421 Intracranial Hemorrhage

Question 1

Trial the demonstrated that in patients with spontaneous ICH, lowering the BP to <140 mmHg improves outcomes but does not improve mortality compared to a target of <180 mmHg (H20 C421 P3091)

Answer 1

INTERACT2

Question 2

Drugs preferred in lowering BP in ICH (H20 C421 P3092)

Answer 2

Nonvasodilating drugs e.g. nicardipine, labetalol, esmolol

Question 3

Amyloid angiopathy is rare in patients aged (H20 C421 P3092)

Answer 3

<60 years

Question 4

Most common site for hypertensive hemorrhage (H20 C421 P3093)

Answer 4

Putamen

Question 5

Neurologic deficit in hemorrhage of dominant thalamus (H20 C421 P3092)

Answer 5

Aphasia

Question 6

Neurologic deficit in bleeds of nondominant thalamus [2] (H20 C421 P3092)

Answer 6

Apraxia, mutism

Question 7

Syndrome wherein a patient with thalamic hemorrhage develops chronic contralateral pain

Answer 7

Déjérine-Roussy syndrome

Question 8

Major neurologic deficit with an occipital hemorrhage (H20 C421 P3093)

Answer 8

Hemianopsia

Question 9

Major neurologic deficit with an left temporal hemorrhage [2] (H20 C421 P3093)

Answer 9

Aphasia, delirium

Question 10

Major neurologic deficit with a parietal hemorrhage (H20 C421 P3093)

Answer 10

Hemisensory loss

Question 11

Major neurologic deficit with a frontal hemorrhage (H20 C421 P3093)

Answer 11

Arm weakness

Question 12

Probably the most common cause of lobar hemorrhage in the elderly (H20 C421 P3093)

Answer 12

Amyloid angiopathy

Question 13

Provides definitive diagnosis of cerebral amyloid angiopathy (H20 C421 P3093)

Answer 13

Cerebral biopsy

Question 14

The use of this therapy may be beneficial kn cerebral amyloid angipathy-associated vasculitis (H20 C421 P3093)

Answer 14

Oral glucocorticoids

Question 15

Causes ICH by venous hypertension (H20 C421 P3092)

Answer 15

Dural arteriovenous anomaly

Question 16

Cocaine and amphetamine are frequent causes of stroke in this age group (H20 C421 P3093)

Answer 16

<45 years

Question 17

MRI brain imaging shwoing a pattern of typically posterior brian edema that is reversible in hypertensive encephalopathy (H20 C421 P3093)

Answer 17

Reversible posterior leukoencephalopathy

Question 18

After this time, x-ray attenuation values of clotted blood diminish until they become isodense with surrounding brain (H20 C421 P3093)

Answer 18

2 weeks

Question 19

Sign on CTA or postcontrast CT imaging that is associated with increased risk of hematoma expansion, increased mortality, and lower likelihood of favorable functional outcome. (H20 C421 P3094)

Answer 19

Spot sign

Question 20

Rapid correction of coagulopathy in patients taking VKAs can be achievd by giving: (H20 C421 P3094)

Answer 20

Prothrombin complex concentrates with vitamin K administered concurrently

Question 21

Most cerebellar hematomas of this diameter will require surgical evacuation (H20 C421 P3094)

Answer 21

> 3 cm

Question 22

Bleeding, headache, and seizures caused by true AVMs arr most common between the ages of: (H20 C421 P3095)

Answer 22

10 and 30 years

Question 23

This therapy for AVMs is done to reduce operative bleeding and is usually indicated for accessible lesions (H20 C421 P3095)

Answer 23

Preoperative embolization

Question 24

Pulsatile tinnitus is a symptoms of this cause of ICH (H20 C421 P3095)

Answer 24

Dural arteriovenous fistula