ANSWERS GRADED A+
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of
an _____ stroke.
ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with _____
strokes.
hemorrhagic
The main drug therapy for patients with _____ stroke is the management of
hypertension.
hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the
spinal cord.
primary injury
,The _____ _____ of a spinal cord injury is from processes, such as ischemia,
hypoxia, hemorrhage, edema
secondary injury
_____ _____ may occur shortly after acute SCI. It is characterized by loss of deep
tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the
level of injury.
Spinal shock
_____ _____ involvement results in total loss of sensory and motor function below
the level of injury.
Complete cord
_____ _____ involvement results in a mixed loss of voluntary motor activity and
sensation and leaves some tracts intact.
Incomplete cord
Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension.
Left-Sided
,Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time.
Right-sided
_____ are the confirming diagnostic studies for stroke.
CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic
resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke.
Prothrombin time, activated partial thromboplastin time; CBC (including platelets);
Electrolyte panel with blood glucose; Lipid profile; Renal and hepatic studies
Recombinant tissue plasminogen activator (tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the thrombi, and is the immediate treatment
for _____ _____.
Ischemic stroke
SCI at C1-C3
, Often fatal; Movement in neck and above, loss of innervation to diaphragm,
absence of independent respiratory function
SCI at C4
Sensation and movement in neck and above; May be able to breathe without
ventilator
SCI at C5
Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use
hands; ↓ Respiratory reserve
SCI at C6
Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow
flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
SCI at C7-C8
All triceps to elbow extension, finger extensors and flexors; Good grasp with some
decreased strength; ↓ Respiratory reserve