Stroke (Ischemic and Haemorrhagic) Management

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Questions and Answers

What is the recommended blood pressure level for administering anti-hypertensive medications?

  • 180mmHg or diastolic BP of 100mmHg
  • 160mmHg or diastolic BP of 90mmHg
  • 180mmHg or diastolic BP of 105mmHg (correct)
  • 140mmHg or diastolic BP of 80mmHg

What is the recommended duration for avoiding antiplatelet and anticoagulation drugs after Alteplase administration?

  • 24 hours (correct)
  • 12 hours
  • 48 hours
  • 72 hours

What is the recommended time window for considering IV Alteplase for acute stroke onset?

  • 0-12 hours
  • 0-3 hours
  • 4.5-9 hours (correct)
  • 0-4.5 hours

What is the CHA2DS2-VASc score component for a patient with a history of stroke or TIA?

<p>1 (C)</p> Signup and view all the answers

What is the classification of a patient with a total CHA2DS2-VASc score of 0?

<p>Low risk (C)</p> Signup and view all the answers

What is the type of stroke characterized by a weakened blood vessel in the brain that ruptures?

<p>Hemorrhagic stroke (D)</p> Signup and view all the answers

What is the approximate percentage of hemorrhagic stroke?

<p>13% (D)</p> Signup and view all the answers

What is the primary goal of secondary stroke prevention therapy?

<p>To reduce the risk of future strokes (A)</p> Signup and view all the answers

What is the priority period for urgent intervention in patients with TIA?

<p>First few days after TIA (D)</p> Signup and view all the answers

What is the blood pressure threshold for patients with ischemic stroke who may be eligible for tissue plasminogen activator treatment?

<p>BP 185mmHg or diastolic BP 110mmHg (B)</p> Signup and view all the answers

What is the course of action for a patient with right-sided paralysis who has been diagnosed with ischemic stroke?

<p>Administer tissue plasminogen activator immediately (D)</p> Signup and view all the answers

What is the primary medication-related problem that should be prioritized in a patient with ischemic stroke?

<p>Uncontrolled hypertension (C)</p> Signup and view all the answers

What is the recommended treatment for patients with cerebellar ICH and neurologic deterioration?

<p>Early surgical intervention and hematoma removal (C)</p> Signup and view all the answers

What is a common complication of hemorrhagic stroke?

<p>Rebleeding (B)</p> Signup and view all the answers

What is the purpose of surgical clipping or endovascular coiling of the vascular anomaly?

<p>To reduce the risk of rebleeding (B)</p> Signup and view all the answers

What is the benefit of ventricular drainage with an extraventricular drain (EVD)?

<p>Treats hydrocephalus causing decreased consciousness (B)</p> Signup and view all the answers

What is the current status of pharmacologic strategies for treating intracerebral hemorrhage?

<p>Not proven (D)</p> Signup and view all the answers

When does rebleeding from an aneurysm usually occur?

<p>Within the first 48 hours after the initial event (B)</p> Signup and view all the answers

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