Exams Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Disinhibition is a syndrome associated with damage to the...
A. Limbic system
B. Parietal lobe
C. Right hemisphere
D. Frontal lobe - Correct Answer: D
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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
,9. Which of the following medications is prescribed to reduce cholesterol?
A. Thiamine
B. Lysine
C. Niacin
D. Bromine - Correct Answer: C
10. 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
11. 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
12. 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
13. 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
14. A 40year old woman with a history of hypertension, atrial fibrillation, diabetes, and
hypercholesterolemia presents to the ED with left sided weakness and cognitive
impairment. Her husband arrives with her and explains that she had a seizure just before
he called the ambulance. Time last seen well was approximately 2 hours 15 minutes ago.
A Code Stroke is called. Which is the following is true?
A. This patient has arrived within the expanded tPA treatment window.
B. This patient's plain CT will probably be normal, so perfusion
studies will be needed.
C. There is a likelihood this is not a stroke, but a stroke mimic.
D. Atrial fibrillation is a reason to withhold tPA in this patient.
E. All of these are true - Correct Answer: C
15. What is the most important role of the Emergency Medical System (EMS) in early
management of stroke victims?
A. Alert the receiving hospital of an incoming stroke.
B. Provide supportive care for circulatory support.
C. Diagnose the stroke (hemorrhagic vs ischemic) based on history
D. Obtain the stroke onset time from patient or those present - Correct Answer:
D
16. Once the EMS has arrived to the ED, rapid action must be taken, which of the following
is NOT recommended as an action time per guidelines?