NUR 623 (Adult_Gero Acute) MOD #5, neurostructural abnormalities Questions with CORRECT
Answers (Grade A+)
Question 1:
abrupt onset of temporary neurologic deficit -no acute infarction -s/s last about an hour -more
common in men/AA's -early sign for stroke
Answer:
TIA
Question 2:
in the two days after a TIA, patient is risk for
Answer:
a stroke
Question 3:
causes TIA
Answer:
AFIB, atherosclerosis, cardiac clots, vasculitis, RBC disorders, hypercoagulable disorders, subclavian
steel syndrome, DM
Question 4:
different types of TIA s/s based of the artery affected
Answer:
carotid - vision loss and aphasia vertebrobasilar - CN involvement, sensory loss -perforating (end
arteries) hemisensory or hemimotor affecting face, arms, legs
Question 5:
scales to rule out stroke
Answer:
NIHSS (0-42) low to severe ABCD2 (0-7) low to severe
Question 6:
what can mimic a stroke
, Answer:
hypoglycemia, Bells palsy, seizures, drugs, infections, Todd's paralysis
Question 7:
labs for TIA/stroke
Answer:
CBC/CMP INR POCT glucose troponins lipid panel tox screen
Question 8:
imaging for TIA/stroke
Answer:
-non contrast CT head (first line) -CTA brain/neck -MRI brain/neck -carotid ultrasounds (carotid
stenosis) -echo
Question 9:
specific grading NIHSS *also grade what you see, grade first response no best response, don't
coach patient
Answer:
0 : no stroke s/s 1-4: minor s/s 5-15: moderate s/s 16-20: moderate to severe >20: severe
Question 10:
how to treat and prevent TIA's from occurring
Answer:
-weight loss/smoking cessation -glycemic control for DM -keep systolic <130 -statins for HLD -ASA
160mg x5 days, then 81 daily -stenting for carotid artery disease -AC'S for afib -CPAP for OSA
Question 11:
-destruction of portion of brain parenchyma due to the circulatory failure in the distribution of a
specific arterial vessel in brain -often acute/abrupt onset, but can take hours-days -5th leading
cause of death -leading cause of long-term disability -ischemic (83%) and hemorrhagic (17%)
Answer:
acute stroke
Question 12:
Answers (Grade A+)
Question 1:
abrupt onset of temporary neurologic deficit -no acute infarction -s/s last about an hour -more
common in men/AA's -early sign for stroke
Answer:
TIA
Question 2:
in the two days after a TIA, patient is risk for
Answer:
a stroke
Question 3:
causes TIA
Answer:
AFIB, atherosclerosis, cardiac clots, vasculitis, RBC disorders, hypercoagulable disorders, subclavian
steel syndrome, DM
Question 4:
different types of TIA s/s based of the artery affected
Answer:
carotid - vision loss and aphasia vertebrobasilar - CN involvement, sensory loss -perforating (end
arteries) hemisensory or hemimotor affecting face, arms, legs
Question 5:
scales to rule out stroke
Answer:
NIHSS (0-42) low to severe ABCD2 (0-7) low to severe
Question 6:
what can mimic a stroke
, Answer:
hypoglycemia, Bells palsy, seizures, drugs, infections, Todd's paralysis
Question 7:
labs for TIA/stroke
Answer:
CBC/CMP INR POCT glucose troponins lipid panel tox screen
Question 8:
imaging for TIA/stroke
Answer:
-non contrast CT head (first line) -CTA brain/neck -MRI brain/neck -carotid ultrasounds (carotid
stenosis) -echo
Question 9:
specific grading NIHSS *also grade what you see, grade first response no best response, don't
coach patient
Answer:
0 : no stroke s/s 1-4: minor s/s 5-15: moderate s/s 16-20: moderate to severe >20: severe
Question 10:
how to treat and prevent TIA's from occurring
Answer:
-weight loss/smoking cessation -glycemic control for DM -keep systolic <130 -statins for HLD -ASA
160mg x5 days, then 81 daily -stenting for carotid artery disease -AC'S for afib -CPAP for OSA
Question 11:
-destruction of portion of brain parenchyma due to the circulatory failure in the distribution of a
specific arterial vessel in brain -often acute/abrupt onset, but can take hours-days -5th leading
cause of death -leading cause of long-term disability -ischemic (83%) and hemorrhagic (17%)
Answer:
acute stroke
Question 12:
