MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which is a modifiable risk factor for transient ischemic attacks and ischemic strokes?
A
Smoking
B
Thyroid disease
C
Social drinking
D
Advanced age
Explanation: 

Detailed explanation-1: -Hypertension. Hypertension is the most important modifiable risk factor for stroke, with a strong, direct, linear, and continuous relationship between blood pressure and stroke risk.

Detailed explanation-2: -In a similar vein, smoking is associated with a hypercoagulable state and is also one of the important risk factors for stroke. Here we present an interesting case where a 61-year-old male, with hypercholesterolemia, and a previous heart valve replacement, developed a TIA 5 months after he started smoking.

Detailed explanation-3: -The blockage responsible for most TIAs is usually caused by a blood clot that has travelled to the blood vessels supplying the brain. A type of irregular heartbeat called atrial fibrillation can also cause TIAs.

There is 1 question to complete.