Strokes

Question 1

Most common type of stroke?

Answer 1

Ischemic

Question 2

Most common type of hemorrhagic stroke?

Answer 2

ICH

-then subarachnoid hemorrhage

Question 3

After a stroke should we use contrast with imaging?

Answer 3

No

Question 4

Which gender is more prone to strokes?

Answer 4

Men

Question 5

Most common cause of hemorrhagic stroke?

Answer 5

Hypertension

Question 6

What drugs are contraindicated in event of a stroke?

Answer 6

Clopidogrel

Gp IIb/IIIa inhibitors

Question 7

What is responsible for 50% of deaths from SAH after initial bleeding?

Answer 7

Cerebral vasospasm

Question 8

Medication for SAH?

Answer 8

Nimodipine

-Dihydropyridine CCB

Question 9

When should nimodipine be administered?

Answer 9

Within 96 hours of SAH

Question 10

Contraindications for nimodipine?

Answer 10

Low BP

Question 11

What is the only FDA-approved therapy for treatment of acute ischemic stroke?

Answer 11

rtPA, Activase

-Breaks down blood clots

Question 12

When should you give thrombolytics?

Answer 12

Within 3 hours of stoke

Question 13

What is BP cutoff for giving rtPA?

Answer 13

<185 SBP

Question 14

What treatment should we give to lower BP before giving rtPAs?

Answer 14

Labetolol
Nitropaste
Nicardipine

Question 15

What thrombolytic must never be used after a stroke?

Answer 15

Streptokinase

Question 16

What common anti-platelet drug should be given within 24 hours of acute stroke?

Answer 16

Aspirin

Question 17

Contraindications for anticoagulants?

Answer 17

Pneumatic stockings

Question 18

Anti-platelet therapy for secondary stroke prevention?

Answer 18

ASA + ER-DP-Best
Clopidogrel
ASA alone