Highlights
Question 1: Mr Bruce Walker has been admitted to the emergency department with left sided weakness and an altered speech pattern. He has a past medical history of hypertension, atrial fibrillation (AF) and transient ischaemic attacks (TIA). He has been diagnosed with a right sided cerebrovascular accident (CVA) and commenced on an anticoagulant with regular monitoring.
A. The nervous system has two main divisions, identify these and list their associated structures
B. Discuss how the brain is supplied with blood, including the two types of arteries and the role of the Circle of Willis
C. What is the blood brain barrier (BBB) and why is it important
D. List 6 modifiable and/or non-modifiable risk factors for a cerebrovascular accident (CVA)
E. What differentiates a Transient Ischemic Attack (TIA) from a Cerebrovascular Accident (CVA)?
F. Identify and discuss the different types of cerebrovascular accidents (CVAs) including their pathophysiology
G. Mr Bruce Walker was prescribed apixaban. Warfarin and apixaban can both be used in CVA prevention. Provide a rationale for why apixaban was chosen, referring to the pharmacology of these medications
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