NR572 Final Exam Questions and
Answers| Latest Update 160 Detailed
Questions with Answers and Rationales
2026-2027 Graded A+
After giving IV alteplase, what should be done 24 hours
prior to initiating anticoagulants or antiplatelet agents? -
✔✔ANSWER ✔✔-A follow-up CT scan of the head
Indications of lumbar puncture - ✔✔ANSWER ✔✔-CSF
sample for examination; pressure measurements (NPH);
reduction in CSF pressure:; -infections; -SAH; -
Inflammatory conditions; -MS; -carcinomatosis; Spinal
anesthetics, antitumor agents, antibiotics; radio-opaque
,substance radioactive agent:; -cryptococcal meningitis; -
hydrocephalus with communication between all
ventricles; -pseudotumor cerebri; -drug administration;
Imaging; -myelography; -radionuclide cisternography
Contraindications of performing LP - ✔✔ANSWER ✔✔-•
Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture
site; • Spinal block requiring sample above lesion
Common complications of lumbar puncture -
✔✔ANSWER ✔✔--Sciatic pain during needle insertion; -
Slowing of fluid removal (elevate patient head)
How is chronic meningitis diagnosed? - ✔✔ANSWER ✔✔-
On LP/CSF analysis or contrast MRI/CT showing leakage
into meninges. Meningeal biopsy if CSF not diagnostic.
Differentials for chronic meningitis - ✔✔ANSWER ✔✔--
Partially treated suppurative meningitis; -
,Paranmeningeal infection; -Mycobacterium TB; -Lyme; -
Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
Indications for swallow evaluation - ✔✔ANSWER ✔✔--Hx
of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral
feeding
Medicare coverage of hospice - ✔✔ANSWER ✔✔-•
Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
Three common causes of acute ischemic stroke -
✔✔ANSWER ✔✔-1- Anoxic injury; 2- Thrombosis in situ;
3- Thrombotic embolism
In ischemic stroke, what area of damage is irreversible? -
✔✔ANSWER ✔✔-Tissue death at occluded artery
(infarction core)
, Penumbra - ✔✔ANSWER ✔✔-Area around infarct,
salvageable if blood flow restored
Risk factors for ischemic stroke - ✔✔ANSWER ✔✔--
Advanced age; -HTN
More risk factors for ischemic stroke - ✔✔ANSWER ✔✔--
HLD, DM, oral contraceptives, obesity, prior TIAs,
tobacco, MI, alcohol, sedentary lifestyle, sickle cell,
stimulant drugs, family hx CVA, cardiac abnormalities
Subjective signs of ischemic stroke - ✔✔ANSWER ✔✔--
Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia,
hemiparesis, vertigo
Critical timeline info for CVA - ✔✔ANSWER ✔✔-"Last
known well"
BE FAST - ✔✔ANSWER ✔✔-Balance, Eyes, Face, Arms,
Speech, Time
Answers| Latest Update 160 Detailed
Questions with Answers and Rationales
2026-2027 Graded A+
After giving IV alteplase, what should be done 24 hours
prior to initiating anticoagulants or antiplatelet agents? -
✔✔ANSWER ✔✔-A follow-up CT scan of the head
Indications of lumbar puncture - ✔✔ANSWER ✔✔-CSF
sample for examination; pressure measurements (NPH);
reduction in CSF pressure:; -infections; -SAH; -
Inflammatory conditions; -MS; -carcinomatosis; Spinal
anesthetics, antitumor agents, antibiotics; radio-opaque
,substance radioactive agent:; -cryptococcal meningitis; -
hydrocephalus with communication between all
ventricles; -pseudotumor cerebri; -drug administration;
Imaging; -myelography; -radionuclide cisternography
Contraindications of performing LP - ✔✔ANSWER ✔✔-•
Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture
site; • Spinal block requiring sample above lesion
Common complications of lumbar puncture -
✔✔ANSWER ✔✔--Sciatic pain during needle insertion; -
Slowing of fluid removal (elevate patient head)
How is chronic meningitis diagnosed? - ✔✔ANSWER ✔✔-
On LP/CSF analysis or contrast MRI/CT showing leakage
into meninges. Meningeal biopsy if CSF not diagnostic.
Differentials for chronic meningitis - ✔✔ANSWER ✔✔--
Partially treated suppurative meningitis; -
,Paranmeningeal infection; -Mycobacterium TB; -Lyme; -
Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
Indications for swallow evaluation - ✔✔ANSWER ✔✔--Hx
of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral
feeding
Medicare coverage of hospice - ✔✔ANSWER ✔✔-•
Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
Three common causes of acute ischemic stroke -
✔✔ANSWER ✔✔-1- Anoxic injury; 2- Thrombosis in situ;
3- Thrombotic embolism
In ischemic stroke, what area of damage is irreversible? -
✔✔ANSWER ✔✔-Tissue death at occluded artery
(infarction core)
, Penumbra - ✔✔ANSWER ✔✔-Area around infarct,
salvageable if blood flow restored
Risk factors for ischemic stroke - ✔✔ANSWER ✔✔--
Advanced age; -HTN
More risk factors for ischemic stroke - ✔✔ANSWER ✔✔--
HLD, DM, oral contraceptives, obesity, prior TIAs,
tobacco, MI, alcohol, sedentary lifestyle, sickle cell,
stimulant drugs, family hx CVA, cardiac abnormalities
Subjective signs of ischemic stroke - ✔✔ANSWER ✔✔--
Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia,
hemiparesis, vertigo
Critical timeline info for CVA - ✔✔ANSWER ✔✔-"Last
known well"
BE FAST - ✔✔ANSWER ✔✔-Balance, Eyes, Face, Arms,
Speech, Time
