SCRN Exam with Questions and Answers

SCRN Exam with Questions and Answers An 82 year-old female with history of cerebral amyloid angiopathy (CAA) presents to the ED with left sided weakness, neglect and gaze deviation to the left. EMS reports a blood pressure of 224/112 and three episodes of vomiting en route to the hospital. The SCRN suspects what is the MOST likely diagnosis? A. Intracerebral hemorrhage (ICH) B. Hypertensive crisis C. Small vessel stroke D. Subdural hemorrhage (SDH) ANSWER A A 72 year-old female who takes coumadin for atrial fibrillation is diagnosed with a right frontal intracerebral hemorrhage (ICH) with a blood volume of less than 30 ml's and no intraventricular extension. At time of presentation her GCS was 12. What is her ICH score? A. ICH score 1 B. ICH score 2 C. ICH score 3 D. ICH score 4 ANSWER A A 71 year-old male with history of hypertension, stroke, and diabetes mellitus presents to the hospital with left sided weakness and neglect. The CT scan reveals hypodensity to greater than 1/3 of the right MCA territory. The SCRN knows what is the next BEST thing to do for this patient? A. Prepare IV alteplase (tPA) B. Admit to the stroke unit C. CT angiogram (CTA) of head and neck STAT