OCCTH 585 Test 2
Near drowning, heart attacks, and carbon monoxide poisoning are common causes of
what effect on the brain? - ✔️✔️Hypoxia (deprivation of oxygen)
True or False: Traumatic brain injuries are always closed head injuries. - ✔️✔️False
(they can be open or closed head injuries)
Which area(s) may be impacted by an injury to the anterior cerebral artery?
a) motor
b) sensory
c) cognition
d) all of the above - ✔️✔️d) all of the above
True or false: The use of tPA is contraindicated in hemorrhaging strokes. - ✔️✔️True.
(it is used to treat ischemic strokes, but is contraindicated for treatment of hemorrhaging
strokes)
Your preceptor asks you to do a chart review before you go see a new admission. You
see that this patient has a right CVA. Which side of the body do you expect to see
functional deficits in this patient? - ✔️✔️Left
Which is the most common type of CVA?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ✔️✔️a) ischemic stroke
You are seeing a patient who has been diagnosed with high blood pressure. This may
put her at risk for which type of stroke?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ✔️✔️c) hemorrhagic stroke
What is the process that leads to ischemic stroke? - ✔️✔️Atherosclerosis
What are 2 potential causes of cardiac emboli? - ✔️✔️1. Atrial fibrillation
,2. Arrhythmia
Where is atherosclerosis most likely to occur? - ✔️✔️At branches of blood vessels
True or False: Ischemic strokes occur very quickly and suddenly. - ✔️✔️False. (They
are progressive and occur gradually)
When do ischemic strokes usually occur?
a) during vigorous activity
b) sleeping/at rest
c) upon activity in the morning
d) there is no pattern - they can occur anytime - ✔️✔️b) sleeping/at rest
You have just arrived at your level 2 fieldwork placement in a neuro unit at the hospital.
Your preceptor asks you to create an education piece about the warning signs of a
stroke. What are 5 signs that you will be sure to include? - ✔️✔️1. Dizziness
2. Headaches
3. Vision problems
4. Trouble speaking
5. Weakness
What is the purpose of tissue plasminogen activator? - ✔️✔️It is used in acute medical
management of ischemic strokes to break up clots and dissolve blockages.
Name 5 risk factors of CVA's. - ✔️✔️1. Age
2. Obesity
3. Smoking
4. Diabetes mellitus
5. Hypertension
The circle of Willis is made up of which 3 main arteries? - ✔️✔️1. middle cerebral
artery
2. posterior cerebral artery
3. anterior cerebral artery
Which artery is the largest and most commonly impacted in CVA's?
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery - ✔️✔️b) middle cerebral artery
Which of the following areas are impacted by an MCA CVA?
,a) motor
b) sensory
c) cognition
d) all of the above - ✔️✔️d) all of the above
At your fieldwork placement, you are working with a patient who has suffered a stroke.
In your intake assessment, you notice extensive functional deficits in areas including
judgement, emotional regulation, speech, visual perception, and motor planning and
execution. While debriefing with your preceptor, he asks you which cerebral artery you
can infer has been impacted. You answer....
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery
d) all of the above - ✔️✔️b) middle cerebral artery
Which types of deficits might be seen in a Lacunar stroke?
a) motor
b) sensory
c) cognitive
d) a & b
e) a & c - ✔️✔️d) a & b
You are working with a patient who has suffered a CVA, and notice that they have only
motor impairments as a result. You notice they particularly demonstrate clumsiness with
their hands.
Which arteries have likely been impacted by the CVA? - ✔️✔️Lenticulostriate arteries
You are working with a patient who has suffered a right CVA, and notice that they only
have sensory impairments as a result. The left side of their arm, face, and body have
lost all primary modalities.
Which area of the brain has likely been impacted by the CVA? - ✔️✔️Lateral thalamus
Which 4 physical parts of the body would you expect to demonstrate impairment in a
patient with a CVA to the anterior cerebral artery? - ✔️✔️1. Legs
2. Bladder
3. Bowels
4. Shoulder
Where do ischemic strokes happen most often? - ✔️✔️MCA & ACA watershed
, What kind of deficit would you NOT expect to see in individuals with injury to their
posterior cerebral artery?
a) Visual agnosia
b) Memory impairment
c) Motor impairment
d) Alexia
e) Anomia - ✔️✔️c) Motor impairment (this type of injury results in perceptual and
memory deficits, not motor deficits)
Which type of stroke typically results in minimal weakness and minor deficits? -
✔️✔️Wallenberg's Syndrome
Which 2 arteries may be involved in Wallenberg's Syndrome? - ✔️✔️1. Vertebral artery
2. Cerebellar artery
Which areas of the brain are impacted by a vertebrobasilar stroke?
a) anterior portions
b) posterior portions
c) lateral portions
d) all of the above
e) none of the above - ✔️✔️b) posterior portions
True or False: Vertebrobasilar strokes have mild impacts as compared to strokes
impacting the cerebral arteries. - ✔️✔️True.
Which of the following may impact the prognosis of a patient who has suffered a stroke?
a) Where the stroke has occurred in the brain
b) Whether or not the patient has been in a coma
c) The amount of time after stroke before engaging in rehabilitation
d) Extent of the damage caused by the stroke
e) All of the above - ✔️✔️e) All of the above
Name 3 risk factors of hemorrhagic strokes. - ✔️✔️1. Congenital factors
2. Infections
3. Tumors
Where do 90% of intracerebral hemorrhages occur? - ✔️✔️In penetrating arteries
You are gathering intake history from a patient in your fieldwork placement in an acute
neuro unit. Your patient tells you he is 52 years old, and a few days ago, he was playing
tennis at his country club when he suddenly suffered a severe headache before
Near drowning, heart attacks, and carbon monoxide poisoning are common causes of
what effect on the brain? - ✔️✔️Hypoxia (deprivation of oxygen)
True or False: Traumatic brain injuries are always closed head injuries. - ✔️✔️False
(they can be open or closed head injuries)
Which area(s) may be impacted by an injury to the anterior cerebral artery?
a) motor
b) sensory
c) cognition
d) all of the above - ✔️✔️d) all of the above
True or false: The use of tPA is contraindicated in hemorrhaging strokes. - ✔️✔️True.
