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Air Methods Critical Care Review | Neurology Questions and Answers $10.49   Add to cart

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Air Methods Critical Care Review | Neurology Questions and Answers

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Air Methods Critical Care Review | Neurology Questions and Answers What vascular anatomy in the brain provides collateral blood flow between the Adrea and posterior circulation of the brain, protecting against ischemia in the event of vessel disease or damage? Circle of Willis internal caroti...

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  • October 15, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
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Air Methods Critical Care Review |
Neurology Questions and Answers

What vascular anatomy in the brain provides collateral blood flow between the Adrea and

posterior circulation of the brain, protecting against ischemia in the event of vessel disease or

damage?




Circle of Willis


internal carotid arteries


anterior cerebral artery


anterior communicating artery - Answer✔✔-Circle of Willis


Your 75 year old male patient has sudden onset of aphasia facial drooping to the left side severe

left arm and leg impairment and a conjugate gaze to the right.




They started about one hour ago and the patient was last seen normal about two hours ago

what would be your diagnosis and transport decision?



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RESERVED. FIRST PUBLISH OCTOBER, 2024




- Large vessel occlusion (LVO) cerebral vascular accident (CVA) and transport to a

comprehensive stroke center


- the patient is post active from previous seizure. Transport to your nearest ED for stabilization.


- Left-sided cerebral vascular accident (CVA) and transport to primary stroke center for

evaluation possible TPA administration.


- Transient ischemic attack (TIA) and transport would be up to the family or patient if he's able

to answer questions. - Answer✔✔-Large vessel occlusion (LVO) cerebral vascular accident (CVA)

and transport to a comprehensive stroke center




This patient would have a rescore of at least seven from the information above and would likely

be suffering from a large special occlusion. This makes the transport to a comprehensive stroke

center extremely critical so that the patient can have access to interventional radiology and

mechanical thrombectomy. This patient is most likely suffering from a large LVOCVA. The TPA

may be helpful, it may be unsuccessful in breaking up a larger clot. It may also cost smaller clots

to break off the larger clot and caused further inclusions downstream. Current guidelines

suggest a comprehensive CVA center be chosen for theThis patient would have a rescore of at

least seven from the information above and would likely be suffering from a large special

occlusion. This makes the transport to a comprehensive stroke center extremely critical so that


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