Acute Stroke; Initial Onset and the
First 24 Hours Well answered
1. What is the maximum time in which tPA can be safely administered to qualified patients who
are experiencing an acute ischemic stroke (AIS)? - correct answer ✔✔ 4.5 hours
2. Which procedure is considered the gold standard for managing ICP? - correct answer ✔✔
Inserting a ventricular catheter
3. During tPA administration, a patient starts complaining of nausea and a sudden-onset
headache. On examination, worsening neurological signs are evident. What is the FIRST
intervention? - correct answer ✔✔ Stop tPA
4. What type of stroke carries the highest incidence rate? - correct answer ✔✔ Ischemic stroke
5. What is a cause of an embolic stroke? - correct answer ✔✔ A blood clot or other debris that
forms away from the brain
6. Which screening tool assesses for abnormal neurologic findings using 3 methods that are
assigned either as "normal" or "abnormal" according to the patient's performance? - correct
answer ✔✔ Cincinnati pre-hospital stroke scale (CPSS)
7. What procedure is recommended for AIS patients with large vessel occlusion and salvageable
brain tissue? - correct answer ✔✔ Mechanical thrombectomy
8. What cardiac dysrhythmia is most frequently seen in patients who present with a stroke? -
correct answer ✔✔ Atrial fibrillation
First 24 Hours Well answered
1. What is the maximum time in which tPA can be safely administered to qualified patients who
are experiencing an acute ischemic stroke (AIS)? - correct answer ✔✔ 4.5 hours
2. Which procedure is considered the gold standard for managing ICP? - correct answer ✔✔
Inserting a ventricular catheter
3. During tPA administration, a patient starts complaining of nausea and a sudden-onset
headache. On examination, worsening neurological signs are evident. What is the FIRST
intervention? - correct answer ✔✔ Stop tPA
4. What type of stroke carries the highest incidence rate? - correct answer ✔✔ Ischemic stroke
5. What is a cause of an embolic stroke? - correct answer ✔✔ A blood clot or other debris that
forms away from the brain
6. Which screening tool assesses for abnormal neurologic findings using 3 methods that are
assigned either as "normal" or "abnormal" according to the patient's performance? - correct
answer ✔✔ Cincinnati pre-hospital stroke scale (CPSS)
7. What procedure is recommended for AIS patients with large vessel occlusion and salvageable
brain tissue? - correct answer ✔✔ Mechanical thrombectomy
8. What cardiac dysrhythmia is most frequently seen in patients who present with a stroke? -
correct answer ✔✔ Atrial fibrillation
