AMLS Neurological Emergencies

Question 1

What is the recommended time window for administering IV alteplase (tPA) in ischemic stroke from symptom onset?

Accepted Answer

Within 3 to 4.5 hours

Answer

Within 1 hour

Answer

Within 6 hours

Answer

Within 12 hours

Question 2

A patient presents with sudden-onset worst headache of their life. Which condition must be immediately suspected?

Accepted Answer

Subarachnoid hemorrhage

Answer

Tension headache

Answer

Cluster headache

Answer

Migraine with aura

Question 3

Which Cincinnati Prehospital Stroke Scale finding indicates facial droop?

Accepted Answer

One side of the face does not move as well as the other side

Answer

Patient cannot smile at all

Answer

Patient's mouth deviates toward the weak side only with grimace

Answer

Both sides of the face move equally

Question 4

What is the most common cause of nontraumatic intracerebral hemorrhage?

Accepted Answer

Hypertension

Answer

Arteriovenous malformation

Answer

Anticoagulation therapy

Answer

Brain tumor

Question 5

Which of the following signs suggests herniation in a deteriorating stroke patient?

Accepted Answer

Ipsilateral dilated and fixed pupil with contralateral hemiplegia

Answer

Bilateral miosis with normal consciousness

Answer

Bilateral mydriasis with normal motor function

Answer

Alternating pupil dilation

Question 6

Status epilepticus is defined as a seizure lasting longer than how many minutes?

Accepted Answer

5 minutes

Answer

2 minutes

Answer

10 minutes

Answer

30 minutes