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SMTS > Neurology > Flashcards

Neurology Flashcards

1
Q

When to initiate Aspirin in acute stroke?

A

Within 48 hrs, not within 24 hrs of thrombolysis

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2
Q

Timeframe for use of tPA?

A

4.5 hours

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3
Q

Absolute exclusion criteria for thrombolysis?

A

Uncertainty about timeframe
INR>1.7 or anticoagulant in last 12 hours
SAH
Septic embolus
Hypo/hyperglycaemia which cannot be corrected in 4.5hrs

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4
Q

Example of tPA?

A

Alteplase

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5
Q

Last resort for huge MCA stroke?

A

Hemicraniectomy

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6
Q

Presentation of amyloid angiopathy

A

Recurrent cortical, lobar strokes, or SAH

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7
Q

Investigations in stroke workup?

A

CT, CTA/MRI/MRA, carotid duplex, ECG, holter monitor, TOE, BGL, lipids, CBE, LFT

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8
Q

Secondary prevention of stroke?

A

Aspirin
Dipyridamole (ER)
Warfarin/NOACs for cardioembolic
Carotid endarterectomy

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9
Q

BIGGEST risk factor for ischaemic stroke?

A

Hypertension

smoking/Obesity second

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10
Q

BIGGEST risk factor for haemorrhagic stroke?

A

Hypertension

Obesity/physical inactivity second

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SMTS (16 decks)

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