STROKE

Question 1

acute neurologic injury caused by ischemia or hemorrhage.

Answer 1

stroke

Question 2

is mandatory and it is the most important step in any patient presented with neurological deficit
It will differentiate between Ischemic stroke vs Hemorrhagic stroke

Answer 2

CT BRAIN

Question 3

Hemorrhagic stroke management

Answer 3

Neurosurgery referral

Question 4

Ischemic stroke management

Answer 4

within window period (4.5 hours) or no
- Out of the window&raquo_space; Dual antiplatelet (Aspirin and Clopidogrel) plavix
- Within window&raquo_space; thrombolytic if no contraindication and hold Antiplatelet in 1st 24 hours

Question 5

TIA is defined by

Answer 5

the absence of infarction on neuroimaging, independent of symptoms
duration, which typically lasts from 5 to 60 minutes

Question 6

the most common cause of cryptogenic stroke

Answer 6

atrial fibrillation

Question 7

65-year-old presenter to ER with sudden right
side weakness 4 hours ago, what is the most
important next step?

Answer 7

CT brain

Question 8

63-year-old presented to ER with sudden left
side weakness 6 hours ago associated with
dysarthria, CT brain done showed acute
ischemic insult, BP is 160/95, what is the most
appropriate management?

Answer 8

Aspirin
Aspirin and Clopidogrel (plavix)

Question 9

Control his blood pressure in stroke patient?

Answer 9

do not give anti Hypertensive unless BP > 220120
high BP is a protective mechanism From the body To make the blood that reaches The brain

Question 10

Patient with transient visual loss lasted less
than 60 minutes and resolved without any
intervention, normal CT brain, what is the most
likely diagnosis?

Answer 10

Transient ischemic attack

Question 11

Best way to prevent stroke?

Answer 11

• Blood pressure control

Question 12

Case of stroke with
MAP = 65 and
intra-cranial pressure = 15, calculate the cerebral perfusion
pressure?

ICP-MAP=

Answer 12

ICP-MAP= 50