ACUTE WEAKNESS

Question 1

What is the window of opportunity for thrombolysis in acute ischaemic stroke?

Answer 1

4.5 hours

Question 2

Within what time period should a CT head be done in suspected acute stroke?

Answer 2

Within 1 hour of presentation

Question 3

Other than steroids and other immunosuppressants what medication is indicated in MG? And what is its MOA?

Answer 3

Pyridostigmine

Acetylcholinesterase inhibitor

Question 4

What are the contraindications for thrombolysis?

Answer 4

• seizure
• ICH
• GCS <8
• abnormal BM
• head injury
• uncontrolled HTN
• INR >1.7
• rapidly improving

Question 5

What should be given immediately once primary haemorrhage is ruled out? How long for?

Answer 5

300mg aspirin

2 weeks

Question 6

What should replace aspirin after 2 weeks?

Answer 6

clopidogrel 75mg