- Describe the different types, and pathophysiology, of stroke
- Describe the characteristics feature of the different types of stroke
- Describe current diagnostic and management approaches for stroke
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A 55YO, right handed male, presents to ED after falling off his push-bike. He complained of sudden loss of balance and weakness in his left lower limb that caused the fall. He has a 25yr pack history, moderately-managed T2DM and examination is notable for a homonymous hemianopia and a new-onset stammer.
Which of the following is the most appropriate diagnosis?
Total anterior circulation syndrome
Partial anterior circulation syndrome
Lacunar circulation syndrome
Based on the diagnosis offered in (1) which arteries may be implicated?
Select all that may apply
Select all that may apply
On CT head a patient is noted to have an historic infarct to the rostral-most portion of the posterior limb of the left internal capsule.
Which of the following presentations would be best matched?
Paraesthesia of the right hand
Paresis of the right trunk
Weakness and altered sensation to the contralateral lower limb
Hemispatial neglect is correlated to which structural deficit?
Superior parietal lobule
Primary somatosensory cortex
A patient has a notable history of POCS two months prior.
Which of the following clinical features is the patient least likely to present with?
Weakness of the hands, arms and forearms on both sides
Loss of fine touch and temperature bilaterally in the C5-T1 dermatomes
An inability to comprehend the meaning of written words
Inability to abduct the right and left globe intentionally
Tremor that halts on cessation of movement
Which of the following signs is not indicative of a POCS?
Bilateral altered sensation to the feet
The thalamocortical pathway of the basal ganglia is inhibited by which structure directly?
Globus pallidus internus
A patient presents with unilateral arm and leg sensory loss, coughing due to an inability to effectively swallow his saliva and facial asymmetry (droop). The paramedics decide he is “FAST positive” and elect to give him a medication pre-hospitally.
What is principle mechanism of the administered drug?
Monoamine oxidase inhibitor
Inhibitor of acetylcholinesterase (AChE)
Potentiate of GABAa receptors
Recombinant tissue plasminogen activator
A patient presents to ED and you are asked to assess his Glasgow Coma Scale. When you ask them to “open their eyes”, they do so. When asked “where they are”, they respond “kites!”. The patient is seen to flex their elbow and wrists shortly after application of nail-bed pressure.
Which is the most appropriate result?
Which of the following is not a commonly recognised stroke mimic?
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