Finall Exam:l NRl 572/l NR572l (Latestl
2026/l 2027l Update)l Advancedl Acutel
Carel Managementl Guidel |Weeksl 5-8l
Covered|l Q/Al |l Gradel A|l 100%l
Correctl (Verifiedl Answers)l -
Chamberlain
Q:l DDxl forl ischemicl stroke
Answer:
-Drugl toxicity;l -Brainl tumors;l -Hypertensivel encephalopathy;l -Conversionl disorder
Q:l Conversionl disorder
Answer:
Somatoforml disorderl withl reall symptomsl andl nol physiologicall basis
Q:l Imagingl testingl forl ischemicl stroke
Answer:
-Non-conl CTl (preferred);l -MRIl brainl (DWI);l -CTl orl MRl Angiol forl occlusionl detection
Q:l Labsl forl acutel ischemicl stroke
Answer:
-CBC,l Coags,l BMP,l Cardiacl biomarkers,l Toxicology
,Q:l Emergentl treatmentl ofl ischemicl stroke:l outpatient
Answer:
-Transportl tol strokel center;l -Securel airway,l oxygenation,l perfusion
Q:l Scoringl strokel -l scalel used
Answer:
NIHSS
Q:l NIHSSl Strokel Scale
Answer:
11l itemsl scoredl 0-4;l maxl scorel =l 42
Q:l NIHSSl scorel >l ___l =l highl probabilityl ofl death
Answer:
16
Q:l NIHSSl scorel ≤l ___l =l goodl recoveryl likelihood
Answer:
6
Q:l Eachl pointl increasel onl NIHSSl lowersl chancel ofl recoveryl byl ___%
Answer:
17%
,Q:l Medicationl forl ischemicl strokes
Answer:
IVl alteplasel —l convertsl plasminogenl tol plasmal tol breakl clot
Q:l Windowl forl alteplase
Answer:
4.5l hours
Q:l Contraindicationsl forl alteplase
Answer:
-Headl trauma/strokel <3l months;l -Hxl ICH;l -Therapeuticl LMWHl pastl 24l hrs;l -SBPl ≥185l
orl DBPl ≥110;l -GIBl <21l days;l -CNSl surgeryl <3l months;l -Endocarditis;l -Aorticl
dissection;l -Bleeding,l INRl >1.7,l PLTl <100k
Q:l IVl alteplasel increasesl riskl ofl early...
Answer:
ICH
Q:l Symptomsl ofl panicl disorder
Answer:
Palpitations;l sweating;l trembling;l shortnessl ofl breath;l chestl pain;l dizziness;l fearl ofl
impendingl dooml orl death;l paresthesias;l GIl distress;l feelingsl ofl unreality
Q:l Treatmentl ofl Panicl Disorder
Answer:
, Antidepressant;l SSRIl (fluoxetine,l sertraline,l paroxetine);l mayl alsol usel SNRIl
(venlafaxine)l and/orl MAOI
Q:l Treatmentl forl OCD
Answer:
Behaviorl therapyl andl exposurel responsel prevention;l SSRIsl (clomipramine,l fluoxetine,l
fluvoxamine,l paroxetine,l sertraline);l treatmentresistantl casesl mayl needl buspirone,l
neuroleptics,l orl benzos;l DBSl forl severel cases
Q:l Clomipraminel dosel forl OCD
Answer:
25-250l mg/DAY;l poorlyl toleratedl duel tol anticholinergicl andl sedativel sidel effects
Q:l Fluoxetinel dosel forl OCD
Answer:
5-60l mg/DAY
Q:l Fluvoxaminel dosel forl OCD
Answer:
25-300l mg/DAY
Q:l Paroxetinel dosel forl OCD
Answer:
40-50l mg/DAY
Q:l Sertralinel dosel forl OCD
2026/l 2027l Update)l Advancedl Acutel
Carel Managementl Guidel |Weeksl 5-8l
Covered|l Q/Al |l Gradel A|l 100%l
Correctl (Verifiedl Answers)l -
Chamberlain
Q:l DDxl forl ischemicl stroke
Answer:
-Drugl toxicity;l -Brainl tumors;l -Hypertensivel encephalopathy;l -Conversionl disorder
Q:l Conversionl disorder
Answer:
Somatoforml disorderl withl reall symptomsl andl nol physiologicall basis
Q:l Imagingl testingl forl ischemicl stroke
Answer:
-Non-conl CTl (preferred);l -MRIl brainl (DWI);l -CTl orl MRl Angiol forl occlusionl detection
Q:l Labsl forl acutel ischemicl stroke
Answer:
-CBC,l Coags,l BMP,l Cardiacl biomarkers,l Toxicology
,Q:l Emergentl treatmentl ofl ischemicl stroke:l outpatient
Answer:
-Transportl tol strokel center;l -Securel airway,l oxygenation,l perfusion
Q:l Scoringl strokel -l scalel used
Answer:
NIHSS
Q:l NIHSSl Strokel Scale
Answer:
11l itemsl scoredl 0-4;l maxl scorel =l 42
Q:l NIHSSl scorel >l ___l =l highl probabilityl ofl death
Answer:
16
Q:l NIHSSl scorel ≤l ___l =l goodl recoveryl likelihood
Answer:
6
Q:l Eachl pointl increasel onl NIHSSl lowersl chancel ofl recoveryl byl ___%
Answer:
17%
,Q:l Medicationl forl ischemicl strokes
Answer:
IVl alteplasel —l convertsl plasminogenl tol plasmal tol breakl clot
Q:l Windowl forl alteplase
Answer:
4.5l hours
Q:l Contraindicationsl forl alteplase
Answer:
-Headl trauma/strokel <3l months;l -Hxl ICH;l -Therapeuticl LMWHl pastl 24l hrs;l -SBPl ≥185l
orl DBPl ≥110;l -GIBl <21l days;l -CNSl surgeryl <3l months;l -Endocarditis;l -Aorticl
dissection;l -Bleeding,l INRl >1.7,l PLTl <100k
Q:l IVl alteplasel increasesl riskl ofl early...
Answer:
ICH
Q:l Symptomsl ofl panicl disorder
Answer:
Palpitations;l sweating;l trembling;l shortnessl ofl breath;l chestl pain;l dizziness;l fearl ofl
impendingl dooml orl death;l paresthesias;l GIl distress;l feelingsl ofl unreality
Q:l Treatmentl ofl Panicl Disorder
Answer:
, Antidepressant;l SSRIl (fluoxetine,l sertraline,l paroxetine);l mayl alsol usel SNRIl
(venlafaxine)l and/orl MAOI
Q:l Treatmentl forl OCD
Answer:
Behaviorl therapyl andl exposurel responsel prevention;l SSRIsl (clomipramine,l fluoxetine,l
fluvoxamine,l paroxetine,l sertraline);l treatmentresistantl casesl mayl needl buspirone,l
neuroleptics,l orl benzos;l DBSl forl severel cases
Q:l Clomipraminel dosel forl OCD
Answer:
25-250l mg/DAY;l poorlyl toleratedl duel tol anticholinergicl andl sedativel sidel effects
Q:l Fluoxetinel dosel forl OCD
Answer:
5-60l mg/DAY
Q:l Fluvoxaminel dosel forl OCD
Answer:
25-300l mg/DAY
Q:l Paroxetinel dosel forl OCD
Answer:
40-50l mg/DAY
Q:l Sertralinel dosel forl OCD
