Ssc Ams Test 4 - Strokes

Front 1

Narrowing of a cerebral artery causing decreased blood flow; calcium channel blockers can be taken to treat this:

Back 1

Vasospasms

Front 2

How long does an episode of neurological dysfunction that accompanies TIA usually last?

Back 2

A few minutes to less than 24 hours

Front 3

People having strokes will most likely demonstrate problems in these two areas:

Back 3

Speech and motor

Front 4

Procedure that prevents strokes in patients with carotid stenosis by opening up the carotid artery to increase blood flow:

Back 4

Endarterectomy

Front 5

How are AV malformations and berry aneurysms surgically treated?

Back 5

Clamping or sealing the weakened area

Front 6

Main thrombolytic given for ischemic strokes in the Central Florida area; given systemically:

Back 6

t-PA

Front 7

These drugs are controversially used for someone with a TIA warning stroke to prevent recurrent strokes (keeps platelets slippery):

Back 7

Anticoagulants

Front 8

Antiplatelet and anticoagulant drugs like Plavix, aspirin, and Ticlid should warrant monitoring the patient for this:

Back 8

Bleeding

Front 9

Position in which there is rigid extension of the arms and legs, pronation of the arms, and plantar flexion of the feet; seen in brainstem dysfunction:

Back 9

Decerebrate posturing

Front 10

Which hospital team member can work with the stroke patient to help with their ability to eat and drink?

Back 10

Speech therapist

Front 11

When one can understand speech but cannot answer:

Back 11

Expressive aphasia

Front 12

Do embolic strokes occur slowly or do they have a sudden, rapid onset?

Back 12

Sudden, rapid onset

Front 13

What is the window period, after a stroke, for giving thrombolytics?

Back 13

3 hours

Front 14

When the extremities all go to one side; the patient doesn't have the ability to hold them up:

Back 14

Flaccid paralysis

Front 15

This heart rhythm puts people at risk for an embolic stroke:

Back 15

Atrial fibrillation

Front 16

The (higher, lower) the Glascow Coma Scale number, the better; this number is the best:

Back 16

The higher the number the better; 15 is the best

Front 17

Where will the patient feel pressure when an arterial catheter for a carotid artery angioplasty is inserted?

Back 17

Groin

Front 18

Slurred speech due to decreased muscle control of the tongue; may also have swallowing problems:

Back 18

Dysarthia

Front 19

When a thrombus occludes a vessel, what happens?

Back 19

Decreased or absent blood flow to the area, causing ischemia

Front 20

Type of stroke that causes cerebral tissue damage due to bleeding; can occur from a ruptured aneurysm, ruptured AV malformation, or severe HTN:

Back 20

Hemorrhagic

Front 21

A weakened area on a cerebral blood vessel that is often congenital and often ruptures during activity:

Back 21

Aneurysm

Front 22

An increased amount of CSF within the brain that causes increased intracranial pressure:

Back 22

Hydrocephalus

Front 23

Post-op from a carotid artery angioplasty, how should the patient's leg be positioned?

Back 23

Straight and immobile

Front 24

Most people use this brain hemisphere for language skills, math skills, and analytical thinking:

Back 24

Left

Front 25

True or false: Subtle changes can be a big deal in someone possibly having a stroke.

Back 25

True

Front 26

Type of ischemic stroke that occurs due to movement of a clot from another area, causing blockage in a cerebral artery:

Back 26

Embolic

Front 27

When someone can talk but words don't make sense to them; no understanding of written or spoken word:

Back 27

Receptive aphasia

Front 28

Would increased or decreased BP for long periods of time put someone at greater risk for an aneurysm?

Back 28

Increased

Front 29

Describe Act FAST in relation to stroke symptoms:

Back 29

Face
Arms
Speech
Time

Front 30

Disruption of blood flow in or out of the brain will cause this:

Back 30

Cerebral tissue death

Front 31

Weakness on one side of the body:

Back 31

Hemiparesis

Front 32

What part of the body do motor nerve fibers cross before going to the spinal cord?

Back 32

Midline

Front 33

What is the priority intervention to monitor when a patient presents with a stroke?

Back 33

Airway (ABC's)

Front 34

The brain has the ability to do this so that blood flow in and out of it is maintained:

Back 34

Autoregulation

Front 35

Word for difficulty with writing:

Back 35

Agraphia

Front 36

True or false: Brain attacks are not considered a medical emergency.

Back 36

False

Front 37

Most strokes are of this type; includes both thrombotic and embolic:

Back 37

Ischemic

Front 38

Why should a stroke patient's head be kept in straight alignment?

Back 38

To keep blood flow to and from the brain unobstructed

Front 39

What does thrombolytic therapy do for patients suffering from embolic or thrombotic strokes?

Back 39

Dissolves the clot and reestablishes blood flow

Front 40

True or false: Several lab tests are available to confirm a stroke diagnosis.

Back 40

False - no lab tests can confirm a stroke diagnosis

Front 41

Brain blood flow in this direction carries oxygen and glucose; blood flow in this direction carries metabolic wastes, CO2, and lactic acid:

Back 41

Into the brain; out of the brain

Front 42

What is the most important imaging test done to identify cerebral hemorrhage and other neuro problems?

Back 42

CT scan

Front 43

Paralysis on one side of the body:

Back 43

Hemiplegia

Front 44

The goal is to have a CT scan done and read in ___ minutes:

Back 44

45

Front 45

This procedure is done to visualize cerebral circulation; can identify aneurysms, injuries, occulsuions, tumors, and AV malformations:

Back 45

Carotid artery angioplasty

Front 46

Because unusual posturing can be a sign of neurological deterioration, when would you notify the physician?

Back 46

Immediately

Front 47

When an embolic stroke occurs, what happens to cerebral blood flow?

Back 47

Decreases or becomes absent, resulting in ischemia

Front 48

Stroke victims often get this, which means that they forget that one side of their body is there:

Back 48

Neglect syndrome

Front 49

These types of aneurysms often occur where blood vessels bifurcate; burst upon activity like sex or childbirth:

Back 49

Berry

Front 50

A spaghetti-like tangle of blood vessels with abnormal blood flow between arteries and veins; develop from conception:

Back 50

AV malformation

Front 51

What type of strokes are thrombolytic drugs used for ONLY?

Back 51

Ischemic

Front 52

True of false: It is not uncommon for someone to be unaware that they have a cerebral aneurysm.

Back 52

True

Front 53

Word for reading problems:

Back 53

Alexia, dyslexia

Front 54

The inability to use or comprehend language:

Back 54

Aphasia

Front 55

What does treatment for stroke depend on?

Back 55

Type of stroke the person had

Front 56

Contractures, or lack of movement, in a joint:

Back 56

Spastic paralysis

Front 57

Dilated or non-reactive pupils are a sign of neurological deterioration and when should the physician be notified?

Back 57

Immediately

Front 58

Do thrombotic strokes occur suddenly or do they typically have a slower onset? Why?

Back 58

Slow onset - it takes time for plaque to build up in the vessel and break off

Front 59

After dilated, fixed, or non-reactive pupils are discovered, how long do you have to intervene before stroke damage becomes permanent?

Back 59

15 minutes

Front 60

Right hemisphere problems mean paralysis on this side of the body; left hemisphere problems occur on this side of the body:

Back 60

Left; right

Front 61

Type of ischemic stroke that occurs due to rupture of plaque and results in clot formation due to atherosclerotic changes to the walls of cerebral vessels:

Back 61

Thrombotic

Front 62

A precursor, or warning sign, that someone may develop an ischemic stroke in the near future - should NEVER be ignored!

Back 62

TIA

Front 63

Position in which the arms, wrists, and fingers flex with internal rotation; see in neurological damage:

Back 63

Decorticate posturing

Front 64

Occurs when there is blood flow that leaks past an obstruction in a vessel; can be stroke or MI-related:

Back 64

Collateral circulation

Front 65

A very important question to ask when assessing someone who appears to have had a stroke:

Back 65

When was their last time normal?

Front 66

A standardized test that allows for rapid neurological assessment:

Back 66

Glascow Coma Scale

Front 67

What are the three scoring areas for the adult Glascow Coma Scale?

Back 67

Eye opening, motor response, verbal response

Front 68

Hemorrhagic strokes due to BP increase are on the rise because of abuse of this drug:

Back 68

Cocaine