With Correct Answers|LATEST 2025/2026
Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension.
~~~ Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time.
~~~ Right-sided
are the confirming diagnostic studies for stroke.
~~~ CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic
resonance angiography (MRA)
are the confirming laboratory studies for stroke.
~~~ Prothrombin time, activated partial thromboplastin time; CBC (including
platelets); Electrolyte panel with blood glucose; Lipid profile; Renal and hepatic
studies
Recombinant tissue plasminogen activator (tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the thrombi, and is the immediate treatment for
.
~~~ Ischemic stroke
,Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of
an stroke.
~~~ ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with
strokes.
~~~ hemorrhagic
The main drug therapy for patients with stroke is the management of
hypertension.
~~~ hemorrhagic
The of a spinal cord injury (SCI) is initial physical disruption of the
spinal cord.
~~~ primary injury
The of a spinal cord injury is from processes, such as ischemia,
hypoxia, hemorrhage, edema
~~~ secondary injury
may occur shortly after acute SCI. It is characterized by loss of deep
tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the level
of injury.
, ~~~ Spinal shock
involvement results in total loss of sensory and motor function below
the level of injury.
~~~ Complete cord
involvement results in a mixed loss of voluntary motor activity and
sensation and leaves some tracts intact.
~~~ Incomplete cord
SCI at C1-C3
~~~ Often fatal; Movement in neck and above, loss of innervation to diaphragm,
absence of independent respiratory function
SCI at C4
~~~ Sensation and movement in neck and above; May be able to breathe without
ventilator
SCI at C5
~~~ Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or
use hands; ↓ Respiratory reserve
SCI at C6
~~~ Shoulder and upper back abduction and rotation at shoulder; Full biceps to
elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
, SCI at C7-C8
~~~ All triceps to elbow extension, finger extensors and flexors; Good grasp with
some decreased strength; ↓ Respiratory reserve
SCI at T1-T6
~~~ Full innervation of upper extremities; Back, essential intrinsic muscles of hand;
Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve
SCI at T6-T12
~~~ Full, stable thoracic muscles and upper back; Functional intercostal muscles,
resulting in ↑ respiratory reserve
SCI at L1-L2
~~~ Varying control of legs and pelvis; Instability of lower back
SCI at L3-L4
~~~ Quadriceps and hip flexors; Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to diagnose the location and degree of injury
and the degree of .
~~~ spinal canal compromise
is used to assess soft tissue injury, neurologic changes, unexplained
neurologic deficits, or worsening neurologic condition in SCI.