Finall Exam:l NRl 572/l NR572l (NEWl
2026/l 2027l Update)l Advancedl Acutel
Carel Managementl Reviewl |Weeksl 5-8l
Covered|l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-Chamberlain
QUESTION
Whatl isl encephalitis?
Answer:
inflammationl ofl thel brainl thatl occursl duel tol al virall infection.l Inl contrastl tol meningitisl
thatl typicallyl onlyl involvesl thel meninges,l encephalitisl involvesl thel brainl parenchymal
andl canl alsol affectl thel meninges,l nervel roots,l andl spinall cord.
QUESTION
Txl ofl virall encephalitis
Answer:
HSV-1:l IVl acyclovirl 30mg/kg/dl dividedl q8l hours.l eachl infusionl isl overl 60l minl forl 3l
weeks.
QUESTION
reversall agentl forl warfarin
Answer:
Vitaminl Kl (phytonadione)
,QUESTION
reversall agentl forl heparin
Answer:
protaminel sulfate
QUESTION
imagingl forl stroke
Answer:
CTl withoutl contrast.
CTAl ofl headl willl showl ischemicl blockages
MRIl recommendedl butl CTl isl faster,l widelyl availablel andl morel costl affective.
QUESTION
riskl factorsl forl ischemicl stroke
Answer:
advancedl age
hypertension
hypercholesterolemia
diabetesl mellitus
orall contraceptivel orl postmenopausall hormonel use
obesity
previousl transientl ischemicl attacksl (TIAs)
tobaccol use
myocardiall infarction
excessivel alcoholl use
sedentaryl lifestyle
sicklel celll disease
usel ofl stimulantl drugsl suchl asl cocainel orl amphetamines
familyl historyl ofl stroke
,cardiac-specificl diseasesl whichl increasel thel riskl ofl strokel includel atriall fibrillation,l
patentl foramenl ovalel (PFO),l atriall septall defect,l valvularl disease,l atriall orl ventricularl
enlargement,l mitrall stenosis,l andl mechanicall valves.
QUESTION
ischemicl stroke
Answer:
occursl whenl thel bloodl supplyl tol anl areal ofl thel brainl isl severelyl limitedl orl blockedl
completely.
QUESTION
causesl ofl ischemicl stroke
Answer:
Anoxicl injuriesl (cerebrall hypoperfusion),l
thrombosisl inl situ,l andl
thromboticl embolisml arel commonl causesl ofl acutel ischemicl stroke.
QUESTION
Anteriorl Cerebrall Arteryl (ACAl Stroke)l physicall findings:
Answer:
Urinaryl incontinence
Speechl perseveration
Disinhibition
Gaitl apraxia
Primitivel reflexesl (suchl asl suckingl orl graspingl reflexes)
Alteredl mentall status
Impairedl judgment
Contralaterall corticall sensoryl deficitsl orl weaknessl thatl isl typicallyl greaterl inl legsl thanl
arms
QUESTION
, Middlel Cerebrall Arteryl (MCA)l Strokel physicall findings:
Answer:
Gazel preferencel towardl thel sidel ofl thel lesion
Agnosia
Ipsilaterall hemianopsia
Contralaterall hypesthesial orl hemiparesis
Expressivel orl receptivel aphasial (ifl thel lesionl occursl inl thel dominantl hemisphere)
QUESTION
Posteriorl Cerebrall Arteryl (PCA)l Strokel physicall findings
Answer:
Impairedl memory
Corticall blindness
Alteredl mentall status
Contralaterall homonymousl hemianopsia
Visuall agnosia
QUESTION
firstl linel therapyl ofl ischemicl stroke
Answer:
Intravenousl alteplasel therapy
shouldl bel givenl withinl 4.5l hrsl ofl symptoml onset
QUESTION
contraindicationsl ofl tPa
Answer:
-headl traumal orl ischemicl strokel withinl thel pastl 3l months
-hxl ofl intracraniall hemorrhage
-heparinl adminl inl thel lastl 24l hrs
-SBPl (BP)l ≥185l mmHgl orl DBPl ≥110l mmHg
-GIl bleedingl withinl thel pastl 21l days
2026/l 2027l Update)l Advancedl Acutel
Carel Managementl Reviewl |Weeksl 5-8l
Covered|l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-Chamberlain
QUESTION
Whatl isl encephalitis?
