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1. The Cincinatti Prehospital Stroke scale consists of: - Correct Answer:
facial droop, arm drift, speech
2. The SCRN knows that the best Glasgow Coma Score to achieve would be: -
Correct Answer: 15
3. A discharge plan for a patient with a NIHSS of 22 would most likely include
discharge to a/an:
A. Long term care skilled nursing facility
B. Outpatient rehab center
C. Inpatient rehab center
D. Patient's home - Correct Answer: A
4. A NIHSS greater than 14 typically equates to a patient with severe deficits
and will require long term care.
5. A patient who presents with an acute onset of right arm weakness and
aphasia most likely is presenting with symptoms of a:
A. Meningioma
, B. Small vessel occlusion
C. Absent seizure
D. Large vessel occlusion - Correct Answer: D
6. What is the immediate treatment for ischemic stroke? - Correct Answer:
IV thrombolytics
7. A patient is admitted with a hemorrhagic stroke and the CT scan shows both
subarachnoid blood with intraventricular hemorrhage. The SCRN knows this
would be a Fisher
A. Grade I
B. Grade II
C. Grade III
D. Grade IV - Correct Answer: D
8. A 55 year- old male presents to the ED with complaints of acute onset of
dizziness, diplopia and severe nausea and vomiting. What is the next best
thing to do?
A. Administer meclizine
B. Activate a stroke alert
C. Administer Zofran
D. Perform a Dix Hallpike maneuver - Correct Answer: B
9. An 82 year-old female with history of cerebral amyloid angiopathy (CAA)
presents to the ED with left sided weakness, neglect and gaze deviation to
the left. EMS reports a blood pressure of 224/112 and three episodes of
vomiting en route to the hospital. The SCRN suspects what is the MOST
likely diagnosis?
A. Intracerebral hemorrhage (ICH)
, B. Hypertensive crisis
C. Small vessel stroke
D. Subdural hemorrhage (SDH) - Correct Answer: A
10.A 72 year-old female who takes coumadin for atrial fibrillation is diagnosed
with a right frontal intracerebral hemorrhage (ICH) with a blood volume of
less than 30 ml's and no intraventricular extension. At time of presentation
her GCS was 12. What is her ICH score?
A. ICH score 1
B. ICH score 2
C. ICH score 3
D. ICH score 4 - Correct Answer: A
11.A 71 year-old male with history of hypertension, stroke, and diabetes
mellitus presents to the hospital with left sided weakness and neglect. The
CT scan reveals hypodensity to greater than 1/3 of the right MCA territory.
The SCRN knows what is the next BEST thing to do for this patient?
A. Prepare IV alteplase (tPA)
B. Admit to the stroke unit
C. CT angiogram (CTA) of head and neck STAT
D. MRI brain to assess for stroke - Correct Answer: C
12.A 72 year old male is being triaged in the ED for mental status changes. The
nurse immediately notices a facial droop and activates a stroke alert. The
SCRN knows that a CT of the head without contrast needs to be performed
within what time frame? - Correct Answer: 25 minutes
13.A 64 year old female is being triaged in the ED for a severe headache. The
nurse immediately activates a stroke alert. The SCRN knows that a CT of the