Page 1 of 116
ABFM + KSA CVA (LATEST UPDATE )
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED ANSWERS)
True statements regarding the long-term prognosis for death and
disability in a patient who has had a stroke include which of the
following? (Mark all that are true.)
A.Early recovery of neurologic function is a sign of a good
prognosis
B.The severity of the stroke as measured by the National
Institutes of Health Stroke Scale can be used to predict long-term
prognosis
C.In general, lacunar strokes cause more severe disability than
ischemic strokes of the major cerebral arteries
D.The risk of recurrence of stroke is higher in the second year
after a stroke than in the first year
,Page 2 of 116
E.Patients who have two strokes in the same arterial territory will
typically recover more quickly the second time
F.Patients with poor function prior to the stroke are less likely to
make a complete recovery to their pre-stroke state
.....ANSWER.....A, B, F
A 74-year-old male has an acute ischemic stroke. He has a
history of hypertension adequately controlled with medication.
CT does not indicate any hemorrhagic component.Which one of
the following is true about early anticoagulation with heparin or
low molecular weight heparin in this situation?
A.Urgent anticoagulation is recommended to prevent recurrent
stroke
B.Urgent anticoagulation is recommended to prevent neurologic
worsening
,Page 3 of 116
C.Urgent anticoagulation is recommended to improve neurologic
outcomes
D.Urgent anticoagulation should be avoided in stroke
E.Initiation of anticoagulant therapy within 24 hours of treatment
with intravenously administered rtPA is recommended
.....ANSWER.....D
Research has not shown a benefit from urgent anticoagulation in
preventing recurrent stroke or neurologic deterioration (SOR A),
or for improving outcomes after acute ischemic strokes. Initiation
of anticoagulation within 24 hours of treatment with intravenous
rtPA is associated with increased risks of bleeding complications
(SOR B). Urgent anticoagulation is not indicated in moderate to
severe strokes, due to an increased risk of serious intracranial
hemorrhagic complications (SOR A).
, Page 4 of 116
A 67-year-old male suffers a stroke. Which of the following
factors would be likely to compromise his nutrition and hydration
status following the stroke? (Mark all that are true.)
Depression
Sensory or perceptual deficits
Swallowing difficulties
Unilateral lower extremity weakness
Altered consciousness
.....ANSWER.....ALL OF THE ABOVE
Nutrition and hydration can be affected by a number of factors
following a stroke. Physical problems that can affect the patient's
ability to eat and drink include altered consciousness, dysphagia,
sensory deficits, and reduced mobility. Depression can reduce the
patient's interest in food. Patients should be evaluated for
ABFM + KSA CVA (LATEST UPDATE )
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED ANSWERS)
True statements regarding the long-term prognosis for death and
disability in a patient who has had a stroke include which of the
following? (Mark all that are true.)
A.Early recovery of neurologic function is a sign of a good
prognosis
B.The severity of the stroke as measured by the National
Institutes of Health Stroke Scale can be used to predict long-term
prognosis
C.In general, lacunar strokes cause more severe disability than
ischemic strokes of the major cerebral arteries
D.The risk of recurrence of stroke is higher in the second year
after a stroke than in the first year
,Page 2 of 116
E.Patients who have two strokes in the same arterial territory will
typically recover more quickly the second time
F.Patients with poor function prior to the stroke are less likely to
make a complete recovery to their pre-stroke state
.....ANSWER.....A, B, F
A 74-year-old male has an acute ischemic stroke. He has a
history of hypertension adequately controlled with medication.
CT does not indicate any hemorrhagic component.Which one of
the following is true about early anticoagulation with heparin or
low molecular weight heparin in this situation?
A.Urgent anticoagulation is recommended to prevent recurrent
stroke
B.Urgent anticoagulation is recommended to prevent neurologic
worsening
,Page 3 of 116
C.Urgent anticoagulation is recommended to improve neurologic
outcomes
D.Urgent anticoagulation should be avoided in stroke
E.Initiation of anticoagulant therapy within 24 hours of treatment
with intravenously administered rtPA is recommended
.....ANSWER.....D
Research has not shown a benefit from urgent anticoagulation in
preventing recurrent stroke or neurologic deterioration (SOR A),
or for improving outcomes after acute ischemic strokes. Initiation
of anticoagulation within 24 hours of treatment with intravenous
rtPA is associated with increased risks of bleeding complications
(SOR B). Urgent anticoagulation is not indicated in moderate to
severe strokes, due to an increased risk of serious intracranial
hemorrhagic complications (SOR A).
, Page 4 of 116
A 67-year-old male suffers a stroke. Which of the following
factors would be likely to compromise his nutrition and hydration
status following the stroke? (Mark all that are true.)
Depression
Sensory or perceptual deficits
Swallowing difficulties
Unilateral lower extremity weakness
Altered consciousness
.....ANSWER.....ALL OF THE ABOVE
Nutrition and hydration can be affected by a number of factors
following a stroke. Physical problems that can affect the patient's
ability to eat and drink include altered consciousness, dysphagia,
sensory deficits, and reduced mobility. Depression can reduce the
patient's interest in food. Patients should be evaluated for
