ED10 Regular Exam 13

2. Which condition is not associated intracerebral haemorrhage?

A) Amyloid angiopathy

B) Thromboembolism

C) Impaired blood clotting

D) Vascular anomaly

3. Not true about the types of stroke –

A) Transient ischaemic attack (TIA): Symptoms resolve within 12 hours

B) Stroke: Symptoms last more than 24 hours

C) Progressing stroke: Focal neurological deficit worsens after the patient first presents

D) Completed stroke: Focal deficit persists and is not progressing

4. Symptoms of total anterior circulation syndrome are the followings except –

A) Hemiparesis

B) Hemisensory loss

C) Higher cerebral dysfunction

D) Bitemporal hemianopia

5. Indications of immediate CT/MRI in suspected stroke are the followings except -

Patient on anticoagulants or with abnormal coagulation

B) Consideration for carotid end arterectomy

C) Deteriorating conscious level or rapidly progressing deficits

D) Suspected cerebellar haematoma to exclude hydrocephalus

6. Not true regarding the management of a patient having a stroke –

A) Maintain proper nutrition

B) Do not lower BP abruptly

C) Keep the patient immobile to prevent bed sore

D) Avoid urinary catheterisation unless patient is in acute urinary retention

7. Complications of stroke are the followings except –

A) Painful shoulder

B) Chest infection

C) Epileptic seizure

D) Diarrhoea

8. Not true about sub-arachnoid haemorrhage –

A) Usually presents before the age of 65

B) Women are affected more commonly than men

C) Immediate mortality of aneurysmal SAH is about 90%

D) Hypertension is a common risk factor

9. Not the cause/risk factor of cerebral venous sinus thrombosis –

A) Hypertension

B) Dehydration

C) Thrombophilia

D) Meningitis

10. A 40-year-old female patient presents to you sudden severe headache specially in the occipital area for the last 1 hour. She says that she has never experienced such type of headache in her life before. O/E: her neck is stiff and BP: 180/120 mm Hg. You admit the patient and order an immediate CT scan which comes absolutely normal. After several hours, a lumbar puncture is done and the CSF reveals xanthochromia. What is the most common site of the underlying condition?

A) Anterior communicating artery

B) Posterior communicating artery

C) Middle cerebral artery

D) Vertebral artery

ED10 Regular Exam 13

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