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HEMISPHERE IV-RAPID STROKE RESPONSE EXAM
2026 QUESTIONS AND CORRECT ANSWERS GRADED
A+
How long is BP elevated after stroke
24-48 hrs
EMS goal on scene
15 minutes
Oxygen saturation in stroke
>94%
Onset of symptoms to thrombolytics time
4.5 hours
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Onset of symptoms to thrombectomy time
24 hours
Stroke Center designations
Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
Door to door transfer time
<= 60 min hospital to hospital transfer
associated symptoms of stroke
*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
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stiff neck
Photophobia
Coma and decreased level of consciousness
Overlooked symptoms of stroke
dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
Door to doctor time
ASAP - 10 min
BP parameters
do not treat elevated BP unless concurrent myocardial infarction,
heart failure, aortic dissection, or confirmed hemorrhagic stroke
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Door to stroke team time (neuro expertise)
ASAP - 15
Prior to thrombolytic
Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
When to repeat CT in Hosp to hosp transfers
>60 minutes since last CT
Baseline labs
CBC, electrolytes, Renal function creatinine, troponin and ecg to
evaluate MI and arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
Airway management
HEMISPHERE IV-RAPID STROKE RESPONSE EXAM
2026 QUESTIONS AND CORRECT ANSWERS GRADED
A+
How long is BP elevated after stroke
24-48 hrs
EMS goal on scene
15 minutes
Oxygen saturation in stroke
>94%
Onset of symptoms to thrombolytics time
4.5 hours
,2|Page
Onset of symptoms to thrombectomy time
24 hours
Stroke Center designations
Comprehensive Stroke Center (CSC)
Thrombectomy-capable stroke center (TSC)
Primary Stroke Center (PSC)
Acute Stroke Ready Hospital (ASRH)
Door to door transfer time
<= 60 min hospital to hospital transfer
associated symptoms of stroke
*especially with cerebellar and hemorrhagic stroke
vomiting, nausea
SBP >220
,3|Page
stiff neck
Photophobia
Coma and decreased level of consciousness
Overlooked symptoms of stroke
dizziness
headache
general weakness or fatigue
nausea, vomiting
disorientation, confusion, or memory problems
Door to doctor time
ASAP - 10 min
BP parameters
do not treat elevated BP unless concurrent myocardial infarction,
heart failure, aortic dissection, or confirmed hemorrhagic stroke
, 4|Page
Door to stroke team time (neuro expertise)
ASAP - 15
Prior to thrombolytic
Noncontract CT or MRI to exclude hemorrhage
Blood glucose level - to rule out hypoglycemia
BP under 180/105
When to repeat CT in Hosp to hosp transfers
>60 minutes since last CT
Baseline labs
CBC, electrolytes, Renal function creatinine, troponin and ecg to
evaluate MI and arrhythmias
Coag studies if on anticoagulants
Advanced imaging if considering mechanical thrombectomy
Airway management
