ASLS COMPREHENSIVE ANSWERS AND QUESTIONS
SET A+
✔✔Left hemisphere - ✔✔Right visual field deficit
Left gaze deviation (left gave preference)
Aphasia (expressive &/or receptive)
Right hemiparesis
Right hemisensory loss
✔✔Right hemisphere - ✔✔Left visual field deficit
Right gaze deviation (right gaze preference)
Left hemi-inattention (neglect)
Left hemiparesis
Left hemisensory loss
✔✔Brainstem - ✔✔Quadriparesis
Sensory loss in all 4 limbs
Crossed signs (1 side of face & contralateral body)
Hemiparesis
Hemisensory loss
Decreased consciousness
Nausea/vomiting
Hiccups/Abnormal respirations
Oropharyngeal weakness (dysarthria, dysphasia)
Vertigo, tinnitus
Eye movement abnormalities (diplopia, dysconjugate gaze, gaze deviation)
✔✔Cerebellum - ✔✔Ipsilateral limb ataxia (dyscoordination)
Truncal or gait ataxia (imbalanced, wide based gait)
✔✔Symptoms suggestive of subarachnoid & intracerebral hemorrhage - ✔✔Headache
Nausea, vomiting
Decreased consciousness
✔✔Symptoms of subarachnoid hemorrhage - ✔✔Intolerance to light
, Neck stiffness/pain
✔✔Symptoms of intracerebral hemorrhage - ✔✔Focal signs (hemiparesis similar to
ischemic stroke)
✔✔Hypoglycemia mimics stroke by - ✔✔Decreased blood glucose, symptoms improve
with D50
✔✔Seizure with postictal state mimics stroke by - ✔✔Staring/limb shaking at onset
✔✔Migraine mimics stroke by - ✔✔Previous similar events
✔✔Tumor mimics stroke by - ✔✔Onset over weeks to months
✔✔Abscess mimics stroke by - ✔✔Onset over weeks to months
✔✔Subdural hematoma mimics stroke by - ✔✔Post trauma
✔✔Only give D50 if BGL is - ✔✔< 60mg/dL
✔✔Pediatric patients are more likely to have ___________ ______ compared to adults
- ✔✔Hemorrhagic strokes
✔✔t-PA eligibility 0-3 hours - ✔✔Ischemic stroke
✔✔t-PA exclusion 0-3 hours - ✔✔BGL under 60mg/dL
Head trauma or prior stroke < 3 months
Symptoms suggestive of SAH
Active bleed
Elevated BP (>185/110 mmHg)
✔✔t-PA eligibility 3-4.5 hours - ✔✔Ischemic stroke
✔✔t-PA exclusion 3-4.5 hours - ✔✔Age above 80 years
NIHSS over 25
Oral anticoagulants regardless of INR
Diabetes and prior ischemic stroke
✔✔ Ischemic stroke most common cause - ✔✔Thromboembolism
✔✔Ischemic stroke - ✔✔A blood clot forms in the vascular system, plugs a cerebral
artery
✔✔Ischemic stroke rate of occurrence - ✔✔85%
SET A+
✔✔Left hemisphere - ✔✔Right visual field deficit
Left gaze deviation (left gave preference)
Aphasia (expressive &/or receptive)
Right hemiparesis
Right hemisensory loss
✔✔Right hemisphere - ✔✔Left visual field deficit
Right gaze deviation (right gaze preference)
Left hemi-inattention (neglect)
Left hemiparesis
Left hemisensory loss
✔✔Brainstem - ✔✔Quadriparesis
Sensory loss in all 4 limbs
Crossed signs (1 side of face & contralateral body)
Hemiparesis
Hemisensory loss
Decreased consciousness
Nausea/vomiting
Hiccups/Abnormal respirations
Oropharyngeal weakness (dysarthria, dysphasia)
Vertigo, tinnitus
Eye movement abnormalities (diplopia, dysconjugate gaze, gaze deviation)
✔✔Cerebellum - ✔✔Ipsilateral limb ataxia (dyscoordination)
Truncal or gait ataxia (imbalanced, wide based gait)
✔✔Symptoms suggestive of subarachnoid & intracerebral hemorrhage - ✔✔Headache
Nausea, vomiting
Decreased consciousness
✔✔Symptoms of subarachnoid hemorrhage - ✔✔Intolerance to light
, Neck stiffness/pain
✔✔Symptoms of intracerebral hemorrhage - ✔✔Focal signs (hemiparesis similar to
ischemic stroke)
✔✔Hypoglycemia mimics stroke by - ✔✔Decreased blood glucose, symptoms improve
with D50
✔✔Seizure with postictal state mimics stroke by - ✔✔Staring/limb shaking at onset
✔✔Migraine mimics stroke by - ✔✔Previous similar events
✔✔Tumor mimics stroke by - ✔✔Onset over weeks to months
✔✔Abscess mimics stroke by - ✔✔Onset over weeks to months
✔✔Subdural hematoma mimics stroke by - ✔✔Post trauma
✔✔Only give D50 if BGL is - ✔✔< 60mg/dL
✔✔Pediatric patients are more likely to have ___________ ______ compared to adults
- ✔✔Hemorrhagic strokes
✔✔t-PA eligibility 0-3 hours - ✔✔Ischemic stroke
✔✔t-PA exclusion 0-3 hours - ✔✔BGL under 60mg/dL
Head trauma or prior stroke < 3 months
Symptoms suggestive of SAH
Active bleed
Elevated BP (>185/110 mmHg)
✔✔t-PA eligibility 3-4.5 hours - ✔✔Ischemic stroke
✔✔t-PA exclusion 3-4.5 hours - ✔✔Age above 80 years
NIHSS over 25
Oral anticoagulants regardless of INR
Diabetes and prior ischemic stroke
✔✔ Ischemic stroke most common cause - ✔✔Thromboembolism
✔✔Ischemic stroke - ✔✔A blood clot forms in the vascular system, plugs a cerebral
artery
✔✔Ischemic stroke rate of occurrence - ✔✔85%
