NRl 572/l NR572l Finall Exam:l Advancedl
Acutel Carel Managementl Reviewl (Latestl
2026/l 2027l Update)l |l Qsl &l As|l Gradel A|l
100%l Correctl (Verifiedl Answers)-l
Chamberlain
QUESTION
Anteriorl Cerebrall Arteryl (ACAl Stroke)l physicall findings:
Answer:
Urinaryl incontinence
Speechl perseveration
Disinhibition
Gaitl apraxia
Primitivel reflexesl (suchl asl suckingl orl graspingl reflexes)
Alteredl mentall status
Impairedl judgment
Contralaterall corticall sensoryl deficitsl orl weaknessl thatl isl typicallyl greaterl inl legsl thanl
arms
QUESTION
Middlel Cerebrall Arteryl (MCA)l Strokel physicall findings:
Answer:
Gazel preferencel towardl thel sidel ofl thel lesion
Agnosia
Ipsilaterall hemianopsia
Contralaterall hypesthesial orl hemiparesis
Expressivel orl receptivel aphasial (ifl thel lesionl occursl inl thel dominantl hemisphere)
QUESTION
,Posteriorl Cerebrall Arteryl (PCA)l Strokel physicall findings
Answer:
Impairedl memory
Corticall blindness
Alteredl mentall status
Contralaterall homonymousl hemianopsia
Visuall agnosia
QUESTION
firstl linel therapyl ofl ischemicl stroke
Answer:
Intravenousl alteplasel therapy
shouldl bel givenl withinl 4.5l hrsl ofl symptoml onset
QUESTION
contraindicationsl ofl tPa
Answer:
-headl traumal orl ischemicl strokel withinl thel pastl 3l months
-hxl ofl intracraniall hemorrhage
-heparinl adminl inl thel lastl 24l hrs
-SBPl (BP)l ≥185l mmHgl orl DBPl ≥110l mmHg
-GIl bleedingl withinl thel pastl 21l days
-brainl orl spinel surgeryl withinl thel pastl threel months
-presentationl consistentl withl activel infectivel endocarditis
-gastrointestinall malignancy
-strokel knownl orl suspectedl tol bel secondaryl tol aorticl archl dissection
-activel internall bleeding
-bloodl glucosel lessl thanl 50l mg/dL
-currentl anticoagulantl usel withl internationall normalizedl ratiol (INR)l >l 1.7,l PTl >l 15l
seconds,l partiall thromboplastinl (aPTT)l >l 40l seconds
-symptomsl suggestivel ofl subarachnoidl hemorrhage
-evidencel ofl hemorrhagel onl imaging
-plateletl countl lessl thanl 100,000/mcL
,QUESTION
indicationsl forl tpa
Answer:
clinicall dxl ofl ischemicl stroke
onl setl ofl symptomsl tol timel ofl drugl adminl isl <4.5l hrs
CTl scan-l nol bleed
agel >18l yo
QUESTION
etiologyl andl riskl factorsl forl ischemicl stroke
Answer:
metastaticl brainl tumor
hypertension
transformationl ofl ischemicl stroke
cerebrall aneurysm
coagulopathyl orl anticoagulation
headl trauma
arteriovenousl malformation
drugsl suchl asl amphetamines,l cocaine
amyloidl angiopathy
durall arteriovenousl fistula
cavernousl angioma
capillaryl telangiectasia
QUESTION
goldl standardl forl imagingl inl hemorrhagel strokel patients?
Answer:
Headl CTsl withoutl contrastl andl brainl MRIsl withoutl gadolinium
QUESTION
mostl commonl locationsl forl intracerebrall hemorrhage?
, Answer:
intraparenchymal
(temporall andl inferiorl frontl lobes)
andl intol subarachoid,l subdurall andl epidurall spaces.
QUESTION
treatmentl ofl ICH
Answer:
Reversel coagulopathy
BPl Controll (SBP<180),l avoidl hypotension
Managel ICPl w/l hyperosmolarl therapy,l hyperventilation,l EVDl placement,l surgicall
evacuation
Glycemicl andl feverl control
QUESTION
riskl factorsl forl spontaneousl intracraniall hemorrhage
Answer:
HTN
aneurysm
QUESTION
bloodl pressurel managementl inl ischemicl stroke
Answer:
BPl <180/110l priorl tol thel startl ofl tpa
andl maintainedl belowl thisl forl thel firstl 24l hrs.
