VIII - Excellence in Stroke Care
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the primary goal of excellence in acute stroke care?
✔✔Rapid recognition, timely intervention, and minimization of brain tissue damage to improve
functional outcomes.
What time benchmark is recommended for door-to-CT scan in suspected ischemic stroke?
✔✔Within 20 minutes of hospital arrival.
What is the maximum time window for administering IV alteplase in eligible ischemic stroke
patients?
✔✔Within 4.5 hours from symptom onset.
What assessment tool is commonly used to quantify stroke severity on admission?
✔✔NIH Stroke Scale (NIHSS).
What does a high NIHSS score generally indicate?
✔✔More severe neurological impairment.
What imaging modality is first-line to differentiate ischemic from hemorrhagic stroke?
✔✔Non-contrast CT scan of the head.
1
,What is the recommended door-to-needle time for thrombolytic therapy?
✔✔Within 60 minutes of hospital arrival.
What is the key modifiable risk factor for stroke prevention?
✔✔Hypertension.
What blood pressure threshold must be met before administering alteplase?
✔✔Below 185/110 mmHg.
What glucose abnormality must be corrected before thrombolytic therapy?
✔✔Hypoglycemia.
What is the core principle of stroke systems of care?
✔✔Coordinated, multidisciplinary, and time-sensitive management.
What role does EMS prenotification play in stroke care?
✔✔It reduces treatment delays by alerting the stroke team in advance.
What is the purpose of mechanical thrombectomy?
✔✔Removal of a large vessel clot to restore cerebral blood flow.
2
, Within how many hours can mechanical thrombectomy be considered in selected patients?
✔✔Up to 24 hours in eligible cases with favorable imaging.
What is the main complication of thrombolytic therapy?
✔✔Intracranial hemorrhage.
What is the recommended oxygen saturation target in acute stroke?
✔✔Maintain ≥94%.
What position is generally recommended for a patient with acute ischemic stroke without
aspiration risk?
✔✔Head of bed elevated 15–30 degrees.
Why is early swallowing assessment critical after stroke?
✔✔To prevent aspiration pneumonia.
What is the importance of early mobilization in stroke patients?
✔✔Reduces complications and improves functional recovery.
What medication is initiated within 24–48 hours after ischemic stroke if no contraindications
exist?
✔✔Aspirin.
3
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the primary goal of excellence in acute stroke care?
✔✔Rapid recognition, timely intervention, and minimization of brain tissue damage to improve
functional outcomes.
What time benchmark is recommended for door-to-CT scan in suspected ischemic stroke?
✔✔Within 20 minutes of hospital arrival.
What is the maximum time window for administering IV alteplase in eligible ischemic stroke
patients?
✔✔Within 4.5 hours from symptom onset.
What assessment tool is commonly used to quantify stroke severity on admission?
✔✔NIH Stroke Scale (NIHSS).
What does a high NIHSS score generally indicate?
✔✔More severe neurological impairment.
What imaging modality is first-line to differentiate ischemic from hemorrhagic stroke?
✔✔Non-contrast CT scan of the head.
1
,What is the recommended door-to-needle time for thrombolytic therapy?
✔✔Within 60 minutes of hospital arrival.
What is the key modifiable risk factor for stroke prevention?
✔✔Hypertension.
What blood pressure threshold must be met before administering alteplase?
✔✔Below 185/110 mmHg.
What glucose abnormality must be corrected before thrombolytic therapy?
✔✔Hypoglycemia.
What is the core principle of stroke systems of care?
✔✔Coordinated, multidisciplinary, and time-sensitive management.
What role does EMS prenotification play in stroke care?
✔✔It reduces treatment delays by alerting the stroke team in advance.
What is the purpose of mechanical thrombectomy?
✔✔Removal of a large vessel clot to restore cerebral blood flow.
2
, Within how many hours can mechanical thrombectomy be considered in selected patients?
✔✔Up to 24 hours in eligible cases with favorable imaging.
What is the main complication of thrombolytic therapy?
✔✔Intracranial hemorrhage.
What is the recommended oxygen saturation target in acute stroke?
✔✔Maintain ≥94%.
What position is generally recommended for a patient with acute ischemic stroke without
aspiration risk?
✔✔Head of bed elevated 15–30 degrees.
Why is early swallowing assessment critical after stroke?
✔✔To prevent aspiration pneumonia.
What is the importance of early mobilization in stroke patients?
✔✔Reduces complications and improves functional recovery.
What medication is initiated within 24–48 hours after ischemic stroke if no contraindications
exist?
✔✔Aspirin.
3
