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Examen

SCRN Exam Review ( Stroke Syndromes) questions and answers well illustrated.

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SCRN Exam Review ( Stroke Syndromes) questions and answers well illustrated. A patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: - correct answers.Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal carotid artery. Because it is affecting the pts non-dominate sphere, they are most likely to experience: - correct answers.Neglect An ischemic stroke in the Internal Carotid artery will result in ___________________ vision loss, motor & sensory loss in the face, arm, and leg: - correct answers.Contralateral (opposite side of stroke) An ischemic stroke in the Internal Carotid artery will result in ___________________ eye deviation - correct ateral (towards the lesion (same side)) The ___________ artery extends off of the internal carotid artery and thus if occluded may cause monocular blindness - correct almic artery A an ischemic stroke is either ___________ or _________. When ________________ the cause is generally cardiac related. - correct answers.Thrombotic or embolic. Embolic is generally cardiac related. (Afib) Carotid Artery Dissection may result in ________________ - correct answers.Horner's Syndrome Miosis : (pupilary constriction); ptosis (eyelip dropping); and anhidrosis (decreased sweating) If the dominate side of the middle cerebral artery is occluded, the pt may suffer from: - correct answers.Aphasia If non-dominate side of the middle cerebral artery is occluded, the pt may suffer from: - correct answers.Neglect Contralateral sensory and motor loss of the middle cerebral affects: - correct answers.Face, arm, and leg motor and sensory function. **Affects ARM more than leg** in other words the pts arm sensory and motor deficits will be greater. A patient who suffers from a MCA occlusion may experience _________________________, or the lack of self awareness. This is most commonly seen in R parietal strokes. - correct answers.Anosognosia (neglect) In an anterior cerebral artery occlusion, the ___________(body part) suffers the greatest sensory and motor deficit. - correct answers.Leg (the leg is impacted more than the arm) In patients that suffer an ACA stroke; they ma present with, ____________________, or a lack of concern and lack of social restraint. - correct answers.Abulia - the ACA feeds the frontal lobe. Injury to this area causes "frontal (abulic) behavior" Alexia - correct answers.The inability to read or comprehend written Agraphia - correct of ability to express thoughts in writing Prosopagnosia - correct lity to recognize faces familiar objects The the dominate sphere is affected during a posterior cerebral stroke, the patient may experience: - correct answers.Alexia w/ or w/o Agraphia & Prosopagnoisa (inability to read, inability to write, inability to recognize familiar objects) _____________ syndrome involves the central territory of the PCA. The patient exhibits CN ___________ palsy and contralateral hemipalsy. - correct answers.Weber's ; III (oculomotor - eye muscles) Wallenberg syndrome (lateral medullary syndrome) is associate with: - correct answers.PICA strokes Loss of pain and temperature sensation on the __________________ trunk and _____________ face, dysphagia, dysarthia, and dysphonia, is associated with what syndrome? - correct alatral & Ipsilatral. Wallenberg The Vertibrobasilar artery (basilar CVA) feeds the: _________,___________,________________, _____________, & ___________. - correct ellum, brain stem, pons, thalamus, and occiptal lobe

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