1. We invariably consider the possibility of a cerebellar stroke when patients have acute onset ataxia of gait or limb incoordination. Can you deduce which artery is involved (based on additional neurological signs) in this cerebellar stroke presentation: The patient has nausea, vertigo, dysphagia and dysarthria, loss of pain and temperature sensations on one side of the face and opposite side of the body?
C. Posterior inferior cerebellar artery.
2. What do you suspect when a patient has had a stroke but presents with paraplegia or quadriplegia and has loss of sensations in both affected limbs, incontinence of bowel and bladder and pain in the back and limbs with no cranial nerve involvement?
A. Spinal cord stroke.
3. Which of the following are directly related to patients who have had a subarachnoid hemorrhage? (More than one answer is possible).
A. Nimodipine. C. Xanthochromia of CSF. D. Endovascular coiling
4. Which one of the following can be a cause of intracerebral hemorrhage in elderly patients?
B. Cerebral amyloid angiopathy.
5. In which type of stroke do we use heparin even though the stroke is associated with evidence of minor bleeding?
A. Cortical vein thrombosis.
6. When will you start antihypertensive treatment in a patient with a stroke due to bleeding into the brain?
C. When the BP is more than 180mm Hg systolic
7. Thrombolytic therapy with Alteplase (recombinant tissue type plasminogen activator) is recommended for ischemic strokes within 4.5 hours of onset. In which of the following situations will you prefer NOT to use rtPA? More than one answer is acceptable.
A. When the patient is more than 80 years old. B. When the patient has a residual disability due to a previous stroke many years ago. C. When the patient had suffered a stroke within the past 3 months
8. When does the cerebral edema that occurs after a cerebral hemorrhage reach its peak?
B. On the fifth day.
9. When patients who are on warfarin develop a cerebral hemorrhage, we give them Vitamin K and fresh frozen plasma to reduce the volume of bleeding. What can we give to reduce the volume of bleeding in patients with cerebral hemorrhage who are not on warfarin?
A. Activated Factor VII
10. Dysphagia is a common problem after stroke. When is it usually appropriate to insert a nasogastric tube for feeding after a stroke?
B. After 36 hours.
11. Regarding recovery after a stroke, which of the following statements are correct?
A. Proximal movements recover better than distal movements. C. Lower limbs recover better than upper limbs
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