CAPSTONE EXAM 2 TIER 2 TOPICS FREQUENTLY TESTED
ACTUAL QUESTIONS WITH CORRECT ANSWERS
Question 1.
early warning sign of impending stroke - "mini strokes"
ANSWER
TIAS
Question 2.
What is the difference between a TIA and stroke?
ANSWER
TIA are reversible & temporary and neuro-deficits will last < 24 hrs, Strokes are non-reversible
with lifelong effects
Question 3.
Compare the timing of ischemic vs. hem orrhagic strokes
ANSWER
- ischemic: when sleeping OR within 1 hr of being awake Hemorrhagic: with activity
Question 4.
What is the priority treatment of an ischemic stroke?
ANSWER
TPA within 3 hrs of the onset of symptoms
Question 5.
Most common cause of hemorrhagic strokes?
ANSWER
HTN
,Question 6.
In addition to normal s/s of strokes, wha would we see with hemorrhagic strokes?
ANSWER
t S/s of increased ICP d/t bleeding into the brain
- severe HA, photophobia, decreased LOC
Question 7.
A patient presents to the ER with s/s of a stroke. What is the priority intervention?
ANSWER
determine whether ischemic or hemorrhagic via CT scan - this is because if a patient is having a
hemorrhagic stroke but you assume it is ischemic and administer TPA, the patient will bleed
out.
Question 8.
NIH Stroke Scale Range
ANSWER
0 (no deficits) - 40 (most deficits)
Question 9.
How can we help a patient with hemanopia?
ANSWER
- place all objects within their field of vision
- teach patient to scan the room and turn head to see everything around them
Question 10.
How can we help a patient with diplopia?
ANSWER
, Question 11.
Compare the two types of aphasia that may result from left-sided brain damage
ANSWER
1. Expressive/Brocas: patient understands words but cannot form words to answer
2. Receptive/Wernickes: patient cannot understand words and will talk incoherently, possibly
makes up own words
Question 12.
What side should you walk on with a patient who has left-sided weakness?
ANSWER
always the affected side - LEFT
Question 13.
Right-sided stroke:
- _____ sided weakness and neglect
- _____-_____ deficits
- _______ changes
- _______ problems, ______ judgement
- _____ attention span and _____ performance
ANSWER
i. left
ii. spatial-perceptual
iii. visual
iv. minimizes
v. impaired
vi. short
vii. fast
ACTUAL QUESTIONS WITH CORRECT ANSWERS
Question 1.
early warning sign of impending stroke - "mini strokes"
ANSWER
TIAS
Question 2.
What is the difference between a TIA and stroke?
ANSWER
TIA are reversible & temporary and neuro-deficits will last < 24 hrs, Strokes are non-reversible
with lifelong effects
Question 3.
Compare the timing of ischemic vs. hem orrhagic strokes
ANSWER
- ischemic: when sleeping OR within 1 hr of being awake Hemorrhagic: with activity
Question 4.
What is the priority treatment of an ischemic stroke?
ANSWER
TPA within 3 hrs of the onset of symptoms
Question 5.
Most common cause of hemorrhagic strokes?
ANSWER
HTN
,Question 6.
In addition to normal s/s of strokes, wha would we see with hemorrhagic strokes?
ANSWER
t S/s of increased ICP d/t bleeding into the brain
- severe HA, photophobia, decreased LOC
Question 7.
A patient presents to the ER with s/s of a stroke. What is the priority intervention?
ANSWER
determine whether ischemic or hemorrhagic via CT scan - this is because if a patient is having a
hemorrhagic stroke but you assume it is ischemic and administer TPA, the patient will bleed
out.
Question 8.
NIH Stroke Scale Range
ANSWER
0 (no deficits) - 40 (most deficits)
Question 9.
How can we help a patient with hemanopia?
ANSWER
- place all objects within their field of vision
- teach patient to scan the room and turn head to see everything around them
Question 10.
How can we help a patient with diplopia?
ANSWER
, Question 11.
Compare the two types of aphasia that may result from left-sided brain damage
ANSWER
1. Expressive/Brocas: patient understands words but cannot form words to answer
2. Receptive/Wernickes: patient cannot understand words and will talk incoherently, possibly
makes up own words
Question 12.
What side should you walk on with a patient who has left-sided weakness?
ANSWER
always the affected side - LEFT
Question 13.
Right-sided stroke:
- _____ sided weakness and neglect
- _____-_____ deficits
- _______ changes
- _______ problems, ______ judgement
- _____ attention span and _____ performance
ANSWER
i. left
ii. spatial-perceptual
iii. visual
iv. minimizes
v. impaired
vi. short
vii. fast
