ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam - ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam

Question 1

A 68-year-old woman presents 2 hours after sudden right-sided weakness and aphasia. NIHSS is 14. Non-contrast CT shows no hemorrhage, ASPECTS 9. BP is 168/92, glucose 140 mg/dL, INR 1.0. Per the AHA 2024 update, which IV thrombolytic regimen is preferred?

Tenecteplase 0.25 mg/kg IV bolus (max 25 mg) Alteplase 0.6 mg/kg with 15% as bolus over 1 minute Streptokinase 1.5 million units over 60 minutes Reteplase 10 units double bolus 30 minutes apart

Correct Answer:

Tenecteplase 0.25 mg/kg IV bolus (max 25 mg)

Question 2

A patient receives IV alteplase for acute ischemic stroke. What is the recommended blood pressure target during and for 24 hours after thrombolysis?

<180/105 mmHg during and after thrombolysis <140/90 mmHg <160/100 mmHg (<160/100 is not the guideline target) <220/120 mmHg

Correct Answer:

<180/105 mmHg during and after thrombolysis

Question 3

A 72-year-old presents 8 hours after last known well with NIHSS 18 from a left M1 occlusion. CT perfusion shows infarct core 18 mL and penumbra 90 mL. Per DAWN and DEFUSE 3, what is the most appropriate next step?

Mechanical thrombectomy for LVO with favorable imaging IV alteplase only (outside 4.5-hour window) Aspirin and neuro ICU admission only Decompressive hemicraniectomy first-line

Correct Answer:

Mechanical thrombectomy for LVO with favorable imaging

Question 4

Which NIHSS score is generally considered the threshold above which acute ischemic stroke is severe enough to warrant strong consideration of reperfusion therapy?

≥6 ≥2 (too low for routine reperfusion threshold) ≥20 (severe stroke, not the treatment threshold) ≥30 (very severe; benefit and hemorrhage risk vary)

Correct Answer:

≥6

Question 5

Which ASPECTS score on non-contrast CT generally predicts a favorable outcome from mechanical thrombectomy in MCA territory stroke?

≥6 ≥3 (below high-confidence thrombectomy threshold) ≤2 (extensive early infarct; poor thrombectomy benefit) Exactly 5 (below conventional favorable threshold)

Correct Answer:

≥6

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Prepare with the ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam practice quiz. This question bank includes 100 questions covering patient, year-old, hours, presents, and shows. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, year-old, hours, presents, and shows. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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ABIM Neurocritical Practice Questions - ABIM Neurocritical Care Subspecialty Certification Exam

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