А diuretics в ace inhibitors ? fibronolysis

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А) diuretics; В) ACE inhibitors; С) fibronolysis inhibitors; D) corticosteroids; E) items A and D. 22 What vasoactive drugs can be used in differentiated management of the ischemic stroke? А) nicergolin; В) nicotinic acis; С) –aminocaproic acid; D) vinpocetin; E) items A. B and D. 23 During what time range can we use thrombolytic therapy (alteplase) in acute brain ischemia? А) 3 hours; В) 6 hours; С) 12 hours; D) 24 hours; E) 2 days. 24 What is basic indication for thrombolytic therapy (alteplase) in acute brain ischemia? А) loss of consciousness; В) embolic origin of stroke; С) domination of non-focal signs; D) presence of meningeal syndrome; E) inherited resistance to anticoagulants. 25 What drugs among the listed below can be used for differentiated management of intracranial hemorrhage? 49
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А) –aminocaproic acid; В) heparin; С) etamsylate; D) items A and C; E) nothing of mentioned above is used. 26 What drugs among the listed below are used for differentiated management of subarachnoid hemorrhage? А) captopril; В) nifedipine; С) nimodipine; D) metoprolol; E) fraxiparin. 27 What is the indication for usage of anticoagulants in small doses in intracranial hemorrhage? А) improvement of brain microcirculation; В) prophylaxis of deep vein thrombosis; С) prophylaxis of pulmonary embolism; D) items B and C; E) items A and B. 28 What among the listed below is indicated for neurosurgical intervention in intracranial hemorrhage? А) intracerebellar hemorrhage; В) diameter of haematoma up to 3 cm; С) lateral location of haematoma; D) subarachnoid hemorrhage; E) all of mentioned above is true. 29 What are the basic strategies of strokes’ preventive drug therapy? А) preventive drug therapy of stroke displays poor efficacy; В) lipid-lowering drugs; С) anticoagulants and disaggregating drugs; D) antihypertensive drugs; E) items B, C and D. 30 What is specific indication for long-term anticoagulants’ administration in prevention of stroke? А) atrial fibrillation; В) inherited pure resistance to aspirin; С) active peptic ulcer; D) progressive cardiac failure; E) all of mentioned above is suitable. COMPLEX QUESTIONS 1 Patient, female, 68 years old, with chronic cardiac arrhythmia in the morning within 3 hours developed left-sided hemiparesis with involvement of left facial muscles, left-sided sensory decrease and difficulties in recognition own body. Her BP – 145/96 mm Hg, pulse – 98 beats/sec., breath rate – 12/sec. Consciousness is obtunded, response to simple pain stimuli is preserved. What is your diagnosis? How to confirm it? Describe algorithm of treatment. Diagnosis: Acute ischemic embolic stroke - occlusion of right middle cerebral artery How to confirm: CT/MRI (ischemic stroke will show hyperdense area, hemorrhagic stroke will show round hematoma seen as hypodense area); 50
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LP (in ischemic stroke we may observe slight increase of proteins, in case of hemorrhage - presence of RBCs or xantochromia); Fundoscopy (in case of ischemic stroke atherosclerotic retinopathy may be seen, in case of hemorrhagic stroke – retinal hemorrhage, papilledema); Angiography to find out the exact location of occlusion; Echoencephalography (ischemic stroke – shifting up to 20 mm, hemorrhagic stroke – much higher shifting) Treatment:
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  • Winter '18
  • Jane doe
  • Neurology, Seizure, Seizure types

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