after CT) 2 weeks

Thrombolysis w/ alteplase (tissue plasminogen activator)
- Must be given within 4.5 hours

Question 4

Glasgow Coma Score Categories

Answer 4

Eyes
- Spontaenous =4
- Speech= 3
- Pain = 2
- None= 1

Verbal Response
- Oriented = 5
- COnfused conversation = 4
- Innaproprate words =3
- Incomprehensible sounds =2
- None=1

Motor Response
- Obeys commands 6
- Localizes pain = 5
- Normal flexion=4
- Abnormal Flexion= 3
- Extends= 2
- None=1

Answer 5

Sudden onset headache

Question 6

Type of Intracranial bleed?

Vesell Damaged?

Location/Shape?

Demographics/Associations?

Answer 6

Subdural Hemorrhage
- Rupture of bridging vein (Outermost meningeal layer)
- Between dura mater and Arachnoid mater
- Crescent Shape, not limitied by cranial sutures
- Elderly and Alchoholics (More atrophy in brains)