Headaches/Stroke

Question 1

benign headaches are?

Answer 1

tension, cluster, migraine

Question 2

bilateral band, most common, stressed, tired

Answer 2

tension

Question 3

tension tx is?

Answer 3

NSAID, Sumatriptan

Question 4

Unilateral with scintillations, scatomata, aura, photophobia, pulsatile, trigeminal nerve, internal carotid

Answer 4

migraine - Sumatriptan

Question 5

Eyes, same side, lacrimation, miosis, ptosis is, worse with Etoh?

Answer 5

cluster

Question 6

Cluster ha tx is?

Answer 6

100 o2

Question 7

Cluster headache sxs

Answer 7

males 40s

Question 8

Bad causes of HA are?

Answer 8

Cerebral infarct, thrombus, meningitis

Question 9

cervical disection sxs

Answer 9

rip, stroke sxs

Question 10

CO toxicity sxs

Answer 10

headache with indoor cooking

Question 11

cerebral infact sxs?

Answer 11

ataxia

Question 12

ruptured aneurysm, AV leaks causes?

Answer 12

SAH ->HTN

Question 13

SAH sxs?

Answer 13

SUDDEN, MAXIMAL HA, thunder

Question 14

SAH diag?

Answer 14

CT then LP (xanthochromia)

Question 15

SAH TX?

Answer 15

Surgical clip, control pain, BP, Seizure.

Question 16

Stoke, what is FAST

Answer 16

facial droop, arm weak, speech dif, time: call

Question 17

Stroke Diag?

Answer 17

CT

Question 18

Tx of hemorrhagic stroke?

Answer 18

ABC, mannitol, hyperventilate, craniotomy

Question 19

LP can be done under what vertebrae?

Answer 19

L2

Question 20

TIA has sxs in what time frame?

Answer 20

24 transient sxs

Question 21

dizzy, diplodia, dysarthria, dysphagia, dysmetria are due to a?

Answer 21

Posterior circulation

Question 22

TIA FAST sxs are?

Answer 22

facial droop, arm weak, speech dif, time: call

Homunculus and vascular supply

Question 23

DIAG a TIA?

Answer 23

ABCD2; Age>60, BP>140/90, clinical poor speech, 10-60 mins sxs, sxs last over an hour.

Question 24

Ischemic stroke is what color on a CT?

Answer 24

black - dead

Question 25

Hemorrhagic stroke is what color on a CT?

Answer 25

white - blood

Question 26

HA is more associated with

Answer 26

hemorrhagic

Question 27

Anterior cerebral stroke sxs

Answer 27

Right leg weakness = left anterior cerebral

Question 28

Posterior cerebral stroke sxs

Answer 28

quick, visual changes

Question 29

Middle cerebral stroke sxs

Answer 29

contralateral Arm weakness (right are = left middle cerebral)

Question 30

stroke tx is first?

Answer 30

ABC, tPA.
Medical = mannitol, hyperventilate (vasoconstrict)
Surgical = ventriculostomy, craniotomy

Question 31

Ischemic stroke tx?

Answer 31

ABC, FIBRINOLYSIS, mannital, hyperventilate (vasoconstrict)

Question 32

complications of hospitalized stroke patients?

Answer 32

DVT, UTI, PE

Question 33

posterior circulation stroke (vertebrae basilar circulation) supple?

Answer 33

brainstem and cerebellum.

Question 34

If one side of the face and contralateral body vertigo, diplopia, dysarthia, ataxia where is the stroke?

Answer 34

posterior circulation stroke