(it is used to treat ischemic strokes, but is contraindicated for treatment of hemorrhaging
strokes)
Your preceptor asks you to do a chart review before you go see a new admission. You
see that this patient has a right CVA. Which side of the body do you expect to see
functional deficits in this patient? - ✔️✔️Left
Which is the most common type of CVA?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ✔️✔️a) ischemic stroke
You are seeing a patient who has been diagnosed with high blood pressure. This may
put her at risk for which type of stroke?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ✔️✔️c) hemorrhagic stroke
What is the process that leads to ischemic stroke? - ✔️✔️Atherosclerosis
What are 2 potential causes of cardiac emboli? - ✔️✔️1. Atrial fibrillation
,2. Arrhythmia
Where is atherosclerosis most likely to occur? - ✔️✔️At branches of blood vessels
True or False: Ischemic strokes occur very quickly and suddenly. - ✔️✔️False. (They
are progressive and occur gradually)
When do ischemic strokes usually occur?
a) during vigorous activity
b) sleeping/at rest
c) upon activity in the morning
d) there is no pattern - they can occur anytime - ✔️✔️b) sleeping/at rest
You have just arrived at your level 2 fieldwork placement in a neuro unit at the hospital.
Your preceptor asks you to create an education piece about the warning signs of a
stroke. What are 5 signs that you will be sure to include? - ✔️✔️1. Dizziness
2. Headaches
3. Vision problems
4. Trouble speaking
5. Weakness
What is the purpose of tissue plasminogen activator? - ✔️✔️It is used in acute medical
management of ischemic strokes to break up clots and dissolve blockages.
Name 5 risk factors of CVA's. - ✔️✔️1. Age
2. Obesity
3. Smoking
4. Diabetes mellitus
5. Hypertension
The circle of Willis is made up of which 3 main arteries? - ✔️✔️1. middle cerebral
artery
2. posterior cerebral artery
3. anterior cerebral artery
Which artery is the largest and most commonly impacted in CVA's?
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery - ✔️✔️b) middle cerebral artery
Which of the following areas are impacted by an MCA CVA?
,a) motor
b) sensory
c) cognition
d) all of the above - ✔️✔️d) all of the above
At your fieldwork placement, you are working with a patient who has suffered a stroke.
In your intake assessment, you notice extensive functional deficits in areas including
judgement, emotional regulation, speech, visual perception, and motor planning and
execution. While debriefing with your preceptor, he asks you which cerebral artery you
can infer has been impacted. You answer....
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery
d) all of the above - ✔️✔️b) middle cerebral artery
Which types of deficits might be seen in a Lacunar stroke?
a) motor
b) sensory
c) cognitive
d) a & b
e) a & c - ✔️✔️d) a & b
You are working with a patient who has suffered a CVA, and notice that they have only
motor impairments as a result. You notice they particularly demonstrate clumsiness with
their hands.
Which arteries have likely been impacted by the CVA? - ✔️✔️Lenticulostriate arteries
You are working with a patient who has suffered a right CVA, and notice that they only
have sensory impairments as a result. The left side of their arm, face, and body have
lost all primary modalities.
Which area of the brain has likely been impacted by the CVA? - ✔️✔️Lateral thalamus
Which 4 physical parts of the body would you expect to demonstrate impairment in a
patient with a CVA to the anterior cerebral artery? - ✔️✔️1. Legs
2. Bladder
3. Bowels
4. Shoulder
Where do ischemic strokes happen most often? - ✔️✔️MCA & ACA watershed
, What kind of deficit would you NOT expect to see in individuals with injury to their
posterior cerebral artery?
a) Visual agnosia
b) Memory impairment
c) Motor impairment
d) Alexia
e) Anomia - ✔️✔️c) Motor impairment (this type of injury results in perceptual and
memory deficits, not motor deficits)
Which type of stroke typically results in minimal weakness and minor deficits? -
✔️✔️Wallenberg's Syndrome
Which 2 arteries may be involved in Wallenberg's Syndrome? - ✔️✔️1. Vertebral artery
2. Cerebellar artery
Which areas of the brain are impacted by a vertebrobasilar stroke?
a) anterior portions
b) posterior portions
c) lateral portions
d) all of the above
e) none of the above - ✔️✔️b) posterior portions
True or False: Vertebrobasilar strokes have mild impacts as compared to strokes
impacting the cerebral arteries. - ✔️✔️True.
Which of the following may impact the prognosis of a patient who has suffered a stroke?
a) Where the stroke has occurred in the brain
b) Whether or not the patient has been in a coma
c) The amount of time after stroke before engaging in rehabilitation
d) Extent of the damage caused by the stroke
e) All of the above - ✔️✔️e) All of the above
Name 3 risk factors of hemorrhagic strokes. - ✔️✔️1. Congenital factors
2. Infections
3. Tumors
Where do 90% of intracerebral hemorrhages occur? - ✔️✔️In penetrating arteries
You are gathering intake history from a patient in your fieldwork placement in an acute
neuro unit. Your patient tells you he is 52 years old, and a few days ago, he was playing
tennis at his country club when he suddenly suffered a severe headache before
