Stroke

Question 1

management of patient with 2nd TIA in past 7 days

Answer 1

urgent specialist assessment

Question 2

most common stroke mimic

Answer 2

seizure

Question 3

crescendo TIA

Answer 3

> 1 TIA

Question 4

is aspirin given in TIA

Answer 4

yes - and if contraindicated, admit for imaging

Question 5

TACS criteria

Answer 5

hemiplegia +- hemisensory loss
homonymous hemianopia
cortical signs e.g. dysphasia

Question 6

PACS criteria

Answer 6

2 of TACS
hemiplegia +- hemisensory loss
homonymous hemianopia
cortical signs eg dysphasia

Question 7

stroke with best prognosis

Answer 7

lacunar

Question 8

lacunar stroke affects

Answer 8

deep perforating arteries around basal ganglia/thalamus/internal capsule

Question 9

lesion in posterior cerebral artery

Answer 9

homonymous hemianopia with macular sparing
visual agnosia (doesn't recognise objects)

Question 10

lesion of branches that supply the mid brain causes what syndrome

Answer 10

Webbers

Question 11

Webbers syndrome

Answer 11

ipsilateral CN III palsy

contralateral upper and lower extremity weakness

Question 12

Ix stroke

Answer 12

urgent non contrast CT - to rule out haemorrhage

MAY BE NORMAL - its a clinical diagnosis

Question 13

Mx ischaemic stroke

Answer 13

aspirin 300mg
clopidogrel started 2w later if atherosclerosis suspected
statin if cholesterol > 3.5

Question 14

headache more common in which type

Answer 14

haemorrhagic

Question 15

neck stiffness sign

Answer 15

SAH

Question 16

hydrocephalus - when to consider surgery

Answer 16

previously fit