stroke and VTE

Question 1

symptoms of stroke (FAST)

Answer 1

F-face droop
A-can the patient raise the arm (weakness of one side of the body)
S-can the patient speak a full sentence

Question 2

types of stroke

Answer 2

ischemic and haemorrhage (bleeding)

Question 3

types of ischemic stroke

Answer 3

cardioembolic and non-cardioembolic

Question 4

treatment options for ischemic stroke

Answer 4

thrombolytic and revasculation

Question 5

drugs use for thrombolytic

Answer 5

alteplase and tenecteplase (large vessel occulsion)

Question 6

alteplase should be given within 4.5 hours onset of symptoms Y/N

Answer 6

Y

Question 7

before start with the thrombolytic therapy, what is the most essential thing to check

Answer 7

BP

Question 8

aim for the BP

Answer 8

185 / 110

Question 9

what types of patient would be suitable for endovascular thrombectomy

Answer 9

large vessel occlusion
present after 6 hours

Question 10

when should aspirin be given

Answer 10

after 24 hours of the thrombolytic therapy
300-100

Question 11

long-term management for cardioembolic stroke

Answer 11

anticoagulant

Question 12

when choose warfarin

Answer 12

when NOT AF

Question 13

when choose NOAC

Answer 13

when AF

Question 14

should aspirin be stopped before starting the anticoagulant Y/N

Answer 14

Y

Question 15

long-term management for non-cardioembolic stroke

Answer 15

antiplatelet (aspirin, P2Y12)

Question 16

other drugs and advice for long-term management

Answer 16

BP / cholsterol / blood glucose / life-style (smoking cessation)

Question 17

how to reverse the effect of warfarin

Answer 17

vit K / FFP / PCC (prothrombin)

Question 18

prophylaxis for VTE—-normal patient

Answer 18

LMWH / UFH

Question 19

prophylaxis for hip fracture surgery

Answer 19

LMWH / fondaparinux

Question 20

total hip replacement or total knee replacement

Answer 20

fondaparinux / LMWH / NOAC

Question 21

for pregnancy

Answer 21

LMWH

Question 22

for kidney impaired patient, which anticoagumant is preferred

Answer 22

UFH

Question 23

for the treatment of VTE , we can use apixaban and rivaroxaban without heparin
Y/N

Answer 23

Y

Question 24

usually, how long would the treatment continue

Answer 24

3 mths

Question 25

for hip fracture and hip replcement *prophylaxis would continue for how long

Answer 25

28-35 days

Question 26

Trauma (VTE prophylaxis)

Answer 26

LMWH