Stroke

Question 1

What is stroke?

Answer 1

Acute onset of focal neurological symptoms due to disruption of blood flow

Question 2

What are the two types of stroke?

Answer 2

Haemorrhagic or thromboembolic (ischaemic)

Question 3

Atheroemboli affect?

Answer 3

Same side as the carotid artery

Question 4

Cardio-embolic stroke causes?

Answer 4

Bilateral arterial infarcts

Question 5

What are the signs and symptoms of stroke?

Answer 5

May have signs of AF with signs of cardiac failure

Hemiparesis (main symptom)

Question 6

What is required to determine the type of stroke?

Answer 6

Neurological examination

Question 7

Which infestations would be used in stroke?

Answer 7

CT brain +/- angiography

Question 8

How do you treat stroke? (pharmacologically)

Answer 8

Aspirin 75 mg
Statin
Dipyramidine MR 200 mg BD
Clopidogrel 75 mg OD

Question 9

How do you treat stroke if in AF?

Answer 9

Anticoagulation + antihypertensives

Question 10

What are surgical options?

Answer 10

Haematoma evacuation
Relief of intracranial pressure
Carotid endarterectomy

Question 11

What doe sa carotid endarterectomy do?

Answer 11

remove deposit sin the artery