1
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Internal Medicine EOR Questions and
Answers (100% Correct Answers) Already
Graded A+
Bell's Palsy [ ANS: ] causes cranial nerve 7 dysfunction
S/S of Bell's Palsy [ ANS: ] Has forehead involvement (whereas a
stroke does not affect forehead movement), facial weakness,
inability to keep one eye closed
Treatment for Bell's palsy [ ANS: ] Prednisone 60mg x 5 days,
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Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night
Define stroke [ ANS: ] any disease process that interrupts blood
flow to brain
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Diagnosis of stroke (gold standard) [ ANS: ] CT angiography
Traditional signs and symptoms of a stroke [ ANS: ] sudden
numbness/weakness, sudden confusion/aphasia, memory deficit,
visual deficit, dizzy, sudden HA with no cause
When can I use tPA? [ ANS: ] ischemic stroke presenting within <3
hrs and CT head negative
Dosing of tPA [ ANS: ] 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? [ ANS: ] Nitroprusside (short
half life, easy to titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in
stroke? [ ANS: ] ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? [ ANS: ]
Give prophylactic anticonvulsant like phenytoin because of
increased seizure risk, antiplatelet therapy contraindicated
, 2
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Ischemic stroke is the most common type (87%) and has what
signs and symptoms? [ ANS: ] No headache, not visible on CT
without contrast until 6 hours post stroke
What are the types of Ischemic Stroke? [ ANS: ] 1. Thrombotic:
narrowing of damaged vascular lumen by an in situ process,
usually clot.
2. Embolic (20%): obstruction of normal vascular lumen by
intravascular material from remote source
Types of Hemorrhagic Stroke [ ANS: ] 1. Intracerebral (10%): results
from rupture of small arterioles
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2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage
into subarachnoid space)
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Causes of Intracerebral hemorrhagic stroke are what? [ ANS: ]
HTN, amyloidosis, iatrogenic anticoagulation, vascular
malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? [ ANS: ]
berry aneurysm rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are
what? [ ANS: ] ICP rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are
what? [ ANS: ] may be preceded by warning headache,
neck/back pain, "worst headache of my life," thunderclap, may
have loss of consciousness
Treatment of Subarachnoid hemorrhage [ ANS: ] surgery, control
hypertension, analgesics
What is the name for the disease that beings following an
operation, a fracture, or vascular event such as stroke or heart
attack? [ ANS: ] Complex regional pain syndrome (CRPS)
, 3
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Signs and symptoms of complex regional pain syndrome are
what? [ ANS: ] regional pain in affected limb, restricted mobility,
edema, color changes of skin, spotty bone thinning. Hallmark is
severe burning or throbbing pain with associated allodynia in
affected extremity.
Treatment for complex regional pain syndrome [ ANS: ]
Amitriptyline, nortriptyline, gabapentin, pregabalin, lamotrigine;
NSAIDs; Calcitonin to reduce pain as adjunctive therapy;
Bisphosphonates, IVIG, regional nerve blocks, dorsal column
stimulation
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Ruptured saccular berry aneurysm counts for _____% of
nontraumatic cases of subarachnoid hemorrhage. [ ANS: ] 75%
Imaging modality used to diagnose Subarachnoid Hemorrhage? [
ANS: ] CT without contrast. If CT negative but still suspect SAH, do
Guru01 - Stuvia
LP to look for RBC or xanthochromia (will not develop until 12hrs
after onset)
Delirium [ ANS: ] transient disorder characterized by impaired
attention, perception, memory and cognition. Sleep wake cycles
interrupted ("sundowning"). Reduced alertness, activity levels
change rapidly.
Treatment of Delirium [ ANS: ] treat underlying cause, Haloperidol
5-10mg for agitation, Lorazepam 0.5-2 mg
Dementia [ ANS: ] Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop.
Largest categories are Alzheimer dz and vascular dementia.
Hallucinations, delusion, depression, repetitive behavior are
common.
