Facharzt FMH Neurologie Practice Questions - Facharzt FMH Für Neurologie Spécialiste FMH En Neurologie Exam

Access More Questions

A 65-year-old man presents 2 hours after the acute onset of a right basal ganglia intracerebral hemorrhage (ICH volume 22 mL, no intraventricular extension). On arrival, his Glasgow Coma Scale (GCS) score is 13, and his initial blood pressure is 205/115 mmHg. He is not receiving any anticoagulant therapy. According to European Stroke Organisation (ESO) and INTERACT-2/ATACH-2 guidelines, what is the target systolic blood pressure (SBP) and recommended management strategy?

Smoothly lower systolic blood pressure to a target range of 130–140 mmHg using intravenous titratable agents such as labetalol, urapidil, or nicardipine Maintain systolic blood pressure above 180 mmHg to preserve cerebral perfusion pressure around the hematoma Rapidly reduce systolic blood pressure to below 110 mmHg within the first 30 minutes using sodium nitroprusside Withhold all antihypertensive therapy for the first 48 hours unless systolic blood pressure exceeds 240 mmHg

Correct Answer:

Smoothly lower systolic blood pressure to a target range of 130–140 mmHg using intravenous titratable agents such as labetalol, urapidil, or nicardipine

Access more questions from this quiz

Continue to Facharzt FMH Neurologie Practice Questions - Facharzt FMH für Neurologie Spécialiste FMH en neurologie Exam for more practice questions and the full quiz experience.

Access More Questions