SCRN ACTUAL EXAM FULL QUESTIONS
AND CORRECT ANSWERS GRADED A PLUS
●● Four lobes of the cerebral cortex and cerebrum
Answer: Frontal
Parietal
Temporal
Occipital
●● Oxygen supplemental need
Answer: > 93%
●● BP goal post tPA
Answer: <180/105
●● Vast majority of fatal hemorrhages occur within
Answer: the first 12 hours
●● hyperthermia management
Answer: strict < 38.0 or 100.4
tylenol for fevers
neurogenic fevers with an early increase in temperature
,●● after 24 hours
Answer: can restart antihypertensives
●● blood pressure goals if they did not receive tPA
Answer: systolic < 220
diastolic < 120
** do not want to bring BP down fast d/t risk for hypotension
●● Co2 is a potent vasodilator
Answer: leads to an increase in ICP
more blood volume to brain
mild hyperventilation for low CO2 leads to lower ICP and
vasoconstriction
Hypocarbia in extreme can lower cerebral blood flow by too much
●● door to physician
Answer: < 10 min
●● door to team
,Answer: < 15 min
●● door to CT
Answer: < 25 min
●● Door to interpretation
Answer: < 45 min
●● door to tPA
Answer: < 60 min
●● BP if they did not receive TPA
Answer: 220/120
●● Acute care management
Answer: continue to monitor neurological status
begin early mobilization of patient
close observation during transition sitting to standing
●● intracranial hemorrhage
Answer: hypertensive bleed
venous thrombosis
, trauma
●● subarachnoid hemorrhage
Answer: trauma
aneurysmal
non-aneurysmal
venous thrombosis
●● ischemic stroke
Answer: large vessel occlusions (LVO) usually from embolic sources
ICA
MCA
ACA
PCA
PICA
AICA
Basilar
●● Small vessel occlusions
Answer: generally from atherosclerosis
AND CORRECT ANSWERS GRADED A PLUS
●● Four lobes of the cerebral cortex and cerebrum
Answer: Frontal
Parietal
Temporal
Occipital
●● Oxygen supplemental need
Answer: > 93%
●● BP goal post tPA
Answer: <180/105
●● Vast majority of fatal hemorrhages occur within
Answer: the first 12 hours
●● hyperthermia management
Answer: strict < 38.0 or 100.4
tylenol for fevers
neurogenic fevers with an early increase in temperature
,●● after 24 hours
Answer: can restart antihypertensives
●● blood pressure goals if they did not receive tPA
Answer: systolic < 220
diastolic < 120
** do not want to bring BP down fast d/t risk for hypotension
●● Co2 is a potent vasodilator
Answer: leads to an increase in ICP
more blood volume to brain
mild hyperventilation for low CO2 leads to lower ICP and
vasoconstriction
Hypocarbia in extreme can lower cerebral blood flow by too much
●● door to physician
Answer: < 10 min
●● door to team
,Answer: < 15 min
●● door to CT
Answer: < 25 min
●● Door to interpretation
Answer: < 45 min
●● door to tPA
Answer: < 60 min
●● BP if they did not receive TPA
Answer: 220/120
●● Acute care management
Answer: continue to monitor neurological status
begin early mobilization of patient
close observation during transition sitting to standing
●● intracranial hemorrhage
Answer: hypertensive bleed
venous thrombosis
, trauma
●● subarachnoid hemorrhage
Answer: trauma
aneurysmal
non-aneurysmal
venous thrombosis
●● ischemic stroke
Answer: large vessel occlusions (LVO) usually from embolic sources
ICA
MCA
ACA
PCA
PICA
AICA
Basilar
●● Small vessel occlusions
Answer: generally from atherosclerosis
