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1. Neuroplasticity is best described as...
A. the brain's ability to increase flow to the damaged portion of the
brain when blockage occurs
B. the body's attempt to improve flow to areas starved of blood flow by
adjusting the systemic blood pressure during the early stages of
ischemic stroke
C. The brain's ability to reorganize itself by forming new neural
connections throughout life
D. The ratio between intracranial pressure and cerebral blood flow in
the early hours post intracranial hemorrhage - Correct Answer: C
2. Which are considered non-modifiable risk factors? (select all that apply)
A. Age
B. Previous stroke
C. Hypertension
D. Atrial fibrillation - Correct Answer: A & B
3. The penumbra is...
A. An area of infarction in the brain after a stroke.
B. An area of irreversible ischemia in the acute phase of a stroke.
, C. An area of potentially reversible ischemia in the acute phase of a
stroke.
D. An area of necrotic tissue identified on a CT scan. - Correct
Answer: C
4. Stroke prevention is primarily achieved by...
A. Rapid action in the hyper-acute period from the time of the victim's
last time seen well.
B. Reduction of modifiable risk factors and behavior change by at-risk
individuals.
C. Physician attention to the non-modifiable risk factor reduction in
creating individual treatment plans.
D. Community education for patients whohave had stroke symptoms in
the past. - Correct Answer: B
5. Which is considered an acceptable lifestyle habit according to the American
Stroke Association?
A. Alcoholic beverage consumption of ≤ 2 drinks per day for men or ≤ 3
per day for women.
B. Brisk walking 4-5 times per week for at least 30 minutes.
C. Both
D. Neither - Correct Answer: B
6. Diabetes significantly increased stroke risk. Which of the following is the
best indicator of poorly managed diabetes over time?
A. Fasting Blood Sugar >120 mg/dl
B. Finger stick glucose > 210
C. A1C hemoglobin > 8.0%
D. Serum hemoglobin > 8.6% - Correct Answer: C
,7. Your patient has been diagnosed with hyperlipidemia after an acute stroke.
What would you expect the physician to recommend?
A. High dose statins
B. Low dose statins
C. Weight reduction
D. Dietary adjustment - Correct Answer: B
8. Which of the following medications is prescribed to reduce cholesterol?
A. Thiamine
B. Lysine
C. Niacin
D. Bromine - Correct Answer: C
9. Your patient has been found to have Moya Moya disease? What is true
about this condition?
A. It is common among Scandinavians.
B. It is a risk factor for hemorrhagic stroke
C. It is most common in women with who smoke and use oral
contraceptives.
D. It is one of the most common causes of stroke in men. - Correct
Answer: C
10.You are a nurse who does counselling in a stroke clinic. Your patients have
varying risk factors, but certain patients find themselves at higher risk for
development of strokes than others. Which of the following patients fall
into the very high risk categories? (select all that apply)
A. The 41 year old African American athlete who admits to using high
performance steroids.
, B. The 34 year old Hispanic woman who smokes and recently started
using birth control pills after the birth of her baby 7 weeks ago.
C. The sedentary executive with hypertension who has started putting
on weight below the belt and has not seen the doctor in several
years.
D. The teenager who has been experimenting with Esctasy and speed. -
Correct Answer: B & C
11.Your 51 y.o. hypertensive executive comes to the office for his yearly
physical to maintain his flight certification for his Lear jet. His BMI has
increased from 21 to 25. What is the most accurate statement in reference
to his BMI?
A. His BMI has increased from overweight status to obese, counsel him
about very high stroke risk due to excessive weight gain.
B. His BMI has shown a moderate change from normal to overweight,
counsel him to consider diet change and exercise.
C. His BMI is within normal limits for height and weight, counsel him to
monitor further weight gain.
D. His BMI has increased from underweight to normal, no change
necessary - Correct Answer: B
12.Which of the following has been associated with a higher risk of intracranial
hemorrhage?
A. Cerebral amyloid angiopathy
B. High serum cholesterol
C. Past history of intravenous drug abuse greater than 10 years ago.
D. Lupus - Correct Answer: A