CERTIFIED STROKE
REHABILITATION SPECIALIST
EXAM 2025 |GUARANTEED
ACCURATE ANSWERS
Who is more likely to have a stroke? Men or Women? - ACCURATE
ANSWERS✔✔ Women if older than 85
Otherwise, men are more likely
Modifiable risk factors for stroke - ACCURATE ANSWERS✔✔ 1.
hypertension
2. Heart dz (arrythmias, valvular, ischemic/hypertensive)
3. smoking
4. diabetes
5. Elevated fibrinogen
6. Erythrocytosis
7. hyperlipidemia
-Box 18.1 from DeLisa
Also - diet, obesity, sedentary lifestyle
What is the chance of having a recurrent stroke in the next 5 years in a
stroke survivor? - ACCURATE ANSWERS✔✔ ~25%
,-Although risk is highest right after the first stroke
-5 year risk may be as high as 42%
What is the 5 year mortality rate after a stroke? - ACCURATE
ANSWERS✔✔ 32-58% (DeLisa)
~30-60% maybe easier to remember
What are the 5 causes of strokes? - ACCURATE ANSWERS✔✔ -Large
vessel occlusion/infarct (32%)
-Emboli (32%)
-Small vessel occlusion/lacunar (18%)
-ICH (11%)
-SAH (7%)
What are the sources of cerebral embolism? - ACCURATE
ANSWERS✔✔ Cardiac - A fib (or other arrhythmias), mural thrombus
(recent MI, hypokinesis, cardiomyopathy), bacterial endocarditis, valve
prosthesis, nonbacterial valve vegetations, atrial myxoma
-Large artery (atherosclerosis of the aorta or carotid arteries
-Paradoxical - peripheral venous embolism with right to left cardiac
shunt
Embolism favors passage into what artery? - ACCURATE
ANSWERS✔✔ Middle cerebral artery
, Lacunar strokes are highly associated with what risk factor? -
ACCURATE ANSWERS✔✔ hypertension
-may result from either microatheroma or lipohyalinosis
How does hypertension lead to ICH? - ACCURATE ANSWERS✔✔
HTN --> microaneurysms (Charcot Bouchard aneurysms). ICH comes
from rupture of those.
Majority of lesions occur in the putamen or thalamus
What are the most common causes of ICH? - ACCURATE
ANSWERS✔✔ HTN
Cerebral amyloid angiopathy
Aneurysm
Anticoagulation (ex warfarin with high INR)
Trauma
Vasculitis
Bleeding into a tumor
ICH most commonly occurs in what locations in the brain? -
ACCURATE ANSWERS✔✔ Putamen and thalamus
Large posterior fossa lesions lead to what complication? - ACCURATE
ANSWERS✔✔ occlusion of fourth ventricle --> acute hydrocelphalus
REHABILITATION SPECIALIST
EXAM 2025 |GUARANTEED
ACCURATE ANSWERS
Who is more likely to have a stroke? Men or Women? - ACCURATE
ANSWERS✔✔ Women if older than 85
Otherwise, men are more likely
Modifiable risk factors for stroke - ACCURATE ANSWERS✔✔ 1.
hypertension
2. Heart dz (arrythmias, valvular, ischemic/hypertensive)
3. smoking
4. diabetes
5. Elevated fibrinogen
6. Erythrocytosis
7. hyperlipidemia
-Box 18.1 from DeLisa
Also - diet, obesity, sedentary lifestyle
What is the chance of having a recurrent stroke in the next 5 years in a
stroke survivor? - ACCURATE ANSWERS✔✔ ~25%
,-Although risk is highest right after the first stroke
-5 year risk may be as high as 42%
What is the 5 year mortality rate after a stroke? - ACCURATE
ANSWERS✔✔ 32-58% (DeLisa)
~30-60% maybe easier to remember
What are the 5 causes of strokes? - ACCURATE ANSWERS✔✔ -Large
vessel occlusion/infarct (32%)
-Emboli (32%)
-Small vessel occlusion/lacunar (18%)
-ICH (11%)
-SAH (7%)
What are the sources of cerebral embolism? - ACCURATE
ANSWERS✔✔ Cardiac - A fib (or other arrhythmias), mural thrombus
(recent MI, hypokinesis, cardiomyopathy), bacterial endocarditis, valve
prosthesis, nonbacterial valve vegetations, atrial myxoma
-Large artery (atherosclerosis of the aorta or carotid arteries
-Paradoxical - peripheral venous embolism with right to left cardiac
shunt
Embolism favors passage into what artery? - ACCURATE
ANSWERS✔✔ Middle cerebral artery
, Lacunar strokes are highly associated with what risk factor? -
ACCURATE ANSWERS✔✔ hypertension
-may result from either microatheroma or lipohyalinosis
How does hypertension lead to ICH? - ACCURATE ANSWERS✔✔
HTN --> microaneurysms (Charcot Bouchard aneurysms). ICH comes
from rupture of those.
Majority of lesions occur in the putamen or thalamus
What are the most common causes of ICH? - ACCURATE
ANSWERS✔✔ HTN
Cerebral amyloid angiopathy
Aneurysm
Anticoagulation (ex warfarin with high INR)
Trauma
Vasculitis
Bleeding into a tumor
ICH most commonly occurs in what locations in the brain? -
ACCURATE ANSWERS✔✔ Putamen and thalamus
Large posterior fossa lesions lead to what complication? - ACCURATE
ANSWERS✔✔ occlusion of fourth ventricle --> acute hydrocelphalus
