OCCTH 585 - Midterm 2 Questions And
Answers
OT Role in Neuro Acute Care impairment > activity > participation
You are seeing your client Fanny. She has trouble speaking but is trying to say that she is having
vision problems, weakness, headaches and is dizzy. You know its time to act FAST because
Fanny is likely experiencing... a stroke
Fanny continues describing her experience as you wait for the stroke ambulance to arrive from
the UofA hospital. Fanny would likely describe her symptoms as progressive, spread
across hours or days, starting with mild arm numbness or morning paralysis, with onset during
sleeping at night time
You know Fanny is at a higher risk for experiencing a stroke based on her having ALL these risk
factors for a stroke including... age, cardiac disease (AF, MI), hypertension, blood lipids,
diabetes mellitus, obesity, cigarette smoker, excessive alcohol consumption
transient ischemic event vs. sustained ischemic event transient = progressive symptoms of
numbness or tingling to bring awareness to something not being right; occurs before the actual
infarction
, OCCTH 585 - Midterm 2 Questions And
Answers
complete/sustained = results in neurologic deficits that lasts for days/weeks/permanent
When you get Fanny to the hospital the doctors refer to her condition of a stroke as ___, as the
medical term cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is determine the nature of
the stroke and size
The doctors are referring to Fanny's condition as a right CVA, which you know will result in
_____ impacting her _____ left hemiplegia; left side
with Fanny's right CVA, what will be important for you as an OT to assess, based on what you
may be expecting to potentially see as a result of the region of this stroke (functional
implications in what areas) hemi-neglect to the left side (may only dress or groom one
side of the body, only eat food on one side of the plate, may be unaware of people or cars
approaching from the left side); lack of insight into own deficits; impulsivity with mobility;
communication difficulties
, OCCTH 585 - Midterm 2 Questions And
Answers
why is it important for you to assess Fanny's functional ability to complete tasks after a right
hemisphere stroke safety - with hemi-neglect (visually), impulsivity with mobility and
lack of insight into deficits
the doctors tell you they will be doing thrombolytic management with Fanny which you know
means they will be helping to breakdown the blood clot and disrupt the occlusion with
intra-arterial administration of tPA (tissue plasminogen activator)
the doctors tell you about tPA which stands for _____, and ask when the onset of Fanny's stroke
was because for best results tPA should be administered within _____ but explains current
practice is ____ tissue plasminogen activator; within 1 hour for best results; current
practice is 4.5 hours up to 6 hours
Doctors determine that tPA is not a viable option to treat Fanny potentially because... there
is a hemorrhagic component to her stroke or the size of the stroke is greater than 1/3 of the
hemisphere
other acute medical management options that doctors present for Fanny include... taking
out the clots, or administering anti-coagulation medication (ie. aspirin, etc.)
, OCCTH 585 - Midterm 2 Questions And
Answers
The blockage resulting in Fanny's right CVA was most likely to occur at which point in the
brain... at the branches in the brain's arteries, as there is a higher risk fo formation of
plaque at the branch off areas of the vessel
The doctors are saying that Fanny had an ischemic stroke, which is the most common type of
stroke which means... there is a blockage or loss of blood supply (could also be ischemic
necrosis, infarction, hypo-perfusion)
Knowing the type of stroke Fanny has had is good for you as an OT because an ischemic stroke
has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke involves
atherosclerosis which means.. there is a plaque build up inside the arteries that could be
cholesterol, which narrows the arteries
Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to a bit of
plaque build up breaking off and travelling to the brain, blocking the blood supply
Answers
OT Role in Neuro Acute Care impairment > activity > participation
You are seeing your client Fanny. She has trouble speaking but is trying to say that she is having
vision problems, weakness, headaches and is dizzy. You know its time to act FAST because
Fanny is likely experiencing... a stroke
Fanny continues describing her experience as you wait for the stroke ambulance to arrive from
the UofA hospital. Fanny would likely describe her symptoms as progressive, spread
across hours or days, starting with mild arm numbness or morning paralysis, with onset during
sleeping at night time
You know Fanny is at a higher risk for experiencing a stroke based on her having ALL these risk
factors for a stroke including... age, cardiac disease (AF, MI), hypertension, blood lipids,
diabetes mellitus, obesity, cigarette smoker, excessive alcohol consumption
transient ischemic event vs. sustained ischemic event transient = progressive symptoms of
numbness or tingling to bring awareness to something not being right; occurs before the actual
infarction
, OCCTH 585 - Midterm 2 Questions And
Answers
complete/sustained = results in neurologic deficits that lasts for days/weeks/permanent
When you get Fanny to the hospital the doctors refer to her condition of a stroke as ___, as the
medical term cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is determine the nature of
the stroke and size
The doctors are referring to Fanny's condition as a right CVA, which you know will result in
_____ impacting her _____ left hemiplegia; left side
with Fanny's right CVA, what will be important for you as an OT to assess, based on what you
may be expecting to potentially see as a result of the region of this stroke (functional
implications in what areas) hemi-neglect to the left side (may only dress or groom one
side of the body, only eat food on one side of the plate, may be unaware of people or cars
approaching from the left side); lack of insight into own deficits; impulsivity with mobility;
communication difficulties
, OCCTH 585 - Midterm 2 Questions And
Answers
why is it important for you to assess Fanny's functional ability to complete tasks after a right
hemisphere stroke safety - with hemi-neglect (visually), impulsivity with mobility and
lack of insight into deficits
the doctors tell you they will be doing thrombolytic management with Fanny which you know
means they will be helping to breakdown the blood clot and disrupt the occlusion with
intra-arterial administration of tPA (tissue plasminogen activator)
the doctors tell you about tPA which stands for _____, and ask when the onset of Fanny's stroke
was because for best results tPA should be administered within _____ but explains current
practice is ____ tissue plasminogen activator; within 1 hour for best results; current
practice is 4.5 hours up to 6 hours
Doctors determine that tPA is not a viable option to treat Fanny potentially because... there
is a hemorrhagic component to her stroke or the size of the stroke is greater than 1/3 of the
hemisphere
other acute medical management options that doctors present for Fanny include... taking
out the clots, or administering anti-coagulation medication (ie. aspirin, etc.)
, OCCTH 585 - Midterm 2 Questions And
Answers
The blockage resulting in Fanny's right CVA was most likely to occur at which point in the
brain... at the branches in the brain's arteries, as there is a higher risk fo formation of
plaque at the branch off areas of the vessel
The doctors are saying that Fanny had an ischemic stroke, which is the most common type of
stroke which means... there is a blockage or loss of blood supply (could also be ischemic
necrosis, infarction, hypo-perfusion)
Knowing the type of stroke Fanny has had is good for you as an OT because an ischemic stroke
has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke involves
atherosclerosis which means.. there is a plaque build up inside the arteries that could be
cholesterol, which narrows the arteries
Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to a bit of
plaque build up breaking off and travelling to the brain, blocking the blood supply
