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
What do you do differently to treat hemorrhagic stroke? ✔✔Give prophylactic anticonvulsant
like phenytoin because of increased seizure risk, antiplatelet therapy contraindicated
Ischemic stroke is the most common type (87%) and has what signs and symptoms? ✔✔No
headache, not visible on CT without contrast until 6 hours post stroke
What are the types of Ischemic Stroke? ✔✔1. Thrombotic: narrowing of damaged vascular
lumen by an in situ process, usually clot
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