SCRN EXAM
- Qualified answersCT blood flow/means transmit time shows what is at risk
2 types of watershed strokes - Qualified answers1. cortical watershed
2. internal watershed
3 Main Sinuses - Qualified answers1. Superior Sagittal Sinus
2. Cavernous Sinus
3. Transverse Sinus
8 core measures of stroke - Qualified answers1. thrombolytic was given/ if appropriate
2. VTE prophylaxis by day two
pharm way: low dose unfractionated heparin, low molecular weight heparin, factor XA
Inhibitor, warfarin
3. antithrombotic therapy by day two
4. a fib on anticoagulants
5. stroke education
6. assess for rehab
7. DC on antithrombotics
-for pt with stroke from cardioembolic sources give warfarin
8. dc on statin: LDL greater than 70 who were on cholesterol reducing therapy prior to
hospitalization dc on statin med
HAVE LIPID PROFILE MEASURE WITHIN 48 HOURS
ACA syndrome - Qualified answersContralateral hemiplegia and sensory, LE > UE,
mental confusion, aphasia, contralateral neglect, rarely involved
Amyloid angiopathy - Qualified answersdeposition of B-amyloid protein in vascular walls
in the brain making them weak and more likely to bleed/ 2nd most common cause of
intracerebral hemorrhage
build up of amyloid protein
anterior cerebral artery occlusion - Qualified answers1. weakness more in the legs
2. dyspraxia: poor coordination
3. speech perservation (word or phrase repetition)
4. slow response
aorta - Qualified answersextends from the heart and supplies blood to the entire body
Arachnoid Mater - Qualified answersmiddle layer of meninges; cerebrospinal fluid and
blood vessels found here;
"spiderweb-like mother"
,AVF - Qualified answersweird connection between vein and artery; vein walls have no
muscles to handle arterial pressure
Barthel Index - Qualified answersmeasurement of a person's independence in BADLs
before and after intervention and the level of personal care needed for the individual
0-100
1. ambulating
2. bathing
3. transfers
4. dressing
5. stair climbing
6. bowel care
7. feeding
8. grooming
9. bladder care
10. toilet use
basilar artery partial occlusion - Qualified answers1. diplopia
2. vision loss
3. INTERMITTENT MEMORY DISTURBANCE
4. veritgo
5. dizziness
6. ataxia
7. dysarthria
basilar artery total occlusion - Qualified answers1. symptoms of partial occlusion
2. locked in syndrome
3. bilateral motor and sensory dysfunction
4. altered LOC to coma
berry aneurysm - Qualified answersMost often found in the circle of Willis in the brain
circulation
Consists of a small, spherical vessel dilation
Birmingham Regional Stroke Scale - Qualified answers-Last seen normal
-existing neuro deficit
-stroke risk factors
-have the patient have this happen before
-LOC
-FAST
brachiocephalic - Qualified answersextends from the aortic arch supplies blood to the
head, neck, and arms
, Carotid and Vertebral Dissection - Qualified answersVD is more rare; develops during a
tear in intima of vessels and blood collects in the lining; provides a source of micro
emboli and tiny infarcts
carotid artery occlusion - Qualified answers1. expressive aphasia
2. receptive aphasia
3. weakness of arm/and or leg
4. loss of lateral visual fields
Cavernous Angioma - Qualified answersBlood Vessel Abnormality from large, close
capillaries.
