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NEUROSAE 2018 ANNUAL MEETING EDITION (VOLUME 10, ISSUE 3)
QUESTION 77 OF 100
A 69-year-old woman presents after a 30-minute episode in which she has difficulty “finding words.” She has a history of cigarette smoking, borderline hypertension, and diabetes mellitus. She is not taking any medications. Current blood pressure is 160/60 mm Hg, and results of neurologic examination are unremarkable. Which of the following factors is not contributing to her calculated short-term (2-day) stroke risk?
A. Duration of the neurologic symptoms
B. Current blood pressure reading
C. Female sex **
D. History of diabetes mellitus
E. Age over 50
** = Your answer
The ABCD2 scoring system is a simple, well-validated clinical tool that predicts short-term individual risk of stroke following transient ischemic attack (TIA). Since its publication, the ABCD2 score has become widely used to risk stratify patients with TIA and determine how urgently they should be seen for subsequent assessment and treatment. The system takes into account age, blood pressure reading, clinical features, duration of the neurologic symptoms, history of diabetes mellitus, but not patient sex.
* Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke. 2009 Jun;40(6):2276-2293.