A 55-year-old presents with sudden severe headache, photophobia, and nuchal rigidity. CT shows subarachnoid hemorrhage from a ruptured anterior commun...

Question

A 55-year-old presents with sudden severe headache, photophobia, and nuchal rigidity. CT shows subarachnoid hemorrhage from a ruptured anterior communicating artery aneurysm. Which therapy improves neurologic outcomes and is recommended?

Accepted Answer

Oral nimodipine 60 mg every 4 hours

Answer

Routine seizure prophylaxis for all patients

Answer

Prophylactic hypernatremia with 3% saline

Answer

Early high-dose statin therapy

Answer

IV magnesium infusion to target high-normal levels

ukmla MCQ (SBA): Subarachnoid Hemorrhage

A 55-year-old presents with sudden severe headache, photophobia, and nuchal rigidity. CT shows subarachnoid hemorrhage from a ruptured anterior communicating artery aneurysm. Which therapy improves neurologic outcomes and is recommended?