SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Acute ischaemic stroke and thrombolysis

A 79-year-old man is brough to ED with a stroke. He has R-sided hemiplegia (arm worse than leg), eyes deviated to the left and global aphasia. You cannot assess sensation or visual fields due to the aphasia. He is awake.

1. List five stroke mimics. 5 marks

★ ★ ★ ★ ★

2. In addition to clinical findings, what other critical information is required to determine suitability for thrombolysis? 3 marks

★ ★ ★ ★ ★

3. What is the likely vessel or territory involved? 1 mark

★ ★ ★ ★ ★

The decision is made to offer thrombolysis.

4. State the thrombolytic agent you would use including dose. 2 marks

★ ★ ★ ★ ★

5. What is the risk of fatal intracranial haemorrhage for all comers receiving tPA? 1 mark

★ ★ ★ ★ ★

6. What are the indications for endovascular clot retrieval? 4 marks

★ ★ ★ ★ ★

7. In addition to intracranial haemorrhage, list two complications of endovascular clot retrieval. 2 marks

★ ★ ★ ★ ★