SCRN (STROKE CERTIFIED REGISTERED NURSE) EXAMS
(LATEST UPDATES STUDY BUNDLE
PACKAGE WITH SOLUTIONS) QUESTIONS & ANSWERS
| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS)
Non-communicating hydrocephalus .....ANSWER.....Obstructive -
occlusion of csf flow
communicating hydrocephalus .....ANSWER.....non obstructive,
caused by inadequate absorption of CSF when the ventricular
pathways are not obstructed (blood/csf are unable to pass
through)
Where are the venous sinuses located? .....ANSWER.....Subdural
space
What type of bleed would most likely cause hydrocephalus?
.....ANSWER.....SAH
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Where is the most common place for obstructive hydrocephalus
to occur? .....ANSWER.....Aqueduct of Sylvius
At what rate is CSF produced? .....ANSWER.....0.3-0.4 ml/min
What does bloody csf indicate? .....ANSWER.....SAH or traumatic
tap
Xanthochromia (CSF) .....ANSWER.....Rust/yellow CSF = RBC's
breakdown - implies blood is in CSF for several hours and not
due to trauma (can indicate SAH)
Aphasia, eye deviation to the left, right arm weakness. What
kind of stroke> .....ANSWER.....L MCA
Circle of Willis .....ANSWER.....connects the anterior & posterior
circulation
Right leg weakness, abulia. What kind of stroke? .....ANSWER.....L
ACA
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R occipital stroke, what type of field deficit? .....ANSWER.....Left
side homonymous hemianopsia
Where does the ACA supply blood flow to?
.....ANSWER.....Frontal and parietal lobes
Where does the MCA supply blood to? .....ANSWER.....Frontal,
parietal, and temporal lobes
Where does the PCA supply blood to? .....ANSWER.....Occipital
lobe, midbrain
Weber's syndrome .....ANSWER.....third nerve palsy (droopy eye)
- seen with PCA strokes
Parinaud syndrome .....ANSWER.....Downward gaze, nystagmus -
seen with PCA strokes
Pontine syndrome .....ANSWER.....Vertigo, n/v, balance issues
Wallenberg syndrome .....ANSWER.....Loss of temperature/pain
sensation in face, dysphagia, dysarthria
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Anterior inferior cerebellar artery .....ANSWER.....supplies
cerebellum (pontine syndrome)
Posterior inferior cerebellar artery .....ANSWER.....supplies
cerebellum/medulla (wallenberg syndrome)
Basilar artery .....ANSWER.....An artery, formed by the fusion of
the vertebral arteries, that supplies blood to the brainstem and
to the posterior cerebral arteries.
Locked-in syndrome .....ANSWER.....Condition in which a patient is
aware and awake but cannot move or communicate verbally
because of complete paralysis of nearly all voluntary muscles
except the eyes (pons)
Lacunar stroke .....ANSWER.....D/t chronic hypertension
Watershed stroke .....ANSWER.....D/t hypoxia/hypotension,
occurs between major arteries