... initial stenosis and an EC-IC
bypass was performed. e patient has been symptom-free for 4 years. Questions
435 and 415 show the intracranial and extracranial views of this patient’s EC-IC
bypass. ... from a 55-year-old woman who was having episodic neu-
rologic events with variable combinations of garbled speech, distorted vision,
and right-sided arm numbness, arm pain, arm wea...
... 11/19/07 10: 48: 25 AM11/19/07 10: 48: 25 AM
216 IMAGING: QUESTIONS
421. A 72-year-old woman with treated hypertension and hypercholesterolemia
had a TIA with left-sided face, arm, and leg numbness ... obtained in a 67-year-old wom-
an who was seen at the Intermountain Stroke Center for a 5-minute episode of
mild right-sided hemiparesis and word-fi nding diffi culty. Her family also re...
... an ACE inhibi-
tor and would be indicated for initial therapy. Metoprolol (β-blocker), amlodipine
and verapamil (calcium-channel blockers), and doxazosin (α-blocker) are not rec-
ommended initial ... 10:45: 38 AM11/19/07 10:45: 38 AM
PHARMACOLOGY: ANSWERS 49
86 . e answer is C. Nitroprusside, a nitrovasodilator, lacks a smooth dose re-
sponse and can cause excess hypotension in...
... with
Alzheimer’s disease and vascular dementia.
187 . A 5 8- year-old hypertensive man was found comatose and brought to the
emergency department. He was unresponsive and had decerebrate posturing, ... metastasis.
Futrell 03.indd 81 Futrell 03.indd 81 11/19/07 10:46:29 AM11/19/07 10:46:29 AM
CLINICAL STROKE: QUESTIONS 85
226. A 7 8- year-old woman presents to the emergency de...
... unknown.
2 98. A 7 8- year-old man with a history of hypertension, diabetes, hyperlipid-
emia, and smoking presented to the emergency department with 3 hours of nau-
sea, vomiting, dizziness, and blurry ... a 42-year-old woman in the emergency department at 8 AM who
awoke from sleep at 7 AM with a right hemiparesis and aphasia. Her husband re-
ports that she walked to the bathroom at...
... re-
duced high-density lipoprotein (HDL), and hypertension. Elevated LDL, elevated
C-reactive protein (C-RP), and elevated HgA1C are often present, but these pa-
rameters do not constitute part ... appropriate
history, and a negative evaluation for ischemic and hemorrhagic stroke. (Gins-
berg, Chapter 68)
1 78. e answer is C. Pseudobulbar palsy includes spastic dysarthria and...
... with β-blockers and calcium-channel blockers.
326. A long-term patient presented to the vascular neurology clinic for antico-
agulation follow-up. She is in and out of atrial fi brillation and was ... specifi c
for von Willebrand’s disease. (Greer et al., Chapter 51)
Futrell 05.indd 188 Futrell 05.indd 188 11/19/07 10: 48: 24 AM11/19/07 10: 48: 24 AM
CLINICAL CARDIOLOGY: QUESTIONS...
... brilla-
tion. Circulation 2002;105: 188 7– 188 9.
Silverman IE, Liu GT, Volpe NJ, Galetta SL. e crossed paralyses: e original
brain-stem syndromes of Millard-Gubler, Foville, Weber, and Raymond-
Cestan. ... Spontaneous spinal and epidural haematoma during preg-
nancy: Case report and review of the literature. Br J Rad 2004:77 ;88 1 88 4.
Tang-Wai R, Webster RI, Shevell MI. A clinic...