Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Neurosurgery Final Clinical And Oral Examination Exam

Access More Questions

A 78-year-old female on therapeutic warfarin for atrial fibrillation presents comatose (GCS 6) following a fall. Urgent CT head demonstrates a 16-mm thick hyperdense crescentic extra-axial collection over the left cerebral convexity with 9 mm of midline shift and effacement of the ipsilateral lateral ventricle. Her INR is 3.4. What is the immediate first-line medical intervention prior to transferring the patient to the operating room for emergency craniotomy?

Transfusion of 4 units of fresh frozen plasma (FFP) over 4 hours Administration of 4-factor prothrombin complex concentrate (4F-PCC) and intravenous vitamin K Platelet transfusion and intravenous desmopressin (DDAVP) Intravenous tranexamic acid infusion alone

Correct Answer:

Administration of 4-factor prothrombin complex concentrate (4F-PCC) and intravenous vitamin K

Access more questions from this quiz

Continue to Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam for more practice questions and the full quiz experience.

Access More Questions