MSRA Miscellaneous

Question 1

how is Wells score interpreted for DVT?

Answer 1

2 or more = DVT likely, do proximal leg USS
1 or less = DVT unlikely, do D-dimer within 4 hours (if result not available in this time, start interim anticoagulation)

Question 2

how is Wells score interpreted for PE?

Answer 2

More than 4 = PE likely, do CTPA

4 or less = PE unlikely, do D-dimer

Question 3

what is the difference between wernicke’s and broca’s aphasia?

Answer 3

1) wernicke’s (receptive)
- lesion of superior temporal gyrus which usually forms speech before sending it to broca’s
- results in word salad with impaired comprehension

2) broca’s (expressive)
- lesion of inferior frontal gyrus
- non-fluent, laboured speech with normal comprehension

Question 4

what is conduction aphasia?

Answer 4

typically due to stroke affecting arcuate fasiculus (connection between wernicke’s and broca’s area)

speech fluent but repetition poor, pt aware of errors they are making, normal comprehension