Treatment of Dementia [ ANS: ] Antipsychotics to manage
psychosis
, 4
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What do you need to administer before giving glucose with
hypoglycemic patients if history of alcohol abuse or malnutrition? [
ANS: ] Thiamine
Essential tremor does not occur at rest, occurs bilaterally, and has
no indication of other neuro signs. How do you treat essential
tremor? [ ANS: ] Propranolol, Primidone (can combine these 2 if
needed)
Guillian Barre Syndrome [ ANS: ] Idiopathic polyneuropathy often
following minor infections, immunizations or surgical procedures.
Most times no cause is identified.
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How long does Guillian Barre Syndrome last? [ ANS: ] worst at 2-4
weeks after onset, plateaus next 2-4 weeks, remits weeks-moats
Signs and symptoms of Guillian Barre Syndrome [ ANS: ] ascending
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symmetric weakness and loss of DTR's, proximal muscles affected
more than distal. Sensory abnormalities, pain, tachycardia,
sweating, impaired pulmonary function, paralytic ileus
How do you diagnose Guillian Barre? [ ANS: ] no fever at onset,
CSF protein >45 and low WBC, MRI shows selective enhancement
of anterior spinal nerve roots
Treatment of Guillian Barre Syndrome [ ANS: ] IVIG or
plasmapheresis, may need intubation. Hospitalized pt with close
monitoring. Recovery is slow but approximately 60% make full
recovery within 1 year.
What disease is a systemic inflammatory condition of medium and
large vessels affecting people over 50 years old, coexists with
polymyalgia rheumatica and can cause blindness if not treated
appropriately? [ ANS: ] Giant cell arteritis
Signs and symptoms of Giant Cell Arteritis [ ANS: ] headache,
scalp tenderness, jaw claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
For Expert help and assignment solutions, +254707240657
Internal Medicine EOR Questions and
Answers (100% Correct Answers) Already
Graded A+
Bell's Palsy [ ANS: ] causes cranial nerve 7 dysfunction
S/S of Bell's Palsy [ ANS: ] Has forehead involvement (whereas a
stroke does not affect forehead movement), facial weakness,
inability to keep one eye closed
Treatment for Bell's palsy [ ANS: ] Prednisone 60mg x 5 days,
© 2025 Assignment Expert
Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night
Define stroke [ ANS: ] any disease process that interrupts blood
flow to brain
Guru01 - Stuvia
Diagnosis of stroke (gold standard) [ ANS: ] CT angiography
Traditional signs and symptoms of a stroke [ ANS: ] sudden
numbness/weakness, sudden confusion/aphasia, memory deficit,
visual deficit, dizzy, sudden HA with no cause
When can I use tPA? [ ANS: ] ischemic stroke presenting within <3
hrs and CT head negative
Dosing of tPA [ ANS: ] 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? [ ANS: ] Nitroprusside (short
half life, easy to titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in
stroke? [ ANS: ] ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? [ ANS: ]
Give prophylactic anticonvulsant like phenytoin because of
increased seizure risk, antiplatelet therapy contraindicated
, 2
For Expert help and assignment solutions, +254707240657
Ischemic stroke is the most common type (87%) and has what
signs and symptoms? [ ANS: ] No headache, not visible on CT
without contrast until 6 hours post stroke
What are the types of Ischemic Stroke? [ ANS: ] 1. Thrombotic:
narrowing of damaged vascular lumen by an in situ process,
usually clot.
