Chapter·ManagementStroke

Blood pressure management in strokeDownloads

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Sample Questions

1

A 72-year-old man comes to the emergency department because of blurry vision for the past 3 days. He has also had 4 episodes of right-sided headaches over the past month. He has no significant past medical history. His father died of coronary artery disease at the age of 62 years. His temperature is 37.2°C (99°F), pulse is 94/min, and blood pressure is 232/128 mm Hg. Fundoscopy shows right-sided optic disc blurring and retinal hemorrhages. A medication is given immediately. Five minutes later, his pulse is 75/min and blood pressure is 190/105 mm Hg. Which of the following drugs was most likely administered?

ANicardipine

BHydralazine

CNitroprusside

DFenoldopam

ELabetalol

2

What is the primary mechanism for maintaining constant cerebral blood flow despite changes in systemic blood pressure?

AEndothelial factors

BBaroreceptor reflex

CMyogenic autoregulation

DMetabolic control

3

A 52-year-old woman is brought to the emergency department for a severe, sudden-onset headache, light-sensitivity, and neck stiffness that began 30 minutes ago. A CT scan of the head shows hyperdensity between the arachnoid mater and the pia mater. The patient undergoes an endovascular procedure. One week later, she falls as she is returning from the bathroom. Neurologic examination shows 3/5 strength in the right lower extremity and 5/5 in the left lower extremity. Treatment with which of the following drugs is most likely to have prevented the patient's current condition?

AFosphenytoin

BNitroglycerin

CEnalapril

DFresh frozen plasma

ENimodipine

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