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Neuromuscular Practice Week 2| 95 QUESTIONS| WITH COMPLETE SOLUTIONS

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2022/2023 Written for academic year
Institution Neuromuscular
Course Neuromuscular
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What is the first step for managing a stroke? correct answer: -diagnosing the type of stroke -ischemic or hemorrhagic *CT scan is preferred* Describe the general acute management for an ischemic stroke correct answer: -tPA -platelet anti-aggregants/anti-coagulants -endovascular intervention -treatment of fever -BP management -continuation of statins What is tPA? correct answer: tissue plasminogen activator (clot buster) Describe the general acute management of a hemorrhagic stroke correct answer: -control bleeding (repair vessel, removal of AVM) -reduce pressure (medications, surgical intervention) -supportive care (small bleed) Describe the general acute management of a TBI correct answer: -establish severity (GCS) -stabilization -prevention of intracranial hypertension -adequate and stable cerebral perfusion pressure -optimize cerebral hemodynamic/oxygenation -seizure prevention/management -avoid secondary insults What can cause an increase in ICP? correct answer: -edema -abnormal fluid dynamics -hematomas *normal value: 7-17 mmHg in supine* How can ICP result in a brain herniation? correct answer: -increase of 25-30 mmHg -associated with increased mortality and poorer outcomes What is medication induced paralysis and when is it typically used? correct answer: -done in cases with increasing ICP -Pentobarbitol and Pavulon

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