CERTIFIED STROKE REHABILITATION
SPECIALIST (CSRS 2025) UPDATED
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Types of stroke
(Lesson 2) - correct answer- Ischemic: 87%
-Thrombotic
-Embolic
-Lacunar
Hemorrhagic: 13%
-Intracerebral
-Subarachnoid
Thrombotic Stroke (Ischemic) - correct answer- 48% of all
strokes
-typically occurs during sleep
-slow progressive onset of deficits
-50% are associated with prior TIA
Embolic Stroke (Ischemic) - correct answer- 26% of all strokes
-typically occurs while awake
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-sudden, immediate deficits (sometimes seizures)
-11% are associated with prior TIA
Lucunar Stroke (Ischemic)
small vessel disease - correct answer- 13% of all strokes
-small infarct (>15-20 cm) deep in the brain
-onset can be gradual or sudden
-23% associated with proceeding TIA
-often pure sensory or motor symptoms
-typically no higher cortical functional involved
Intracerebral Hemmorhage (ICH) - correct answer- 10% of all
strokes
-90% happen with the patient is under "no stress"
-major cause of "hypertension"
-onset may be gradual or sudden
-8% are associated with prior TIA
-direct correlation with high blood pressure/ hypertension
Subarachnoid Hemorrhage (SAH) - correct answer- 3% of all
stroke
-occurs often during strenuous activity
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-cause: rupture aneurysms and vascular malformations
-sudden onset
-7% are associated with preceding TIA
Left Stroke with Right Hemiplegia - correct answer- -
Language/Perceptual problems
-expressive aphasia
-receptive aphasia
-global aphasia
-alexia, agraphia , acalculia
-apraxias: motor planning perceptual problems
(Impaired verbal and math skills with word letter discrimination
Left Stroke with Right Hemiplegia (BEHAVIORS) - correct
answer- -Slow, anxious, cautious, normal attention span
-underestimated abilities
-emotionally labile ( abrupt mood changes)
-quick to anger and/or become frustrated
Right Stroke with Left Hemiplegia - correct answer- Perceptual
problems/ Distortion of physical reality
-visual spatial disorders :depth perception
-constructional relationships
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-directional concepts
-neglect, drawing abilities
-body schema perception disorders;
-perceptual language disorders
language
Right Stroke with Left Hemiplegia (BEHAVIORS) - correct
answer- -fast and impulsive
-short attention span
-overestimate abilities/ judgement
-denial of illness (anosognosia)
-lack of inhibition
-inability to express emotions /affect is flat
Cerebrum - correct answer- -frontal, parietal, temporal, and
occipital lobes
-consisting of two hemispheres, left and right, separated by a
fissure
-responsible for the integration of complex sensory and neural
functions and the initiation and coordination of voluntary activity
in the body.
initiates and coordinates movement and regulates temperature.
Other areas of the cerebrum enable speech, judgment, thinking
and reasoning, problem-solving, emotions and learning.