Neuro 1

Question 1

TIA symptoms usually last < __

Answer 1

1 hour

Question 2

PE to perform if you suspect TIA (3)

Answer 2

full neuro
CV
c-spine

Question 3

__% of TIA pt’s will go on to have stroke in the next 90 days

Answer 3

25

Question 4

greatest risk for stroke is __ after TIA

Answer 4

48-72 hr

Question 5

when should pt with TIA be admitted

Answer 5

if pt is w.in 72 hour window

Question 6

when can TIA pt be worked up op

Answer 6

if outside 72 hr window - but this needs to happen quickly (ex w.in a week)

Question 7

3 imaging choices for TIA

Answer 7

US
MRA
CTA

Question 8

gs imaging for TIA

Answer 8

MRA

Question 9

best imaging choice if TIA pt is outside of 72 hr window

Answer 9

MRA

Question 10

what specific type of US needs to be ordered for TIA

Answer 10

carotid duplex US

Question 11

mc source of embolic strokes

Answer 11

carotid arteries

Question 12

tx for carotid atherosclerosis

Answer 12

carotid endarterectomy

Question 13

when is a carotid endarterectomy indicated

Answer 13

70% occlusion

Question 14

risk of carotid endarterectomy

Answer 14

very high risk for stroke

Question 15

labs to order for TIA pt

Answer 15

BMP
lipids
A1C
CBC
baseline EKG
consider ECHO or bubble

Question 16

when would you order an ECHO or bubble study with a TIA pt

Answer 16

if you hear a murmur

Question 17

what would you be looking for in a bubble study

Answer 17

ASD

Question 18

mc cause of ASD

Answer 18

patent foramen ovale

Question 19

ASD increases risk for (2)

Answer 19

migraines
stroke

Question 20

what is ABCD2 for TIA risk stratification

Answer 20

-age: 60 or older (1)
-bp: sbp 140/90 or higher (1)
-clinical features: unilateral weakness (2), speech impairment (1)
-duration: 60 min or more (2), 10-59 min (1)
-DM (1)

Question 21

meds commonly given to TIA pt

Answer 21

ASA
clopidigrel
statin
Lisinopril/HCTZ