Hemispheres VII Discharge considerations
and stroke prevention (Latest Update 2026
/ 2027) Questions & Answers {Grade A}
100% Correct
Dysphagia - correct answer impaired swallowing
Mood impairment following stroke - correct answer 20-50% of post-stroke patients
are affected by post-stroke depression (PSD), vascular cognitive impairment (VCI),
and/or post-stroke fatigue (PSF)
Vascular Cognitive Impairment (VCI) - correct answer affects at least one cognitive
area of focus - language, attention, memory, perception, or executive function
Post stroke fatigue (PSF) - correct answer Includes abnormal tiredness with less
capacity and energy - overwhelming need for sleep
What scale is used to evaluate the 10 year risk of stroke - correct answer ASCVD
, Afib or a flutter anticoagulant scale - correct answer CHA2DS2VASc
Carotid artery stenosis - correct answer Severe stenosis > 70%
Daily aspirin and statin regimen
50% stenosis - annual duplex us
70% carotid stenosis and low- risk perioperative complications - consider carotid
endarterectomy
Carotid artery stenosis - secondary prevention w/in 6 months of event - correct
answer antiplatelet, statin, (also consider antihypertensives, glycemic control)
Ipsilateral severe carotid stenosis (70-99%) 2nd stroke prevention w/in 6 mo - correct
answer if low risk of surgical complications, carotid endarterectomy (CEA)
Ipsilateral moderate carotid stenosis (50-69% 2nd stroke prevention w/in 6 mo -
correct answer if low risk of surgical complications, consider CEA depending on age,
sex, comorbidity risks
and stroke prevention (Latest Update 2026
/ 2027) Questions & Answers {Grade A}
100% Correct
Dysphagia - correct answer impaired swallowing
Mood impairment following stroke - correct answer 20-50% of post-stroke patients
are affected by post-stroke depression (PSD), vascular cognitive impairment (VCI),
and/or post-stroke fatigue (PSF)
Vascular Cognitive Impairment (VCI) - correct answer affects at least one cognitive
area of focus - language, attention, memory, perception, or executive function
Post stroke fatigue (PSF) - correct answer Includes abnormal tiredness with less
capacity and energy - overwhelming need for sleep
What scale is used to evaluate the 10 year risk of stroke - correct answer ASCVD
, Afib or a flutter anticoagulant scale - correct answer CHA2DS2VASc
Carotid artery stenosis - correct answer Severe stenosis > 70%
Daily aspirin and statin regimen
50% stenosis - annual duplex us
70% carotid stenosis and low- risk perioperative complications - consider carotid
endarterectomy
Carotid artery stenosis - secondary prevention w/in 6 months of event - correct
answer antiplatelet, statin, (also consider antihypertensives, glycemic control)
Ipsilateral severe carotid stenosis (70-99%) 2nd stroke prevention w/in 6 mo - correct
answer if low risk of surgical complications, carotid endarterectomy (CEA)
Ipsilateral moderate carotid stenosis (50-69% 2nd stroke prevention w/in 6 mo -
correct answer if low risk of surgical complications, consider CEA depending on age,
sex, comorbidity risks
