DCAS Neurological Emergencies 2

Question 1

Which type of stroke is caused by a ruptured blood vessel in the brain?

Accepted Answer

Haemorrhagic stroke

Answer

Ischaemic stroke

Answer

Embolic stroke

Answer

Thrombotic stroke

Question 2

A patient presents with severe headache, neck stiffness (nuchal rigidity), and photophobia. Which condition should be immediately suspected?

Accepted Answer

Bacterial meningitis

Answer

Migraine with aura

Answer

Cluster headache

Answer

Tension-type headache

Question 3

A patient opens their eyes to voice, makes confused verbal responses, and localises to pain. What is their GCS score?

Accepted Answer

11

Answer

10

Answer

12

Answer

13

Question 4

The AEIOU-TIPS mnemonic is used to assess causes of altered consciousness. What does the letter 'T' represent?

Accepted Answer

Trauma or Toxins

Answer

Temperature (hypo/hyperthermia)

Answer

Tachycardia

Answer

Thrombosis only

Question 5

A patient suddenly loses consciousness, recovers spontaneously within 1-2 minutes, and reports no confusion afterward. Which condition is most likely?

Accepted Answer

Vasovagal syncope

Answer

Generalised tonic-clonic seizure

Answer

Haemorrhagic stroke

Answer

Hypoglycaemic episode

Question 6

Cushing's triad — hypertension, bradycardia, and irregular respirations — indicates which life-threatening condition?

Accepted Answer

Increased intracranial pressure (ICP) with brainstem herniation

Answer

Cardiogenic shock

Answer

Neurogenic shock

Answer

Anaphylaxis

Question 7

Which intervention is CONTRAINDICATED in a patient with a suspected haemorrhagic stroke?

Accepted Answer

Aspirin 300 mg administration

Answer

Oxygen supplementation if SpO2 < 94%

Answer

IV access and fluid management

Answer

ECG monitoring