Answer:
inflammationl ofl thel brainl thatl occursl duel tol al virall infection.l Inl contrastl tol meningitisl
thatl typicallyl onlyl involvesl thel meninges,l encephalitisl involvesl thel brainl parenchymal
andl canl alsol affectl thel meninges,l nervel roots,l andl spinall cord.
QUESTION
Txl ofl virall encephalitis
Answer:
HSV-1:l IVl acyclovirl 30mg/kg/dl dividedl q8l hours.l eachl infusionl isl overl 60l minl forl 3l
weeks.
QUESTION
reversall agentl forl warfarin
Answer:
Vitaminl Kl (phytonadione)
,QUESTION
reversall agentl forl heparin
Answer:
protaminel sulfate
QUESTION
imagingl forl stroke
Answer:
CTl withoutl contrast.
CTAl ofl headl willl showl ischemicl blockages
MRIl recommendedl butl CTl isl faster,l widelyl availablel andl morel costl affective.
QUESTION
riskl factorsl forl ischemicl stroke
Answer:
advancedl age
hypertension
hypercholesterolemia
diabetesl mellitus
orall contraceptivel orl postmenopausall hormonel use
obesity
previousl transientl ischemicl attacksl (TIAs)
tobaccol use
myocardiall infarction
excessivel alcoholl use
sedentaryl lifestyle
sicklel celll disease
usel ofl stimulantl drugsl suchl asl cocainel orl amphetamines
familyl historyl ofl stroke
,cardiac-specificl diseasesl whichl increasel thel riskl ofl strokel includel atriall fibrillation,l
patentl foramenl ovalel (PFO),l atriall septall defect,l valvularl disease,l atriall orl ventricularl
enlargement,l mitrall stenosis,l andl mechanicall valves.
QUESTION
ischemicl stroke
Answer:
occursl whenl thel bloodl supplyl tol anl areal ofl thel brainl isl severelyl limitedl orl blockedl
completely.
QUESTION
causesl ofl ischemicl stroke
Answer:
Anoxicl injuriesl (cerebrall hypoperfusion),l
thrombosisl inl situ,l andl
thromboticl embolisml arel commonl causesl ofl acutel ischemicl stroke.
QUESTION
Anteriorl Cerebrall Arteryl (ACAl Stroke)l physicall findings:
Answer:
Urinaryl incontinence
Speechl perseveration
Disinhibition
Gaitl apraxia
Primitivel reflexesl (suchl asl suckingl orl graspingl reflexes)
Alteredl mentall status
Impairedl judgment
Contralaterall corticall sensoryl deficitsl orl weaknessl thatl isl typicallyl greaterl inl legsl thanl
arms
QUESTION
, Middlel Cerebrall Arteryl (MCA)l Strokel physicall findings:
Answer:
Gazel preferencel towardl thel sidel ofl thel lesion
Agnosia
Ipsilaterall hemianopsia
Contralaterall hypesthesial orl hemiparesis
Expressivel orl receptivel aphasial (ifl thel lesionl occursl inl thel dominantl hemisphere)
QUESTION
Posteriorl Cerebrall Arteryl (PCA)l Strokel physicall findings
Answer:
Impairedl memory
Corticall blindness
Alteredl mentall status
Contralaterall homonymousl hemianopsia
Visuall agnosia
QUESTION
firstl linel therapyl ofl ischemicl stroke
Answer:
Intravenousl alteplasel therapy
shouldl bel givenl withinl 4.5l hrsl ofl symptoml onset
QUESTION
contraindicationsl ofl tPa
Answer:
-headl traumal orl ischemicl strokel withinl thel pastl 3l months
-hxl ofl intracraniall hemorrhage
-heparinl adminl inl thel lastl 24l hrs
-SBPl (BP)l ≥185l mmHgl orl DBPl ≥110l mmHg
-GIl bleedingl withinl thel pastl 21l days
