#ENARM #inglés #Neurología A 67-year-old woman with a history of type II diabetes mellitus and atrial fibrillation presents to the emergency room with right body weakness and slurred speech. The onset was sudden while she was brushing her teeth 1 h ago, and she was brought immediately to the emergency room. She has no complaints of word-finding difficulties, no dysesthesia, and no headache. She is taking warfarin. Physical exam findings include blood pressure of 205/90 and irregularly irregular heart beat. There is left side neglect with slurred speech. There is a corticospinal pattern of weakness of the right body, with the face and upper extremity worse than the lower extremity. Routine chemistries and cell counts are normal. Her INR is 1.8. 1. Which of the following should be done next? a. Administer tissue plasminogen activator b. Call a vascular surgery consult for possible endarterectomy c. Order a brain CT d. Order a cerebral angiogram e. Start heparin 2. The patient has an MRI that is consistent with an acute stroke. The most common cause of stroke is a. Atherosclerosis b. Fibromuscular dysplasia c. Mitral valve prolapse d. Arterial dissection e. Meningovascular inflammation 3. A pure motor stroke is most likely with damage to the a. Internal capsule b. Cerebellum c. Putamen d. Caudate e. Amygdala 4. A pure sensory stroke is most likely with damage to the a. Internal capsule b. Thalamus c. Hippocampus d. Globus pallidus e. Pons
Posted on: Thu, 08 Aug 2013 22:59:19 +0000
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