PAEA Internal Medicine EOR (All questions solved)

what cranial nerve is affected in Bell's Palsy? correct answers cranial nerve 7 (facial) what differentiates Bell's Palsy from stroke correct answers Bell's Palsy HAS forehead involvement s/sx of Bell's palsy correct answers facial weakness, facial paralysis, or twitching, inability to keep one eye closed or excessive tears, drooping corner of mouth, dry mouth, and impaired taste Treatment for Bell's palsy correct answers -*Prednisone* 60mg for 5 days -*Valcyclovir* 1000mg for 7 days -artificial tears -lacri lube at night Define stroke correct answers any disease process that interrupts blood flow to the brain. can be ischemic or hemorrhagic gold standard diagnostic test for stroke correct answers CT angiogram S/sx of a stroke correct answers -sudden numbness/weakness, -sudden confusion/aphasia, -memory deficit, -visual deficit, -dizzy, -sudden HA with no cause tPA MOA correct answers enzyme that binds to fibrin in a newly formed clot and directly converts plasminogen to plasmin When can I use tPA? correct answers ischemic stroke presenting within <3 hrs and CT head negative Dosing of tPA correct answers -*0.9 mg/kg IV*, -max dose of *90 mg*. -10% administered as bolus with rest infused over next 60 minutes 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