neurology

Question 1

Stroke Mimics

Answer 1

Hypo/hyperglycaemia 
Intox/drug 
Seizure 
Subdural 
Syncope 
Sepsis 
Brain tumour 
Electrolyte imbalances 
Middle ear 
Migraine

Question 2

Different type of stroke

Answer 2

thrombolytic

Haemorrhagic

Question 3

Most common cause of Haemorrhagic strokes

Answer 3

Hypertension

Question 4

Signs of Intracranial haemorrhage

Answer 4

• Decrease GCS, collapse (GCS <8)
• Headache
• Nausea & vomiting
• Hypertension/bradycardia
• Tachypnoea

Question 5

Explain how to conduct a MASS/STROKE assessment

Answer 5

Facial droop - Get pt to smile, show teeth, looking for any signs of facial droop, lips or under eyes, eyebrow (common) - one side of face does not move

Speech - get pt to remember & repeat phrase, ‘ You can’t teach an old dog new tricks’ –> slurred speech, incorrect words, unable to speak.

Grip strength - Get pt to reach out, squeeze fingers, pull me towards them, push me away, Do similar to legs, - Looking for unilateral weakness.

Question 6

explain how to conduct ACT-FAST

Answer 6

Complete MASS assessment

assess arms

Sit pt, get pt to hold out both arms out,
If one arm falls or only one moves within 10secs.

Right arm- look for speech impediment

Left arm - ‘tap test’ - stand on left side, tap L shoulder - assess - abnormal response or eye deviation to Right