SCRN 2025- Hyperacute Phase Exam Study
Guide | Questions & Verified Answers |
2026/2027
What is the number one cause of disability? - correct answer-Stroke
What are the 7 D's in the chain of survival? - correct answer-1. Detection- Stroke
onset.
2. Dispatch- EMS activation and response.
3. Delivery- Prehospital care.
4. Door- ED Triage
5. Data-ED evaluation
6. Decision- Potential therapies.
7. Drug- Inclusion/exclusion.
What is the most importation action in community education? - correct answer-
Activation of EMS
Cincinnati Prehospital Stroke Scale (CPSS) - correct answer-Adapted from a
different scale.
Focuses on three elements: Facial droop, arm drift, and abnormal speech.
, If positive 72% probability of stroke. Strength: Quick, field-friendly.
Limitation: Doesn't give LVO prediction.
Miami Emergency Neurological Deficit (MEND) - correct answer-Focuses on facial
droop, arm drift, abnormal speech, consciousness, orientation, and visual fields.
Rapid Arterial Occlusion Evaluation (RACE) - correct answer-The highest
predictive value of LVO on a retrospective cohort. Assess- Facial Palsy, Arm motor
function, leg motor function, head/gaze deviation, aphasia, and agnosia.
Strength: Prioritizes identification of candidates for mechanical thrombectomy.
Limitation: Slightly more complex, needs more training.
Los Angeles Motor Scale (LAMS) - correct answer-Evaluates Facial droop, arm
drift, and grip strength.
Strength: Quick assessment and modest prediction of LVO.
Higher scores suggest possible LVO.
Face Arm Speech Time (FAST) - correct answer-Simple, fast widely taught. Tests
for facial droop, arm weakness, and speech difficulty. Strength-high sensitivity for
identifying stroke in general.
Limitation- Doesn't differentiate stroke severity or LVO likelihood.
Wake up stroke - correct answer-Happen when patient went to bed and woke up
with a stroke.
What are things the EMS will done on scene with a possible stroke patient? -
correct answer-1. Circulation, Airway, and Breathing.
Guide | Questions & Verified Answers |
2026/2027
What is the number one cause of disability? - correct answer-Stroke
What are the 7 D's in the chain of survival? - correct answer-1. Detection- Stroke
onset.
2. Dispatch- EMS activation and response.
3. Delivery- Prehospital care.
4. Door- ED Triage
5. Data-ED evaluation
6. Decision- Potential therapies.
7. Drug- Inclusion/exclusion.
What is the most importation action in community education? - correct answer-
Activation of EMS
Cincinnati Prehospital Stroke Scale (CPSS) - correct answer-Adapted from a
different scale.
Focuses on three elements: Facial droop, arm drift, and abnormal speech.
, If positive 72% probability of stroke. Strength: Quick, field-friendly.
Limitation: Doesn't give LVO prediction.
Miami Emergency Neurological Deficit (MEND) - correct answer-Focuses on facial
droop, arm drift, abnormal speech, consciousness, orientation, and visual fields.
Rapid Arterial Occlusion Evaluation (RACE) - correct answer-The highest
predictive value of LVO on a retrospective cohort. Assess- Facial Palsy, Arm motor
function, leg motor function, head/gaze deviation, aphasia, and agnosia.
Strength: Prioritizes identification of candidates for mechanical thrombectomy.
Limitation: Slightly more complex, needs more training.
Los Angeles Motor Scale (LAMS) - correct answer-Evaluates Facial droop, arm
drift, and grip strength.
Strength: Quick assessment and modest prediction of LVO.
Higher scores suggest possible LVO.
Face Arm Speech Time (FAST) - correct answer-Simple, fast widely taught. Tests
for facial droop, arm weakness, and speech difficulty. Strength-high sensitivity for
identifying stroke in general.
Limitation- Doesn't differentiate stroke severity or LVO likelihood.
Wake up stroke - correct answer-Happen when patient went to bed and woke up
with a stroke.
What are things the EMS will done on scene with a possible stroke patient? -
correct answer-1. Circulation, Airway, and Breathing.
