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SCRN Study Questions With Correct Solutions A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negative for acute bleed. Upon returning to the room he has become increasingly obtunded and difficult to arouse. You notice he now has a nystagmus and slightly ...

SCRN EXAM REVIEW PERFECTLY ARRANGED Posterior Cerebral Artery (PCA) -Correct Answer-Arises from basilar. Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid Plexus, and Corpus Callosum Symptoms of PCA Stroke -Correct Answer--Contralateral Visual Field Homonymous hemianopia -Visual Agnosia (unable to interpret/recognize visual information) - Weber's Syndrome (3rd nerve palsy + contralateral hemiplegia) -Parinaud's Syndrome (Impaired upwards gaze, convergence-retraction n...

A person with a stroke who seems unaware of their disability: anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? Brainstem Watershed stroke is described as: Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... 0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... pons (pontine) A lac...

Posterior Cerebral Artery (PCA) Arises from basilar. Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid Plexus, and Corpus Callosum Symptoms of PCA Stroke -Contralateral Visual Field Homonymous hemianopia -Visual Agnosia (unable to interpret/recognize visual information) - Weber's Syndrome (3rd nerve palsy + contralateral hemiplegia) -Parinaud's Syndrome (Impaired upwards gaze, convergence-retraction nystagmus, primary conjugate downward gaze) Anterior Inferior Cerebe...

A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negative for acute bleed. Upon returning to the room he has become increasingly obtunded and difficult to arouse. You notice he now has a nystagmus and slightly dysconjugate gaze. His exam appears to be wors...

cerebral cortex gray matter on the outermost section of the cerebrum and cerebellum composed of neuronal cell bodies Four lobes of the cerebral cortex and cerebrum Frontal Parietal Temporal Occipital Oxygen supplemental need > 93% BP goal post tPA <180/105 Vast majority of fatal hemorrhages occur within the first 12 hours hyperthermia management strict < 38.0 or 100.4 tylenol for fevers neurogenic fevers with an early increase in temperature after 24 hours can r...

Communicate effectively with pre-hospital personnel. When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be emphasized in the community. The greatest time delay is from symptom onset to ED arrival. EMS alerts the hospital, advance notification by EMS has shown to increase the use of TpA EMS evaluation primary goals Obtain last seen normal Obtain blood glucose ABCD score A: age B: blood C: clinical features D: Duration of TIA sympt...

Function of the Frontal Lobe "EXECUTIVE" functions reasoning, emotions, judgement, voluntary movement planning and initiation, personality expression and moderation of social functions Broca's area is in this lobe (production of speech) Function of the Parietal Lobe "SENSES" Processes sensory input Language processing, recognition and orientation, and sensory of perception stimuli Gustatory area is here in which your taste buds are here Function of Right Parietal Lobe interpret...

BARTHEL INDEX Barthel Index • This evaluation is a measure of functional ability to manage ADL's and degree of help needed. - Feeding - Bathing - Grooming - Dressing -Bowel -Bladder -Toileting -Transfers -Stairs - Mobility • Mahoney FI, Barthel D. "Functional evaluation: the Barthel Index.Maryland RANKIN SCORE Originally used as an interview (Rankin) • Modified for clinical use (mRankin) • Commonly used as an outcome point in research due to ease of application • 0 - No ...

A patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal carotid artery. Because it is affecting the pts non-dominate sphere, they are most likely to experience: Neglect An ischemic stroke in the Internal Carotid artery will result in ___________________ vision l...