PAEA Internal Medicine EOR (All possible questions with correct solutions)

Bell's Palsy correct answers causes cranial nerve 7 dysfunction S/S of Bell's Palsy correct answers 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 answers Prednisone 60mg x 5 days, Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night When can I use tPA? correct answers ischemic stroke presenting within <3 hrs and CT head negative How do you treat high BP with stroke? correct answers Nitroprusside (short half life, easy to titrate) or IV labetalol What do you use for anticoagulation/antiplatelet therapy in stroke? correct answers ASA (not in hemorrhagic), heparin for thrombosis What do you do differently to treat hemorrhagic stroke? correct answers Give prophylactic anticonvulsant like phenytoin because of increased seizure risk, antiplatelet therapy contraindicated Types of Hemorrhagic Stroke correct answers 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 answers HTN, amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine use Causes of Subarachnoid hemorrhagic stroke are what? correct answers berry aneurysm rupture, vascular malformation rupture Signs and symptoms of Intracerebral hemorrhagic stroke are what? correct answers ICP rises, vasoconstriction-sweating Signs and symptoms of Subarachnoid hemorrhagic stroke are what? correct answers may be preceded by warning headache, neck/back pain, "worst headache of my life," thunderclap, may have loss of consciousness Treatment of Subarachnoid hemorrhage correct answers surgery, control hypertension, analgesics