SCRN Pharmacological Management 3

Question 1

Which medication is contraindicated within 24 hours of IV alteplase administration?

Accepted Answer

Anticoagulants and antiplatelet agents

Answer

Antihypertensives

Answer

Antiepileptics

Answer

Osmotic diuretics

Question 2

A nurse administers 10% of the alteplase dose as an IV bolus over 1 minute. What happens with the remaining 90%?

Accepted Answer

Infused over 60 minutes

Answer

Given as a second bolus after 30 minutes

Answer

Infused over 30 minutes

Answer

Held and administered only if symptoms worsen

Question 3

Statins are recommended after ischemic stroke primarily because they reduce which risk factor?

Accepted Answer

LDL cholesterol and recurrent stroke risk

Answer

Blood pressure only

Answer

Atrial fibrillation recurrence

Answer

Deep vein thrombosis

Question 4

A patient with ischemic stroke secondary to carotid artery stenosis is started on dual antiplatelet therapy. Which combination is most commonly used short-term?

Accepted Answer

Aspirin plus clopidogrel

Answer

Aspirin plus warfarin

Answer

Clopidogrel plus ticagrelor

Answer

Aspirin plus heparin

Question 5

Which medication is used to treat symptomatic cerebral hypoperfusion (vasospasm) after subarachnoid hemorrhage in addition to nimodipine?

Accepted Answer

Induced hypertension with vasopressors (Triple-H therapy)

Answer

IV heparin anticoagulation

Answer

Prophylactic alteplase

Answer

Oral calcium channel blockers only

Question 6

A patient with ischemic stroke is found to have diabetes. Which antihypertensive class has additional benefit for secondary stroke prevention in diabetic patients?

Accepted Answer

ACE inhibitors or ARBs

Answer

Beta-blockers

Answer

Loop diuretics

Answer

Alpha-1 blockers

Question 7

Which electrolyte disturbance is commonly managed pharmacologically after subarachnoid hemorrhage due to cerebral salt wasting or SIADH?

Accepted Answer

Hyponatremia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypophosphatemia