PAEA Internal Medicine EOR Questions with Complete Solutions

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