STROKE CERTIFICATION QUESTIONS
WITH VERIFIED ANSWERS
\Q\.what is the mainstay of acute therapy for stroke? - ANSWERS✔-tPA (alteplase)
\Q\.T/F: most patients don't arrive to the ED in time to receive tPA - ANSWERS✔-
true
\Q\.what is the time window that tPA needs to be given in? - ANSWERS✔-within
4.5 hours of onset of symptoms
\Q\.what is the most disabling side effect of stroke therapy? - ANSWERS✔-ICH
\Q\.what are 2 hallmark signs of stroke? - ANSWERS✔-one-sided weakness and
drooping face
\Q\.secondary prevention of stroke involves controlling/managing risk factors,
____ ____, and the use of ___ ____ in all patients - ANSWERS✔-educating
patients, antithrombotic agents (most patients will also receive a statin and a BP
lowering agent)
, \Q\.Stroke may be a result of cerebrovascular (____) or cardioembolic (____)
sources. The final result of both thrombus formation and embolism is an arterial
____ -> decreased cerebral blood flow and ischemia distal to the occlusion.
Thrombosis may take place in a few minutes or hours or even days to fully evolve.
A large vessel can take longer to become occluded than a smaller vessel and there
may be warning signs. One of the most important warning signs is a ____. -
ANSWERS✔-thrombotic, a. fib, occlusion, TIA
\Q\.where are pharmacologic interventions most likely to be effective in stroke? -
ANSWERS✔-penumbra (that zone is supplied with blood by collateral arteries but
if their perfusion is not re-established quickly then the cells in the penumbra will
die too b/c collateral circulation is inadequate to maintain the oxygen demand)
\Q\.headache is more common with ___ stroke - ANSWERS✔-hemorrhagic
\Q\.what are 5 factors associated with increased stroke risk? - ANSWERS✔-
advanced age, DM, symptoms more than 10 minutes, weakness, and impaired
speech
\Q\.ABCD^2 is a simple score used to identify individuals at high early risk of
stroke after TIA, what are the 5 categories? - ANSWERS✔-age, BP, clinical features,
duration of symptoms, daibetes
\Q\.how do you manage TIA? - ANSWERS✔-manage risk factors (same as for
ischemic stroke)
WITH VERIFIED ANSWERS
\Q\.what is the mainstay of acute therapy for stroke? - ANSWERS✔-tPA (alteplase)
\Q\.T/F: most patients don't arrive to the ED in time to receive tPA - ANSWERS✔-
true
\Q\.what is the time window that tPA needs to be given in? - ANSWERS✔-within
4.5 hours of onset of symptoms
\Q\.what is the most disabling side effect of stroke therapy? - ANSWERS✔-ICH
\Q\.what are 2 hallmark signs of stroke? - ANSWERS✔-one-sided weakness and
drooping face
\Q\.secondary prevention of stroke involves controlling/managing risk factors,
____ ____, and the use of ___ ____ in all patients - ANSWERS✔-educating
patients, antithrombotic agents (most patients will also receive a statin and a BP
lowering agent)
, \Q\.Stroke may be a result of cerebrovascular (____) or cardioembolic (____)
sources. The final result of both thrombus formation and embolism is an arterial
____ -> decreased cerebral blood flow and ischemia distal to the occlusion.
Thrombosis may take place in a few minutes or hours or even days to fully evolve.
A large vessel can take longer to become occluded than a smaller vessel and there
may be warning signs. One of the most important warning signs is a ____. -
ANSWERS✔-thrombotic, a. fib, occlusion, TIA
\Q\.where are pharmacologic interventions most likely to be effective in stroke? -
ANSWERS✔-penumbra (that zone is supplied with blood by collateral arteries but
if their perfusion is not re-established quickly then the cells in the penumbra will
die too b/c collateral circulation is inadequate to maintain the oxygen demand)
\Q\.headache is more common with ___ stroke - ANSWERS✔-hemorrhagic
\Q\.what are 5 factors associated with increased stroke risk? - ANSWERS✔-
advanced age, DM, symptoms more than 10 minutes, weakness, and impaired
speech
\Q\.ABCD^2 is a simple score used to identify individuals at high early risk of
stroke after TIA, what are the 5 categories? - ANSWERS✔-age, BP, clinical features,
duration of symptoms, daibetes
\Q\.how do you manage TIA? - ANSWERS✔-manage risk factors (same as for
ischemic stroke)