2. Embolic (20%): obstruction of normal vascular lumen by
intravascular material from remote source
Types of Hemorrhagic Stroke [ ANS: ] 1. Intracerebral (10%): results
from rupture of small arterioles
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2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage
into subarachnoid space)
Guru01 - Stuvia
Causes of Intracerebral hemorrhagic stroke are what? [ ANS: ]
HTN, amyloidosis, iatrogenic anticoagulation, vascular
malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? [ ANS: ]
berry aneurysm rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are
what? [ ANS: ] ICP rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are
what? [ ANS: ] may be preceded by warning headache,
neck/back pain, "worst headache of my life," thunderclap, may
have loss of consciousness
Treatment of Subarachnoid hemorrhage [ ANS: ] surgery, control
hypertension, analgesics
What is the name for the disease that beings following an
operation, a fracture, or vascular event such as stroke or heart
attack? [ ANS: ] Complex regional pain syndrome (CRPS)
, 3
For Expert help and assignment solutions, +254707240657
Signs and symptoms of complex regional pain syndrome are
what? [ ANS: ] regional pain in affected limb, restricted mobility,
edema, color changes of skin, spotty bone thinning. Hallmark is
severe burning or throbbing pain with associated allodynia in
affected extremity.
Treatment for complex regional pain syndrome [ ANS: ]
Amitriptyline, nortriptyline, gabapentin, pregabalin, lamotrigine;
NSAIDs; Calcitonin to reduce pain as adjunctive therapy;
Bisphosphonates, IVIG, regional nerve blocks, dorsal column
stimulation
© 2025 Assignment Expert
Ruptured saccular berry aneurysm counts for _____% of
nontraumatic cases of subarachnoid hemorrhage. [ ANS: ] 75%
Imaging modality used to diagnose Subarachnoid Hemorrhage? [
ANS: ] CT without contrast. If CT negative but still suspect SAH, do
Guru01 - Stuvia
LP to look for RBC or xanthochromia (will not develop until 12hrs
after onset)
Delirium [ ANS: ] transient disorder characterized by impaired
attention, perception, memory and cognition. Sleep wake cycles
interrupted ("sundowning"). Reduced alertness, activity levels
change rapidly.
Treatment of Delirium [ ANS: ] treat underlying cause, Haloperidol
5-10mg for agitation, Lorazepam 0.5-2 mg
Dementia [ ANS: ] Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop.
Largest categories are Alzheimer dz and vascular dementia.
Hallucinations, delusion, depression, repetitive behavior are
common.
Treatment of Dementia [ ANS: ] Antipsychotics to manage
psychosis
, 4
For Expert help and assignment solutions, +254707240657
What do you need to administer before giving glucose with
hypoglycemic patients if history of alcohol abuse or malnutrition? [
ANS: ] Thiamine
Essential tremor does not occur at rest, occurs bilaterally, and has
no indication of other neuro signs. How do you treat essential
tremor? [ ANS: ] Propranolol, Primidone (can combine these 2 if
needed)
Guillian Barre Syndrome [ ANS: ] Idiopathic polyneuropathy often
following minor infections, immunizations or surgical procedures.
Most times no cause is identified.
© 2025 Assignment Expert
How long does Guillian Barre Syndrome last? [ ANS: ] worst at 2-4
weeks after onset, plateaus next 2-4 weeks, remits weeks-moats
Signs and symptoms of Guillian Barre Syndrome [ ANS: ] ascending
Guru01 - Stuvia
symmetric weakness and loss of DTR's, proximal muscles affected
more than distal. Sensory abnormalities, pain, tachycardia,
sweating, impaired pulmonary function, paralytic ileus
How do you diagnose Guillian Barre? [ ANS: ] no fever at onset,
CSF protein >45 and low WBC, MRI shows selective enhancement
of anterior spinal nerve roots
Treatment of Guillian Barre Syndrome [ ANS: ] IVIG or
plasmapheresis, may need intubation. Hospitalized pt with close
monitoring. Recovery is slow but approximately 60% make full
recovery within 1 year.
What disease is a systemic inflammatory condition of medium and
large vessels affecting people over 50 years old, coexists with
polymyalgia rheumatica and can cause blindness if not treated
appropriately? [ ANS: ] Giant cell arteritis
Signs and symptoms of Giant Cell Arteritis [ ANS: ] headache,
scalp tenderness, jaw claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
