Cerebrovascular Disease
MCQ
Dr. Kishore Kumar Ubrangala
All are risk factors for Stroke, except….
1. High Blood Pressure 2. Diabetes Mellitus 3. Heart disease 4. Low Homocysteine levels 5. High Homocysteine levels
Charcot-Bouchard Aneurysms
Are responsible for: 1. Ischemic stroke 2. Sub-arachnoid Haemorrhage 3. Intracerebral Haemorrhage 4. All of the above
Headache – in SAH
Typically described as “______”Headache
SAH: True or False? Females more often are afflicted with
SAH
Drug of choice for Thrombolysis in Cerebral Thrombotic Stroke
1. t-PA 2. Urokinase 3. Heparin 4. Low molecular Heparin 5. Streptokinase
Golden period for Stroke Thromolysis
1. Twelve Hours 2. One Hour 3. Two Hours 4. Three Hours 5. Six Hours
SAH with 3rd Nerve Palsy indicates
1. ACA aneurysm rupture 2. Basilar artery aneurysm rupture 3. PCA aneurysm rupture 4. Internal Carotid artery aneurysm
rupture 5. Anterior Choroidal artery aneurysm
rupture
Haemorrhagic Stroke constitutes..
1. 15% of all strokes 2. 30% 3. 50% 4. 60% 5. 85%
__% of SAH are due to rupture of Berry aneurysms
• 15% • 50% • 85% • 33% • 60%
Cavernous Sinus Thrombosis may produce all, except
1. Headache 2. LMN 7th palsy 3. Ophthalmoplegia 4. Papilloedema 5. 5th nerve involvement
Crossed Hemiplegia : Site of lesion
1. Cerebral Cortex 2. Corona Radiata 3. Internal Capsule 4. Brain Stem 5. Spinal Cord
Wallenberg Syndrome: features
1. Ipsilateral 9th, 10th, 11th 2. Ipsilateral Horner’s 3. Ipsilateral Cerebellar signs 4. Ipsilateral Facial Pain & Temp loss 5. Contralateral Spinothalamic Sensory
Loss 6. Options 1,2,5 7. All of the above
TIA : Recovery of Neuological Recovery occurs within
1. 12 hours 2. 24 hours 3. 36 hours 4. 48 hours 5. 72 hours
Lacunar Strokes constitutes __% of Ischemic strokes
1. 10 2. 20 3. 40 4. 50 5. 60
Common sites for Intracerebral Haemorrhage : All, except
1. Pons 2. Cerebellum 3. Thalamus 4. Putamen 5. Spinal Cord
TIA : Risk of Stroke in subsequent Year increased by__ fold
1. 3 2. 13 3. 20 4. 30 5. 50
Millard-Gubler Syndrome =
1. 6th & LMN 7th cranial nerve Ipsilateral & Contralateral Hemiparesis
2. 3rd nerve palsy Ipsilateral & Contralateral Hemiparesis
3. 12th nerve palsy Ipsilateral & Ipsilateral Hemiparesis
4. Ipsilateral 3rd Nerve Palsy & Contralateral Hemitremor
Anterior Circulation Stroke: Typically causes
1. Bilateral symptoms & signs 2. Unilateral symptoms & signs
“Time lost is brain lost” Is the slogan for initiating which
modality of Stroke therapy? 1. Anti-Platelets 2. Anti-Coagulants 3. Thrombolysis 4. Statins 5. Physiotherapy
Embolic Strokes in India : commonest underlying Etiologic
factor
1. Rheumatic Valvular Disease 2. Connective tissue disorder with
marantic endocarditis 3. Infective endocarditis 4. Ischemic Heart Disease
Ischemic Stroke: Decisive investigation before Thrombolysis
1. Coagulation Studies 2. Neuroimaging 3. Electrocardiogram 4. Echocardiogram 5. Carotid angiography
Dense Hemiplegia is more likely with
1. Internal capsular lesion 2. Middle cerebral artery occlusion 3. Internal carotid stem occlusion 4. Anterior cerebral artery occlusion 5. Options 1 & 3 6. Options 2 & 3
Aphasia is statistically more common with
1. Left sided Cortical lesion 2. Right sided Cortical lesion 3. Left Internal Capsular lesion 4. Pontine Stem lesion 5. Medullary lesion
In Haemorrhagic Stroke
Elevated Blood Pressure 1. Should be normalised as soon as
possible to prevent progression of bleeding.
2. Should be reduced slowly in the initial few days to prevent drop in cerebral perfusion pressure.
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