PAEA Internal Medicine EOR |726 questions| with correct answers

Bell's Palsy CORRECT ANSWER causes cranial nerve 7 dysfunction S/S of Bell's Palsy CORRECT ANSWER Has forehead involvement (whereas a stroke does not affect forehead movement), facial weakness, inability to keep one eye closed Treatment for Bell's palsy CORRECT ANSWER Prednisone 60mg x 5 days, Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night When can I use tPA? CORRECT ANSWER ischemic stroke presenting within <3 hrs and CT head negative How do you treat high BP with stroke? CORRECT ANSWER Nitroprusside (short half life, easy to titrate) or IV labetalol What do you use for anticoagulation/antiplatelet therapy in stroke? CORRECT ANSWER ASA (not in hemorrhagic), heparin for thrombosis What do you do differently to treat hemorrhagic stroke? CORRECT ANSWER Give prophylactic anticonvulsant like phenytoin because of increased seizure risk, antiplatelet therapy contraindicated Types of Hemorrhagic Stroke CORRECT ANSWER 1. Intracerebral (10%): results from rupture of small arterioles 2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into subarachnoid space) Causes of Intracerebral hemorrhagic stroke are what? CORRECT ANSWER HTN, amyloidosis, iatrogenic anticoagulation, vascular malformations, co