STROKE REHABILITATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS

STROKE REHABILITATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS What does stroke recovery result from? ANS-Recovery of the ischemic penumbra (restoring blood flow) Resolution of cerebellar edema Neuroplasticity and rehabilitation What are better outcomes of stroke recovery associated with? ANS-Early medical care Smaller strokes (more focal) Specialized stroke care centers Early intensive multidisciplinary rehab (mobility ASAP) Is stroke recovery the same for all patients? ANS-NO - highly variable Ex. Hemorrhagic pts tend to not recovery as quickly due to edema then seem to make major gains at once. Whereas ischemic pts have rapid, steady rate of gains in first 6 months then plateau T/F: Most stroke recovery happens in first 6 months and progress stops once the stroke is considered chronic ANS-True that most stroke recovery occurs in first 6 months however progress can still be made in chronic stages What is the prognosis for motor recovery if motor does not return after 4 weeks post stroke? ANS-Poor What are mortality predictors of stroke? ANS-History of past CVA, prolonged LOC, dysphagia, aspiration, pneumonia, age, increased ICP, and size of lesion What percent of stroke patients will need some level of assistance long term? ANS-66% (1/3) Is there a genetic effect on prognosis following a stroke? ANS-Yes - there are genetic polymorphisms related to stroke recovery (BDNF production) Goals of stroke care units? ANS-Rapid medical attention Limit neurologic damage Opti