Stroke

Question 1

Risk factors for stroke

Answer 1

Hypertension, Smoking, AF, DM, IHD, Valvular disease, OCP use, Alcoholism, Thrombophilia, Past TIA

Question 2

Management of cardiac emboli

Answer 2

Anti-coagulation

Question 3

Causes of haemorragic strokes

Answer 3

Charcot-Bouchard aneurysms

Question 4

Management of haemorragic strokes

Answer 4

Coiling, Mange BP

Question 5

Rarer causes of stroke

Answer 5

Carotid artery dissection, Anti-phospholipid syndrome, Venous sinus thrombosis

Question 6

Classification system for strokes

Answer 6

Bamford

Question 7

Features of a TACs

Answer 7

Motor/Sensory loss AND Homonymous hemianopia AND Higher cortical dysfunction

Question 8

Features of a PACs

Answer 8

2 of: Motor/Sensory loss OR Homonymous hemianopia OR Higher cortical dysfunction
OR Higher cortical dysfuntion on it’s own

Question 9

Features of a LACs

Answer 9

Motor or sensory loss

Question 10

Features of a POCs

Answer 10

CN palsies OR Cerebrellar signs OR Isolated homonymous hemianopia

Question 11

Acute investigations for a stroke

Answer 11

Bloods (FBC, U+Es, LFTs, Glucose, Clotting, Lipid profile), ECG, CT head

Question 12

Outpatient investigations following a stroke

Answer 12

24hr ECG, Echocardiogram, Carotid doppler

Question 13

Features allowing for thrombolysis in stroke

Answer 13

Within 4.5hr, <80yrs, Symptoms not improving, Severe symptoms

Question 14

Acute management of stroke

Answer 14

Aspirin 300mg, SALT review, IV fluids

Question 15

Management following a confirmed stroke

Answer 15

Clopidogrel, Atorvostatin