QUESTION
statinl therapyl forl ischemicl strokel patients
Answer:
Acutel Carel Managementl Reviewl (Latestl
2026/l 2027l Update)l |l Qsl &l As|l Gradel A|l
100%l Correctl (Verifiedl Answers)-l
Chamberlain
QUESTION
Anteriorl Cerebrall Arteryl (ACAl Stroke)l physicall findings:
Answer:
Urinaryl incontinence
Speechl perseveration
Disinhibition
Gaitl apraxia
Primitivel reflexesl (suchl asl suckingl orl graspingl reflexes)
Alteredl mentall status
Impairedl judgment
Contralaterall corticall sensoryl deficitsl orl weaknessl thatl isl typicallyl greaterl inl legsl thanl
arms
QUESTION
Middlel Cerebrall Arteryl (MCA)l Strokel physicall findings:
Answer:
Gazel preferencel towardl thel sidel ofl thel lesion
Agnosia
Ipsilaterall hemianopsia
Contralaterall hypesthesial orl hemiparesis
Expressivel orl receptivel aphasial (ifl thel lesionl occursl inl thel dominantl hemisphere)
QUESTION
,Posteriorl Cerebrall Arteryl (PCA)l Strokel physicall findings
Answer:
Impairedl memory
Corticall blindness
Alteredl mentall status
Contralaterall homonymousl hemianopsia
Visuall agnosia
QUESTION
firstl linel therapyl ofl ischemicl stroke
Answer:
Intravenousl alteplasel therapy
shouldl bel givenl withinl 4.5l hrsl ofl symptoml onset
QUESTION
contraindicationsl ofl tPa
Answer:
-headl traumal orl ischemicl strokel withinl thel pastl 3l months
-hxl ofl intracraniall hemorrhage
-heparinl adminl inl thel lastl 24l hrs
-SBPl (BP)l ≥185l mmHgl orl DBPl ≥110l mmHg
-GIl bleedingl withinl thel pastl 21l days
-brainl orl spinel surgeryl withinl thel pastl threel months
-presentationl consistentl withl activel infectivel endocarditis
-gastrointestinall malignancy
-strokel knownl orl suspectedl tol bel secondaryl tol aorticl archl dissection
-activel internall bleeding
-bloodl glucosel lessl thanl 50l mg/dL
-currentl anticoagulantl usel withl internationall normalizedl ratiol (INR)l >l 1.7,l PTl >l 15l
seconds,l partiall thromboplastinl (aPTT)l >l 40l seconds
-symptomsl suggestivel ofl subarachnoidl hemorrhage
-evidencel ofl hemorrhagel onl imaging
-plateletl countl lessl thanl 100,000/mcL
,QUESTION
indicationsl forl tpa
Answer:
clinicall dxl ofl ischemicl stroke
onl setl ofl symptomsl tol timel ofl drugl adminl isl <4.5l hrs
CTl scan-l nol bleed
agel >18l yo
QUESTION
etiologyl andl riskl factorsl forl ischemicl stroke
Answer:
metastaticl brainl tumor
hypertension
transformationl ofl ischemicl stroke
cerebrall aneurysm
coagulopathyl orl anticoagulation
headl trauma
arteriovenousl malformation
drugsl suchl asl amphetamines,l cocaine
amyloidl angiopathy
durall arteriovenousl fistula
cavernousl angioma
capillaryl telangiectasia
QUESTION
goldl standardl forl imagingl inl hemorrhagel strokel patients?
Answer:
Headl CTsl withoutl contrastl andl brainl MRIsl withoutl gadolinium
QUESTION
mostl commonl locationsl forl intracerebrall hemorrhage?
, Answer:
intraparenchymal
(temporall andl inferiorl frontl lobes)
andl intol subarachoid,l subdurall andl epidurall spaces.
QUESTION
treatmentl ofl ICH
Answer:
Reversel coagulopathy
BPl Controll (SBP<180),l avoidl hypotension
Managel ICPl w/l hyperosmolarl therapy,l hyperventilation,l EVDl placement,l surgicall
evacuation
Glycemicl andl feverl control
QUESTION
riskl factorsl forl spontaneousl intracraniall hemorrhage
Answer:
HTN
aneurysm
QUESTION
bloodl pressurel managementl inl ischemicl stroke
Answer:
BPl <180/110l priorl tol thel startl ofl tpa
andl maintainedl belowl thisl forl thel firstl 24l hrs.
QUESTION
statinl therapyl forl ischemicl strokel patients
Answer:
