cvs quiz

55years old male presented with left hemiplegia and dysarthria since 3 hours , BP was 170-90 rbs 124. ecg showed atrial fibrillation ..what is the most appropriate next step ?

• ct brain

• mri brain

• echo cardiography

• coagulation profile

in the previous case , ct brain as showed below .. what is the most appropriate treatment ?

• iv heparin

• aspirin

• iv r TPA

• oral anticoagulation

70 years old male with a history of atrial fibrillation presents with acute onset of right-sided weakness. BP was 180-100 . ct brain was done .

What is the most appropriate next step in management?

• blood pressure control

• iv thrombolysis

• iv heparin

• mechanical thrombeectomy

60years old male with a history of atrial fibrillation presents with acute onset of left-sided weakness , dysathria ,since 2 hours . blood pressure 200-110 , rbd 400. ct brain was done and was unremarkable .What is the most appropriate next step in management?

• tight blood pressure control

• tight control of rbs

• iv-thrombolysis

• decrease blood pressure below 185-105 then iv rtpa

what is the most important laboratory investigations needed before iv thrombolysis ?

• cbc , coagulation profile

• creatine level

• random blood glucose

• A&C

66 years old female with a history of dm htn ,presents with acute onset of right -sided weakness and aphasia. after 4.5 hours of onset. ct brain was unremarkable, ct angiography showed left middle cerebral artery occlusion. What is the most appropriate next step in management?

• antiplatelets

• iv r TPA

• mechanical thrombectomy

• mri brain