PAEA Internal Medicine EOR Test Bank Questions and Answers Graded A+

PAEA Internal Medicine EOR Test Bank Questions and Answers Graded A+ 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 Define stroke any disease process that interrupts blood flow to brain Diagnosis of stroke (gold standard) CT angiography Traditional signs and symptoms of a stroke sudden numbness/weakness, sudden confusion/aphasia, memory deficit, visual deficit, dizzy, sudden HA with no cause When can I use tPA? ischemic stroke presenting within <3 hrs and CT head negative Dosing of tPA 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? 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