NCS PRACTICE EXAM CASE STUDY
(MEDBRIDGE AND NCS
ADVANTAGE) |GUARANTEED
PASS!!
Imaging with stroke presentation- - ACCURATE ANSWERS✔✔ After
presenting with a stroke, CT is often the first imaging ordered. It will not
show an ischemic stroke but it's quick and it will rule out a hemorrhagic
stroke so that tPA can be ordered quickly if appropriate
tPA Administration - for what? when can it be administered? what needs
to be done first? - ACCURATE ANSWERS✔✔ tPA is the gold standard
for treating ischemic strokes. It can be administered up to 3-4.5 hours
after first symptom onset. Hemorrhagic stroke must be ruled out first
NIHSS
Range of scores?
What scores are better?
Severity - mild, mild to moderate, severe, very severe?
Predicting d/c disposition? - ACCURATE ANSWERS✔✔ NIHSS
scores range from 0-42, with lower scores being better and meaning a
less severe stroke
Severity:
,Mild = 1-5
Mild to moderate = 5-14
Severe = 15-24
Very severe > 25
Predicting d/c disposition
Scores < 5 = 80% go home
Scores 6-13 = typically IP rehab
Scores > 14 = frequently require long term care
Postural Assessment Scale for Stroke Patients (PASS)
Is it recommended?
What items does it look at?
Who is it recommended for? - ACCURATE ANSWERS✔✔ Highly
recommended by the Stroke EDGE task force
Looks at static maintaining a posture
Looks at dynamic changing postures
Looks at bed mobility, transfers, sitting balance, standing balance
Sensitivity - ACCURATE ANSWERS✔✔ Sensitivity = true positive
rate
Highly sensitive tests are best for RULING OUT conditions with
negative test results
,Specificity - ACCURATE ANSWERS✔✔ Specificity = true negative
rate
Best for RULING IN conditions with a positive test result
Spinning sensation after bed mobility- - ACCURATE ANSWERS✔✔
SPINNING sensation after bed mobility = BPPV (NOT OH)
High sensitivity and specificity? - ACCURATE ANSWERS✔✔ 78.9%
sensitivity and 83.7% specificity were both considered fairly high
sensitivity and specificity
Case Study- - ACCURATE ANSWERS✔✔ Case study - detailed
consideration and research focused on a person, group or situation over a
period of time
Analyzed in order to illustrate a thesis or principle
Case Control Study- - ACCURATE ANSWERS✔✔ Case Control Study
- a study that compares two groups of people - those with the disease or
condition under study (cases) and a very similar group of people who do
not have the disease or condition (controls)
Cohort Study- - ACCURATE ANSWERS✔✔ Cohort Study - a research
study that compares a particular outcome (such as lung cancer) in a
group of individuals who are alike in many ways but differ by a certain
, characteristic (for example, female nurses who smoke compared to those
who do not smoke)
A type of longitudinal study that follows people over many years
An exposure is assessed and then participants are followed prospectively
to observe whether they develop the outcome
Follows a group of people over time
Can be prospective, retrospective or a combo of both types
Cross-Sectional Study- - ACCURATE ANSWERS✔✔ Cross-sectional
Study - a type of research design in which you collect data from many
different individuals at a single point in time. You observe variables
without influencing them
It's an observational study design
Descriptive research, NOT causal or relational
Measures at one given point in time across a sample population
Liberatory Maneuver- - ACCURATE ANSWERS✔✔ The Semont or
Liberatory maneuver is used for treating cupulolithiasis.
Just FYI another name for Semont's Maneuver is Liberatory Maneuver
Outcomes of repositioning maneuvers treatments for posterior
canalithiasis? How many sessions does it usually take? Does it work
well? What can the patient expect? Is recurrence possible? Might they
need more treatments? - ACCURATE ANSWERS✔✔ Most patients
with your condition have complete resolution of symptoms after one
(MEDBRIDGE AND NCS
ADVANTAGE) |GUARANTEED
PASS!!
Imaging with stroke presentation- - ACCURATE ANSWERS✔✔ After
presenting with a stroke, CT is often the first imaging ordered. It will not
show an ischemic stroke but it's quick and it will rule out a hemorrhagic
stroke so that tPA can be ordered quickly if appropriate
tPA Administration - for what? when can it be administered? what needs
to be done first? - ACCURATE ANSWERS✔✔ tPA is the gold standard
for treating ischemic strokes. It can be administered up to 3-4.5 hours
after first symptom onset. Hemorrhagic stroke must be ruled out first
NIHSS
Range of scores?
What scores are better?
Severity - mild, mild to moderate, severe, very severe?
Predicting d/c disposition? - ACCURATE ANSWERS✔✔ NIHSS
scores range from 0-42, with lower scores being better and meaning a
less severe stroke
Severity:
,Mild = 1-5
Mild to moderate = 5-14
Severe = 15-24
Very severe > 25
Predicting d/c disposition
Scores < 5 = 80% go home
Scores 6-13 = typically IP rehab
Scores > 14 = frequently require long term care
Postural Assessment Scale for Stroke Patients (PASS)
Is it recommended?
What items does it look at?
Who is it recommended for? - ACCURATE ANSWERS✔✔ Highly
recommended by the Stroke EDGE task force
Looks at static maintaining a posture
Looks at dynamic changing postures
Looks at bed mobility, transfers, sitting balance, standing balance
Sensitivity - ACCURATE ANSWERS✔✔ Sensitivity = true positive
rate
Highly sensitive tests are best for RULING OUT conditions with
negative test results
,Specificity - ACCURATE ANSWERS✔✔ Specificity = true negative
rate
Best for RULING IN conditions with a positive test result
Spinning sensation after bed mobility- - ACCURATE ANSWERS✔✔
SPINNING sensation after bed mobility = BPPV (NOT OH)
High sensitivity and specificity? - ACCURATE ANSWERS✔✔ 78.9%
sensitivity and 83.7% specificity were both considered fairly high
sensitivity and specificity
Case Study- - ACCURATE ANSWERS✔✔ Case study - detailed
consideration and research focused on a person, group or situation over a
period of time
Analyzed in order to illustrate a thesis or principle
Case Control Study- - ACCURATE ANSWERS✔✔ Case Control Study
- a study that compares two groups of people - those with the disease or
condition under study (cases) and a very similar group of people who do
not have the disease or condition (controls)
Cohort Study- - ACCURATE ANSWERS✔✔ Cohort Study - a research
study that compares a particular outcome (such as lung cancer) in a
group of individuals who are alike in many ways but differ by a certain
, characteristic (for example, female nurses who smoke compared to those
who do not smoke)
A type of longitudinal study that follows people over many years
An exposure is assessed and then participants are followed prospectively
to observe whether they develop the outcome
Follows a group of people over time
Can be prospective, retrospective or a combo of both types
Cross-Sectional Study- - ACCURATE ANSWERS✔✔ Cross-sectional
Study - a type of research design in which you collect data from many
different individuals at a single point in time. You observe variables
without influencing them
It's an observational study design
Descriptive research, NOT causal or relational
Measures at one given point in time across a sample population
Liberatory Maneuver- - ACCURATE ANSWERS✔✔ The Semont or
Liberatory maneuver is used for treating cupulolithiasis.
Just FYI another name for Semont's Maneuver is Liberatory Maneuver
Outcomes of repositioning maneuvers treatments for posterior
canalithiasis? How many sessions does it usually take? Does it work
well? What can the patient expect? Is recurrence possible? Might they
need more treatments? - ACCURATE ANSWERS✔✔ Most patients
with your condition have complete resolution of symptoms after one
