CNS pathology

Question 1

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

Why the patient has weakness on the right arm and leg (1)

Answer 1

Stroke

Question 2

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

Which side of the face is weak (1)

Answer 2

Right side

Question 3

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

Which side of the brain has abnormal condition (1)

Answer 3

Left side

Question 4

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

d. What is the most likely (abnormal??) cardiac rhythm(1)

Answer 4

Tachycardia

Question 5

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

e. What radiological investigation should be made(1)

Answer 5

Electrocardigram?

Question 6

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

3 problems with eating for this patient (3)

Answer 6

Difficulty in chewing; cannot control saliva/xerostomia; difficulty in swallowing, taste

Question 7

Case: 75 years old man, sudden onset of weakness on right arm and leg, face deviates to the left, pulse fast and irregular, pulse rate 102 beats/min

2 Types of medication to prevent the recurrence of this condition (2)

Answer 7

Aspirin (antiplatelet), warfarin (anticoagulant)