CHAMBERLAIN NR 325 EXAM 2
QUESTIONS WITH VERIFIED ACCURATE
ANSWERS
Left-Sided - answer ✔✔-Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension.
Right-sided - answer ✔✔-Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time.
CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography
(MRA) - answer ✔✔-_____ are the confirming diagnostic studies for stroke.
Prothrombin time, activated partial thromboplastin time; CBC (including platelets); Electrolyte panel
with blood glucose; Lipid profile; Renal and hepatic studies - answer ✔✔-_____ are the confirming
laboratory studies for stroke.
Ischemic stroke - answer ✔✔-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 - answer ✔✔-Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset
of an _____ stroke.
hemorrhagic - answer ✔✔-Anticoagulants and platelet inhibitors are contraindicated in patients with
_____ strokes.
hemorrhagic - answer ✔✔-The main drug therapy for patients with _____ stroke is the management of
hypertension.
, primary injury - answer ✔✔-The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of
the spinal cord.
secondary injury - answer ✔✔-The _____ _____ of a spinal cord injury is from processes, such as
ischemia, hypoxia, hemorrhage, edema
Spinal shock - answer ✔✔-_____ _____ 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.
Complete cord - answer ✔✔-_____ _____ involvement results in total loss of sensory and motor
function below the level of injury.
Incomplete cord - answer ✔✔-_____ _____ involvement results in a mixed loss of voluntary motor
activity and sensation and leaves some tracts intact.
Often fatal; Movement in neck and above, loss of innervation to diaphragm, absence of independent
respiratory function - answer ✔✔-SCI at C1-C3
Sensation and movement in neck and above; May be able to breathe without ventilator - answer ✔✔-
SCI at C4
Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use hands; ↓ Respiratory
reserve - answer ✔✔-SCI at C5
Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow flexion, wrist
extension, weak grasp of thumb; ↓ Respiratory reserve - answer ✔✔-SCI at C6
All triceps to elbow extension, finger extensors and flexors; Good grasp with some decreased strength;
↓ Respiratory reserve - answer ✔✔-SCI at C7-C8
Full innervation of upper extremities; Back, essential intrinsic muscles of hand; Full strength and
dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve - answer ✔✔-SCI at T1-T6
QUESTIONS WITH VERIFIED ACCURATE
ANSWERS
Left-Sided - answer ✔✔-Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension.
Right-sided - answer ✔✔-Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time.
CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography
(MRA) - answer ✔✔-_____ are the confirming diagnostic studies for stroke.
Prothrombin time, activated partial thromboplastin time; CBC (including platelets); Electrolyte panel
with blood glucose; Lipid profile; Renal and hepatic studies - answer ✔✔-_____ are the confirming
laboratory studies for stroke.
Ischemic stroke - answer ✔✔-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 - answer ✔✔-Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset
of an _____ stroke.
hemorrhagic - answer ✔✔-Anticoagulants and platelet inhibitors are contraindicated in patients with
_____ strokes.
hemorrhagic - answer ✔✔-The main drug therapy for patients with _____ stroke is the management of
hypertension.
, primary injury - answer ✔✔-The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of
the spinal cord.
secondary injury - answer ✔✔-The _____ _____ of a spinal cord injury is from processes, such as
ischemia, hypoxia, hemorrhage, edema
Spinal shock - answer ✔✔-_____ _____ 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.
Complete cord - answer ✔✔-_____ _____ involvement results in total loss of sensory and motor
function below the level of injury.
Incomplete cord - answer ✔✔-_____ _____ involvement results in a mixed loss of voluntary motor
activity and sensation and leaves some tracts intact.
Often fatal; Movement in neck and above, loss of innervation to diaphragm, absence of independent
respiratory function - answer ✔✔-SCI at C1-C3
Sensation and movement in neck and above; May be able to breathe without ventilator - answer ✔✔-
SCI at C4
Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll over or use hands; ↓ Respiratory
reserve - answer ✔✔-SCI at C5
Shoulder and upper back abduction and rotation at shoulder; Full biceps to elbow flexion, wrist
extension, weak grasp of thumb; ↓ Respiratory reserve - answer ✔✔-SCI at C6
All triceps to elbow extension, finger extensors and flexors; Good grasp with some decreased strength;
↓ Respiratory reserve - answer ✔✔-SCI at C7-C8
Full innervation of upper extremities; Back, essential intrinsic muscles of hand; Full strength and
dexterity of grasp; ↓ Trunk stability, decreased respiratory reserve - answer ✔✔-SCI at T1-T6
