419 CVD Flashcards
1
Q
65F, HPN, presents with sudden left sided weakness and slurring of speech. Cranial CT scam shows acute infarct of the right internal capsule. Which condition when present in this patient is a contraindication to rTPA? A. Major surgery within 30 days B. Recent myocardial infarction C. BP 180/100 on nicardipine drip D. GI bleeding in the past 1 month
A
B. Recent Myocardial infarct
Major surgery in prior 2 week
Present GI bleeding
The BP is OK
2
Q
55/M with recent history of MI and stress ulcer presents with 3 hour history of left sided weakness. Cranial CTS showed infarct in right MCA. Recombinant TPA being contemplated. Why is it less likely to be given in this case? A. Onset less than 4. 5 hours B. CTS brain showed no hemorrhage C. Hematemesis two months ago D. Recent MI
A
D. Recent MI
3
Q
Abrupt onset of neurologic deficit that is attributable to a focal vascular cause
A
Stroke or cerebrovascular accident
4
Q
True or false. The definition of stroke is clinical
A
True
5
Q
True or false. Stroke has occurred if neurologic signs and symptoms lasts for more than 24 hours or brain infarction is demonstrated
A
True.
