Neurology Floors

Question 1

What is the BO goal in acute ischemic stroke?

Answer 1

Treat if:

• BP >220/120
• MI
• Malignant HTN
• > 185/110 if IV thrombolysis expected

Question 2

Blood glucose goal for acute ischemic stroke?

Answer 2

60-180

Question 3

cerebral edema peak after an acute infarct

Answer 3

2-3 days but can occur upto 10 days

Question 4

Decrease ICP

Answer 4

• Elevate HOB
• IV mannitol
• Water restriction

Question 5

Predictor of detoriation requiring hemicraniotomy

Answer 5

DWI brain volume of infarction

Question 6

Stroke mimicking labyrinthitis

Answer 6

Cerebellar stroke

Question 7

Decompression surgery for cerebellar stroke

Answer 7

Sub occiital craniotomy

Question 8

TPA dose for acute ischemic infarct

Answer 8

0.9 mg/kg —> 10% bolus followed by rest over 1 hour

Question 9

Does rTPA improve mortality?

Answer 9

No

Question 10

Benefit of rTPA administration

Answer 10

Reduction in deficits

Question 11

TPA window

Answer 11

3 to 4.5 hours

Question 12

RTPA window in the US

Answer 12

0-3 hours

Question 13

Study to select patients for thrombolysis beyond the TPA window

Answer 13

DWI-FLAIR and CT/MR perfusion study

Question 14

Window for mechanical thrombectomy

Answer 14

24 hours

Question 15

Antiplatelet for acute stroke

Answer 15

Aspirin

Question 16

antiplatelet for secondary prevention of stroke in the short term

Answer 16

ASA + clopidogrel (300 loading followed by 75 daily) x 21 days

Question 17

Antiplatelet for long term secondary prevention of stroke

Answer 17

Either ASA or clopidogrel

Cominaton not recommended

Question 18

Side effect of clopidogrel

Answer 18

Neutropenia