ASLS EVALUATION ANSWERS AND QUESTIONS SET
A+
✔✔Penumbra is damaged by - ✔✔Seizure
Hypotension
Hyperglycemia
Fever
✔✔Mimics include - ✔✔Hypoglycemia
Seizure
Migraine
Tumor
Abscess
Trauma (subdural hematoma)
✔✔Most common type of stroke in adults - ✔✔Ischemic caused by thromboembolic
disease
✔✔Most important modifiable risk factor - ✔✔Chronic hypertension
✔✔NIH stroke scale - ✔✔> 10 = likely need rehab or nursing home
> 15 = poor prognosis if no treatment
> 20 = increased chance of post t-PA ICH
✔✔Mend exam - ✔✔Based on combination of Cincinnati Prehospital stroke scale & NIH
stroke scale
Does not require any extra tools
Takes 3 minutes including grading
✔✔Aphasia - ✔✔Wrong or inappropriate words;
Dysfunction of language due to language center damage (left hemisphere)
, ✔✔Dysarthria - ✔✔Dysfunction of articulation due to motor weakness
✔✔Cerebral cortex - ✔✔Gray matter
Computer center
✔✔Cerebral subcortex - ✔✔Deep white matter
Wires connecting cortex & brainstem
✔✔Brainstem - ✔✔Connects cerebrum & spinal cord
Funnel of the brain
Contains nerves to face/head
✔✔Cerebrum - ✔✔Right & left hemispheres
Cortex & subcortex
✔✔Cerebellum - ✔✔Coordination center
✔✔Cranium - ✔✔Skull; hard container enclosing brain
Hemorrhagic stroke suddenly increases ICP
✔✔Meninges - ✔✔3-layered cloth-like covering of brain & spinal cord
DAP, dura arachnoid pia
Subarachnoid hemorrhage irritates the meninges & causes pain
✔✔Major arterial supply - ✔✔Internal carotid
Anterior carotid
Middle cerebral
Posterior cerebral
Basilar
✔✔Major stroke syndromes - ✔✔Left hemisphere
Right hemisphere
Brainstem
Cerebellum
Hemorrhage
✔✔Left hemisphere - ✔✔Right visual field deficit
Left gaze deviation (left gave preference)
Aphasia (expressive &/or receptive)
Right hemiparesis
Right hemisensory loss
A+
✔✔Penumbra is damaged by - ✔✔Seizure
Hypotension
Hyperglycemia
Fever
✔✔Mimics include - ✔✔Hypoglycemia
Seizure
Migraine
Tumor
Abscess
Trauma (subdural hematoma)
✔✔Most common type of stroke in adults - ✔✔Ischemic caused by thromboembolic
disease
✔✔Most important modifiable risk factor - ✔✔Chronic hypertension
✔✔NIH stroke scale - ✔✔> 10 = likely need rehab or nursing home
> 15 = poor prognosis if no treatment
> 20 = increased chance of post t-PA ICH
✔✔Mend exam - ✔✔Based on combination of Cincinnati Prehospital stroke scale & NIH
stroke scale
Does not require any extra tools
Takes 3 minutes including grading
✔✔Aphasia - ✔✔Wrong or inappropriate words;
Dysfunction of language due to language center damage (left hemisphere)
, ✔✔Dysarthria - ✔✔Dysfunction of articulation due to motor weakness
✔✔Cerebral cortex - ✔✔Gray matter
Computer center
✔✔Cerebral subcortex - ✔✔Deep white matter
Wires connecting cortex & brainstem
✔✔Brainstem - ✔✔Connects cerebrum & spinal cord
Funnel of the brain
Contains nerves to face/head
✔✔Cerebrum - ✔✔Right & left hemispheres
Cortex & subcortex
✔✔Cerebellum - ✔✔Coordination center
✔✔Cranium - ✔✔Skull; hard container enclosing brain
Hemorrhagic stroke suddenly increases ICP
✔✔Meninges - ✔✔3-layered cloth-like covering of brain & spinal cord
DAP, dura arachnoid pia
Subarachnoid hemorrhage irritates the meninges & causes pain
✔✔Major arterial supply - ✔✔Internal carotid
Anterior carotid
Middle cerebral
Posterior cerebral
Basilar
✔✔Major stroke syndromes - ✔✔Left hemisphere
Right hemisphere
Brainstem
Cerebellum
Hemorrhage
✔✔Left hemisphere - ✔✔Right visual field deficit
Left gaze deviation (left gave preference)
Aphasia (expressive &/or receptive)
Right hemiparesis
Right hemisensory loss
