NR572 Final Exam Questions and Answers| Latest Update
Study online at https://quizlet.com/_j8877r
1. After giving IV alteplase, what A follow-up CT scan of the head
should be done 24 hours prior
to initiating anticoagulants or an-
tiplatelet agents?
2. Indications of lumbar puncture CSF sample for examination; pressure measure-
ments (NPH); reduction in CSF pressure:; -infections;
-SAH; -Inflammatory conditions; -MS; -carcinomato-
sis; Spinal anesthetics, antitumor agents, antibiotics;
radio-opaque substance radioactive agent:; -crypto-
coccal meningitis; -hydrocephalus with communication
between all ventricles; -pseudotumor cerebri; -drug
administration; Imaging; -myelography; -radionuclide
cisternography
3. Contraindications of performing • Increased risk of fatal cerebellar or transtentorial her-
LP niation; • Coagulopathy; • Infection over puncture site;
• Spinal block requiring sample above lesion
4. Common complications of lumbar -Sciatic pain during needle insertion; -Slowing of fluid
puncture removal (elevate patient head)
5. How is chronic meningitis diag- On LP/CSF analysis or contrast MRI/CT showing leak-
nosed? age into meninges. Meningeal biopsy if CSF not diag-
nostic.
6. Differentials for chronic meningitis -Partially treated suppurative meningitis; -Paran-
meningeal infection; -Mycobacterium TB; -Lyme;
-Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
7. Indications for swallow evaluation -Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral
feeding
, NR572 Final Exam Questions and Answers| Latest Update
Study online at https://quizlet.com/_j8877r
8. Medicare coverage of hospice • Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
9. Three common causes of acute is- 1- Anoxic injury; 2- Thrombosis in situ; 3- Thrombotic
chemic stroke embolism
10. In ischemic stroke, what area of Tissue death at occluded artery (infarction core)
damage is irreversible?
11. Penumbra Area around infarct, salvageable if blood flow restored
12. Risk factors for ischemic stroke -Advanced age; -HTN
13. More risk factors for ischemic -HLD, DM, oral contraceptives, obesity, prior TIAs, to-
stroke bacco, MI, alcohol, sedentary lifestyle, sickle cell, stim-
ulant drugs, family hx CVA, cardiac abnormalities
14. Subjective signs of ischemic stroke -Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia, hemi-
paresis, vertigo
15. Critical timeline info for CVA "Last known well"
16. BE FAST Balance, Eyes, Face, Arms, Speech, Time
17. ACA Anterior cerebral artery
18. MCA Middle cerebral artery
19. PCA Posterior cerebral artery
20. Objective symptoms of ACA stroke -Urinary incontinence; -Speech perseveration; -Dis-
inhibition; -Gait apraxia; -Primitive reflexes; -Altered
, NR572 Final Exam Questions and Answers| Latest Update
Study online at https://quizlet.com/_j8877r
mental status; -Impaired judgment; -Contralateral
leg>arm weakness
21. Objective symptoms of MCA stroke -Gaze preference; -Agnosia; -Ipsilateral hemianopsia;
-Contralateral hemiparesis/hypesthesia
22. Objective symptoms of PCA stroke -Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Vi-
sual agnosia
23. Visual agnosia Inability to recognize objects
24. Contralateral homonymous hemi- Loss of vision in contralateral visual field
anopsia
25. Contralateral hypesthesia Decreased touch perception on one side
26. Agnosia Inability to recognize familiar objects
27. DDx for ischemic stroke -Drug toxicity; -Brain tumors; -Hypertensive en-
cephalopathy; -Conversion disorder
28. Conversion disorder Somatoform disorder with real symptoms and no phys-
iological basis
29. Imaging testing for ischemic -Non-con CT (preferred); -MRI brain (DWI); -CT or MR
stroke Angio for occlusion detection
30. Labs for acute ischemic stroke -CBC, Coags, BMP, Cardiac biomarkers, Toxicology
31. Emergent treatment of ischemic -Transport to stroke center; -Secure airway, oxygena-
stroke: outpatient tion, perfusion
32. Scoring stroke - scale used NIHSS
Study online at https://quizlet.com/_j8877r
1. After giving IV alteplase, what A follow-up CT scan of the head
should be done 24 hours prior
to initiating anticoagulants or an-
tiplatelet agents?
2. Indications of lumbar puncture CSF sample for examination; pressure measure-
ments (NPH); reduction in CSF pressure:; -infections;
-SAH; -Inflammatory conditions; -MS; -carcinomato-
sis; Spinal anesthetics, antitumor agents, antibiotics;
radio-opaque substance radioactive agent:; -crypto-
coccal meningitis; -hydrocephalus with communication
between all ventricles; -pseudotumor cerebri; -drug
administration; Imaging; -myelography; -radionuclide
cisternography
3. Contraindications of performing • Increased risk of fatal cerebellar or transtentorial her-
LP niation; • Coagulopathy; • Infection over puncture site;
• Spinal block requiring sample above lesion
4. Common complications of lumbar -Sciatic pain during needle insertion; -Slowing of fluid
puncture removal (elevate patient head)
5. How is chronic meningitis diag- On LP/CSF analysis or contrast MRI/CT showing leak-
nosed? age into meninges. Meningeal biopsy if CSF not diag-
nostic.
6. Differentials for chronic meningitis -Partially treated suppurative meningitis; -Paran-
meningeal infection; -Mycobacterium TB; -Lyme;
-Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
7. Indications for swallow evaluation -Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral
feeding
, NR572 Final Exam Questions and Answers| Latest Update
Study online at https://quizlet.com/_j8877r
8. Medicare coverage of hospice • Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
9. Three common causes of acute is- 1- Anoxic injury; 2- Thrombosis in situ; 3- Thrombotic
chemic stroke embolism
10. In ischemic stroke, what area of Tissue death at occluded artery (infarction core)
damage is irreversible?
11. Penumbra Area around infarct, salvageable if blood flow restored
12. Risk factors for ischemic stroke -Advanced age; -HTN
13. More risk factors for ischemic -HLD, DM, oral contraceptives, obesity, prior TIAs, to-
stroke bacco, MI, alcohol, sedentary lifestyle, sickle cell, stim-
ulant drugs, family hx CVA, cardiac abnormalities
14. Subjective signs of ischemic stroke -Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia, hemi-
paresis, vertigo
15. Critical timeline info for CVA "Last known well"
16. BE FAST Balance, Eyes, Face, Arms, Speech, Time
17. ACA Anterior cerebral artery
18. MCA Middle cerebral artery
19. PCA Posterior cerebral artery
20. Objective symptoms of ACA stroke -Urinary incontinence; -Speech perseveration; -Dis-
inhibition; -Gait apraxia; -Primitive reflexes; -Altered
, NR572 Final Exam Questions and Answers| Latest Update
Study online at https://quizlet.com/_j8877r
mental status; -Impaired judgment; -Contralateral
leg>arm weakness
21. Objective symptoms of MCA stroke -Gaze preference; -Agnosia; -Ipsilateral hemianopsia;
-Contralateral hemiparesis/hypesthesia
22. Objective symptoms of PCA stroke -Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Vi-
sual agnosia
23. Visual agnosia Inability to recognize objects
24. Contralateral homonymous hemi- Loss of vision in contralateral visual field
anopsia
25. Contralateral hypesthesia Decreased touch perception on one side
26. Agnosia Inability to recognize familiar objects
27. DDx for ischemic stroke -Drug toxicity; -Brain tumors; -Hypertensive en-
cephalopathy; -Conversion disorder
28. Conversion disorder Somatoform disorder with real symptoms and no phys-
iological basis
29. Imaging testing for ischemic -Non-con CT (preferred); -MRI brain (DWI); -CT or MR
stroke Angio for occlusion detection
30. Labs for acute ischemic stroke -CBC, Coags, BMP, Cardiac biomarkers, Toxicology
31. Emergent treatment of ischemic -Transport to stroke center; -Secure airway, oxygena-
stroke: outpatient tion, perfusion
32. Scoring stroke - scale used NIHSS
