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A person with a stroke who seems unaware of their disability: -CORRECT ANSWER
anosognosia
Pt presents complaining of double vision, lacks horizontal eye movements while
tracking is preserved.
What area of the brain can cause internuclear opthalmoplegia? -CORRECT ANSWER
Brainstem
Watershed stroke is described as: -CORRECT ANSWER Stroke between two adjacent
cerebral arteries
Cerebrospinal fluid is produced at a rate of... -CORRECT ANSWER 0.3-0.4ml/min
A patient with locked-in syndrome most likely had an infarct in the... -CORRECT
ANSWER pons (pontine)
A lacunar infarct is indicative of an event... -CORRECT ANSWER in a small artery
The MOST important point to emphasize in a community education program on strokes
that will directly improve patient outcome and disability in setting of a stroke? -
CORRECT ANSWER Activate EMS
What is a risk factor for a spontaneous carotid dissection? -CORRECT ANSWER
Connective tissue disease
What is the MOST significant risk factor for stroke? -CORRECT ANSWER Hypertension
One fourth of all strokes occur in patients under the age of... -CORRECT ANSWER 75
Atrial fibrillation is associated with.. -CORRECT ANSWER An increased risk of stroke
and mortality
What is an example of exclusion criteria for tPA administration? -CORRECT ANSWER
Bleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
Findings consistent with alterations in posterior cerebral circulation: -CORRECT
ANSWER Ataxia and visual deficits
, Predictor of a two-day risk for stroke following a TIA: -CORRECT ANSWER ABCD2
What sign elicited during a physical examination would be indicative of meningeal
irritation? -CORRECT ANSWER Kernig's Sign
The most sensitive and specific imaging technique for demonstrating acute infarction
is... -CORRECT ANSWER MR diffusion-weighted imaging
A patient with SAH is ordered a cerebral angiogram. This test should... -CORRECT
ANSWER identify the etiology of the bleed
What diagnosis in a patient is a contraindication in performing a lumbar puncture? -
CORRECT ANSWER SAH
A neurologist has ordered a TTE. This test is best at identifying... -CORRECT ANSWER
ventricular thrombus
A woman with sickle cell disease is being seen for preventative stroke diagnostic
testing. What procedure would you expect to be performed? -CORRECT ANSWER
Transcranial doppler
A patient is scheduled for embolization of L AVM. The goal of the treatment is... -
CORRECT ANSWER Occlusion of the deep arterial feeding vessels
Pt with recent head trauma presents with pulstile tinnitus, headache, and visual
disturbances. These symptoms may indicate... -CORRECT ANSWER dural
arteriovenous fistula
MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe.
The RN identifies that this is most likely... -CORRECT ANSWER Cavernous angioma
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... -CORRECT ANSWER Dysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations
include... -CORRECT ANSWER Serum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: -CORRECT ANSWER APTT
An adverse side effect of anticonvulsant therapy = -CORRECT ANSWER Alteration in
mentation
The estimated percentage of ischemic stroke patients that receive tPA = -CORRECT
ANSWER 2-7%