Neurology

Question 1

patient with a stroke AND ecg showing they have atrial fibrilliation

already on aspirin and simvastatin since stroke.

most appropriate long term plan for secondary stroke prevention?

Answer 1

Apixaban!!! (an xa-inhbitor)

or warfarin

as anticoagulation

Question 2

woman has severe neck chest and back pain after a fall

cxr clear with left sided rib fracture
CT head is clear except orbital fracture

most appropriate next investigation?

Answer 2

CT scan of neck!!!!

history and exam suggests cervical spine fracture

Question 3

when would a CT scan of head be indicated after a fall?

Answer 3

LOC
OR amnesia

Question 4

sudden severe headache 4 hours ago. autosomal dominant polycystic kidney disease

neuro exam and CT scan head normal

next step in management?

Answer 4

lumbar puncture!!!

patient most likely had a subarrachnoid hemorrhage

negative CT scan must be followed up with lumbar puncture

Question 5

Question describing A focal Siezure affecting patients right hemisphere as a result of a previous stroke