Neurology

Questions:

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Case Steven Q12: What is the appropriate secondary prophylaxis for this patient after an acute ischemic stroke?

Case Steven Q12: What is the appropriate secondary prophylaxis for this patient after an acute ischemic stroke?

Case Steven Q11: What actions should be avoided during the 24 hours following intravenous thrombolysis (tPA) administration?

Case Steven Q11: What actions should be avoided during the 24 hours following intravenous thrombolysis (tPA) administration?

Case Steven Q10: Thirty minutes after starting intravenous thrombolysis (tPA), the patient begins to lift his hand and shows improvement in his speech. What should be done at this stage?

Case Steven Q10: Thirty minutes after starting intravenous thrombolysis (tPA), the patient begins to lift his hand and shows improvement in his speech. What should be done at this stage?

Case Steven Q9: The patient, a 68-year-old male, presents with acute ischemic stroke symptoms that began 1 hour ago. His weight is 80 kg, and his height is 175 cm. His blood pressure is 185/90 mmHg, and his blood glucose level is 8 mmol/L. Based on these details, what is the correct dose of intravenous tissue plasminogen activator (tPA) to administer?

Case Steven Q9: The patient, a 68-year-old male, presents with acute ischemic stroke symptoms that began 1 hour ago. His weight is 80 kg, and his height is 175 cm. His blood pressure is 185/90 mmHg, and his blood glucose level is 8 mmol/L. Based on these details, what is the correct dose of intravenous tissue plasminogen activator (tPA) to administer?

Case Steven Q8: The blood test results are normal, and the CT scan describes an ASPECTS score of 9, with a small hypodense zone in the left parietal lobe near the cortex, corresponding to the patient’s symptoms of right-sided weakness and slurred speech. What is the next step in the treatment choice?

Case Steven Q8: The blood test results are normal, and the CT scan describes an ASPECTS score of 9, with a small hypodense zone in the left parietal lobe near the cortex, corresponding to the patient’s symptoms of right-sided weakness and slurred speech. What is the next step in the treatment choice?

Case Steven Q7: What tests should be ordered for this patient with acute onset right-sided weakness and slurred speech?

Case Steven Q7: What tests should be ordered for this patient with acute onset right-sided weakness and slurred speech?

Case Steven Q6: For the patient’s symptoms of acute onset right-sided weakness (severe for the hand and mild for the leg) and slurred speech, what is the NIHSS score?

Case Steven Q6: For the patient’s symptoms of acute onset right-sided weakness (severe for the hand and mild for the leg) and slurred speech, what is the NIHSS score?

Case Steven Q5: The nurse reports the following parameters: blood pressure 185/90 mmHg, heart rate 80/min, sinus rhythm on ECG, blood oxygenation 91%, and blood glucose 8 mmol/L. Does any of these parameters require correction at this time?

Case Steven Q5: The nurse reports the following parameters: blood pressure 185/90 mmHg, heart rate 80/min, sinus rhythm on ECG, blood oxygenation 91%, and blood glucose 8 mmol/L. Does any of these parameters require correction at this time?

Case Steven Q4: The patient is taking metformin, antihypertensive medications and immunotherapy for psoriasis. Is any of these drugs a contraindication for thrombolysis?

Case Steven Q4: The patient is taking metformin, antihypertensive medications and immunotherapy for psoriasis. Is any of these drugs a contraindication for thrombolysis?

Case Steven Q3: Patient’s wife shares that symptoms started 1 hour ago. Patient is having type 2 diabetes, arterial hypertension, history of hepatitis B, glaucoma, mild hearing impairment, psoriasis, coxarthrosis, diabetic polyneuropathy, high cholesterol in his blood tests last year, COPD and he is smoking. Which of the following are risk factors for a cerebrovascular accident (stroke) in this patient?

Case Steven Q3: Patient’s wife shares that symptoms started 1 hour ago. Patient is having type 2 diabetes, arterial hypertension, history of hepatitis B, glaucoma, mild hearing impairment, psoriasis, coxarthrosis, diabetic polyneuropathy, high cholesterol in his blood tests last year, COPD and he is smoking. Which of the following are risk factors for a cerebrovascular accident (stroke) in this patient?

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