Stroke & TIA

Question 1

Definition of stroke

Answer 1

Ischaemia/infarction of brain due to 2ry inadequate blood supply

Question 2

Definition of TIA

Answer 2

Transient neurological dysfunction 2ry to ischaemia without infarction

Question 3

Timing of TIA in relation to strokes

Answer 3

Precedes it

Question 4

Crescendo TIA

Answer 4

• 2 or > TIAs within a week

- stroke

Question 5

Onset of stroke/TIA

Answer 5

Sudden

Question 6

Asymmetrical presentations of stroke/TIA

Answer 6

• limb weakness
• facial weakness
• dysphasia
• visual/sensory loss

Question 7

Female relevant factor that increase the risk of stroke/TIA

Answer 7

CCP

Question 8

FAST approach in community for stroke Mx

Answer 8

• face
• arm
• speech
• time

Question 9

In the ER a ROSIER scale greater than … means there is a possibility of stroke

Answer 9

0

Question 10

Med given prior to Mx of stroke

Answer 10

Aspirin (depends on stroke type really)

Question 11

What must be excluded before administering stroke Mx

Answer 11

Hypoglycaemia

Question 12

What is used to exclude 1ry IC haemorrhage before stroke Tx

Answer 12

Immediate CT

Question 13

What do you give in strokes to break down clots

Answer 13

Tissue plasminogen activator: atelpase

Question 14

Haemorrhage is a significant risk of what medication

Answer 14

Atelpase

Question 15

Surgical option for stroke Mx

Answer 15

Thrombectomy

Question 16

Why should you avoid lowering BP when stroke Mx

Answer 16

Compromised brain perfusion

Question 17

TIA Mx

Answer 17

• aspirin
• 2ry prevention CVD
• stroke specialist w/in 24hrs

Question 18

TIA 2ry prevention

Answer 18

• clopidogrel
• atrovastatin
• endarterectomy
• treat RFs

Question 19

Period of adjustment following stroke that involves MDT

Answer 19

Stroke rehabilitation

Question 20

Gold standard (preferred to CT) Ix

Answer 20

Diffused-weighted MRI

Question 21

How to assess carotid stenosis

Answer 21

Carotid USS