CVAs.
/10
What does the acronym FAST stand for?
In the USA you sometimes see BEFAST. The B is for Balance, the E is for Eyes.
Fingers, Arms, Shoulders, Toes.
Face, Arm, Speech, Time.
Fight, Against, Slow, Treatment.
Find, Alteplase, Stroke, Treatment.
/10
In major centres what is the accepted time frame where you can give thrombolysis?
This timing is based on the ECASS III study in 2008 whose conclusions are somewhat controversial in the Emergency Medicine community. See Life in Fast Lane review.
Up to 3 hours.
Up to 6 hours.
Up to 4.5 hours.
Up to 8 hours.
/10
About what percentage of patients turning up in ED with a stroke are eligible for thrombolysis.
Lower than I thought.
10%.
30%.
25%.
5%.
/10
What is the dose of tPA (Alteplase)?
0.9mg/kg given over 60min with 10% as a bolus.
0.09mg/kg given over 60min with 10% as a bolus.
70mg given over 60min with 10% as a bolus.
1.5 million units over 60min.
/10
All of these celebrities suffered a stroke but only one died. Which one?
You would think we would have been shot---but no---a stroke with pneumonia as a complication.
Tim Curry (pictured in Rocky Horror Picture Show).
Sharon Stone (actor known best for her work in the movie "Basic Instinct").
Michael Johnson (World record holding sprinter in 1996, from USA).
Al Capone (the most famous gangster of all time).
/10
What is the early death rate post thrombolysis?
Although there is an increase in early deaths due to cerebral haemorrhage the overall mortality down the track is unchanged.
About 3%.
About 1%.
About 5%.
About 10%.
/10
Which of the following statement is INCORRECT about "clot retrieval"?
Although performed up to 24 hours from the onset of symptoms results are best if it is done in the first 6 hours.
May be started within 24 hours of symptom onset.
There is a 24hr service available in Sydney.
It can be performed regardless of whether the patient has been given thrombolysis.
Outcomes are similar at 2, 6, 12, 18 and 24hrs.
/10
Which of the following is NOT a recognised stroke mimic?
I think thrombolysing an eastern brown snake bite could be messy.
Todds paresis post seizure.
Functional hemiparesis.
Snake bite paresis.
Migraine.
/10
The image shows a perfusion scan of a person with an acute stroke. What is the ischemic penumbra?
The area of the brain which is dead.
The area of the brain that has suffered a previous stroke.
The area of the brain which is potentially salvagable.
The area of the brain that started a "Jacksonian" seizure.
/10
The wife of which famous Australian cricketer had an arterio venous malformation sucessfully treated by Dr Charlie Teo?
Steve Waugh remains a strong supporter of Dr Teo.
Ricky Ponting.
Allan Border.
Steve Waugh.
Sir Don Bradman.
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