Stroke

Question 1

Pathologies that can cause an ischaemic stroke

Answer 1

thrombus
embolus
atherosclerosis
shock
vasculitis

Question 2

Scoring system used to assess likelihood of stroke

Answer 2

ROSIER

Question 3

Investigation of choice for TIA

Answer 3

Diffusion weighted MRI

Question 4

If CTB shows no bleed what medication should be started for stoke patient s

Answer 4

aspirin 300mg for 2 weeks

Question 5

When can patients ? stroke have thrombolysis

Answer 5

CTB excluding haemorrhage
within 4.5 hours of symptoms starting

Question 6

Drug used for stroke thrombolysis

Answer 6

alteplase

Question 7

Once stoke or TIA confirmed what investigations are required

Answer 7

carotid imaging
ambulatory ecg

Question 8

Patient is found to have AF as likely cause of ischaemic stroke. Wen should anticoagulation be started

Answer 8

after 2 weeks of aspirin

Question 9

Stroke secondary prevention

Answer 9

clopidogrel 75mg (after 2 weeks aspirin)
atorvastatin (48hrs after stroke)
BP control
Diabetes control