Slow blood flow through the vessels causing hemorrhage in small amounts with
bleeding episodes separated by months or years
cavernous sinus - Qualified answers6 most commonly damaged
it affects the eyes
venous blood drains facial infections and sometimes carotid artery breaks open into
here resulting in blood backing up into the orbital veins
Central Sulcus - Qualified answersseparates the frontal and parietal lobes
cerebral vasospasm - Qualified answerscerebral arteries in subarachnoid space being
surrounded by blood which irritates the muscular arterial walls causing spasm
Cerebral Venous Thrombosis - Qualified answersclot in the dural venous sinuses which
causes blocked drainage in bran; affects mostly young people
Cincinnati Stroke Scale - Qualified answersa system used to diagnose a potential stroke
; assesses:
---facial droop
---arm drift
---speech
If any are yes then code stroke
clinical grading scales for SAH - Qualified answers1. Hunt and Hess
2. Fisher Scale
3. Ogilvy and Carter
4. Glascow Outcome Scale
5. WFNS (world federation of neurological surgeons)
common carotid artery - Qualified answersruns up the neck and supplies the largest
amount of blood to the head and neck
cortical watershed - Qualified answersbetween the
-ACA
- Qualified answersCT blood flow/means transmit time shows what is at risk
2 types of watershed strokes - Qualified answers1. cortical watershed
2. internal watershed
3 Main Sinuses - Qualified answers1. Superior Sagittal Sinus
2. Cavernous Sinus
3. Transverse Sinus
8 core measures of stroke - Qualified answers1. thrombolytic was given/ if appropriate
2. VTE prophylaxis by day two
pharm way: low dose unfractionated heparin, low molecular weight heparin, factor XA
Inhibitor, warfarin
3. antithrombotic therapy by day two
4. a fib on anticoagulants
5. stroke education
6. assess for rehab
7. DC on antithrombotics
-for pt with stroke from cardioembolic sources give warfarin
8. dc on statin: LDL greater than 70 who were on cholesterol reducing therapy prior to
hospitalization dc on statin med
HAVE LIPID PROFILE MEASURE WITHIN 48 HOURS
ACA syndrome - Qualified answersContralateral hemiplegia and sensory, LE > UE,
mental confusion, aphasia, contralateral neglect, rarely involved
Amyloid angiopathy - Qualified answersdeposition of B-amyloid protein in vascular walls
in the brain making them weak and more likely to bleed/ 2nd most common cause of
intracerebral hemorrhage
build up of amyloid protein
anterior cerebral artery occlusion - Qualified answers1. weakness more in the legs
2. dyspraxia: poor coordination
3. speech perservation (word or phrase repetition)
4. slow response
aorta - Qualified answersextends from the heart and supplies blood to the entire body
Arachnoid Mater - Qualified answersmiddle layer of meninges; cerebrospinal fluid and
blood vessels found here;
"spiderweb-like mother"
,AVF - Qualified answersweird connection between vein and artery; vein walls have no
muscles to handle arterial pressure
Barthel Index - Qualified answersmeasurement of a person's independence in BADLs
before and after intervention and the level of personal care needed for the individual
0-100
1. ambulating
2. bathing
3. transfers
4. dressing
5. stair climbing
6. bowel care
7. feeding
8. grooming
9. bladder care
10. toilet use
basilar artery partial occlusion - Qualified answers1. diplopia
2. vision loss
3. INTERMITTENT MEMORY DISTURBANCE
4. veritgo
5. dizziness
6. ataxia
7. dysarthria
basilar artery total occlusion - Qualified answers1. symptoms of partial occlusion
2. locked in syndrome
3. bilateral motor and sensory dysfunction
4. altered LOC to coma
berry aneurysm - Qualified answersMost often found in the circle of Willis in the brain
circulation
Consists of a small, spherical vessel dilation
Birmingham Regional Stroke Scale - Qualified answers-Last seen normal
-existing neuro deficit
-stroke risk factors
-have the patient have this happen before
-LOC
-FAST
brachiocephalic - Qualified answersextends from the aortic arch supplies blood to the
head, neck, and arms
, Carotid and Vertebral Dissection - Qualified answersVD is more rare; develops during a
tear in intima of vessels and blood collects in the lining; provides a source of micro
emboli and tiny infarcts
carotid artery occlusion - Qualified answers1. expressive aphasia
2. receptive aphasia
3. weakness of arm/and or leg
4. loss of lateral visual fields
Cavernous Angioma - Qualified answersBlood Vessel Abnormality from large, close
capillaries.
Slow blood flow through the vessels causing hemorrhage in small amounts with
bleeding episodes separated by months or years
cavernous sinus - Qualified answers6 most commonly damaged
it affects the eyes
venous blood drains facial infections and sometimes carotid artery breaks open into
here resulting in blood backing up into the orbital veins
Central Sulcus - Qualified answersseparates the frontal and parietal lobes
cerebral vasospasm - Qualified answerscerebral arteries in subarachnoid space being
surrounded by blood which irritates the muscular arterial walls causing spasm
Cerebral Venous Thrombosis - Qualified answersclot in the dural venous sinuses which
causes blocked drainage in bran; affects mostly young people
Cincinnati Stroke Scale - Qualified answersa system used to diagnose a potential stroke
; assesses:
---facial droop
---arm drift
---speech
If any are yes then code stroke
clinical grading scales for SAH - Qualified answers1. Hunt and Hess
2. Fisher Scale
3. Ogilvy and Carter
4. Glascow Outcome Scale
5. WFNS (world federation of neurological surgeons)
common carotid artery - Qualified answersruns up the neck and supplies the largest
amount of blood to the head and neck
cortical watershed - Qualified answersbetween the
-ACA
