SCRN Exam Review (Latest Update
) Questions and Answers
| Grade A | 100% Correct
Question:
When and for how long should nimodipine be started on a SAH patient?
Answer:
Day 1-21
Question:
What is the usual dose of nimodipine to prevent Vasospasm?
Answer:
60mg q4hr for 21 days (may do 30mg q2hr if patient becomes hypotension)
Question:
What does nimodopine do?
Answer:
Decreases Incidence/prevents Vasospasm, DOES NOT TREAT IT
,Question:
Besides testing for Vasospasm, what does TCD help identify?
Answer:
Lets us know if a stroke was cardioembolic (from heart) or thrombotic (from
cranial arteries)
Question:
What is the gold standard for recognizing cavernous malformations?
Answer:
MRI/MRA with gradient echo
Question:
When should LP be considered for SAH diagnosis?
Answer:
Only when SAH cannot be diagnosed with CT
Question:
What does a patient need to 'have' to qualify for an Acute In-Patient Rehab?
Answer:
Tolerate 3hrs of therapy 5 days a week, need two or more disciplines
(OT/ST/PT), be medically stable
,Question:
What is constraint-induced movement therapy (CIMT)?
Answer:
Restraining the 'good' arm of the patient to 'force them' to use the affected
(weaker) side.
ONLY USE WITH ARMS - IF USED IN LOWER EXTREMITIES, CAN
CAUSE FALLS.
Question:
When is the peak incidence of Vasospasm after SAH?
Answer:
Day 7-10 are peak incidence (but lasts up to 21 days)
Question:
What is Moyamoya disease?
Answer:
A chronic, vaso-occlusive disease that leads to narrowing and eventual
occlusion of the internal carotids and branching vessels. It is very prominent
in YOUNG ASIAN WOMEN.
, Question:
How is Moyamoya disease treated?
Answer:
Generally supportive treatment, such as anticoagulation/anti-platelet,
surgical revascularization procedures if needed.
Question:
What is central venous thrombosis CVT? How is it treated?
Answer:
CVT is a rare type of stroke in which a clot forms in the Dúrcal sinuses or the
cerebral veins.
It is treated with acute anticoagulation, start with hep drip, then oral for a few
months; closely monitored.
Question:
What is the standard treatment for arterial dissections?
Answer:
Anticoagulation, consider stenting.
) Questions and Answers
| Grade A | 100% Correct
Question:
When and for how long should nimodipine be started on a SAH patient?
Answer:
Day 1-21
Question:
What is the usual dose of nimodipine to prevent Vasospasm?
Answer:
60mg q4hr for 21 days (may do 30mg q2hr if patient becomes hypotension)
Question:
What does nimodopine do?
Answer:
Decreases Incidence/prevents Vasospasm, DOES NOT TREAT IT
,Question:
Besides testing for Vasospasm, what does TCD help identify?
Answer:
Lets us know if a stroke was cardioembolic (from heart) or thrombotic (from
cranial arteries)
Question:
What is the gold standard for recognizing cavernous malformations?
Answer:
MRI/MRA with gradient echo
Question:
When should LP be considered for SAH diagnosis?
Answer:
Only when SAH cannot be diagnosed with CT
Question:
What does a patient need to 'have' to qualify for an Acute In-Patient Rehab?
Answer:
Tolerate 3hrs of therapy 5 days a week, need two or more disciplines
(OT/ST/PT), be medically stable
,Question:
What is constraint-induced movement therapy (CIMT)?
Answer:
Restraining the 'good' arm of the patient to 'force them' to use the affected
(weaker) side.
ONLY USE WITH ARMS - IF USED IN LOWER EXTREMITIES, CAN
CAUSE FALLS.
Question:
When is the peak incidence of Vasospasm after SAH?
Answer:
Day 7-10 are peak incidence (but lasts up to 21 days)
Question:
What is Moyamoya disease?
Answer:
A chronic, vaso-occlusive disease that leads to narrowing and eventual
occlusion of the internal carotids and branching vessels. It is very prominent
in YOUNG ASIAN WOMEN.
, Question:
How is Moyamoya disease treated?
Answer:
Generally supportive treatment, such as anticoagulation/anti-platelet,
surgical revascularization procedures if needed.
Question:
What is central venous thrombosis CVT? How is it treated?
Answer:
CVT is a rare type of stroke in which a clot forms in the Dúrcal sinuses or the
cerebral veins.
It is treated with acute anticoagulation, start with hep drip, then oral for a few
months; closely monitored.
Question:
What is the standard treatment for arterial dissections?
Answer:
Anticoagulation, consider stenting.
