Stroke Module 4 - Exam with Verified
Detailed Answers
describe the pathogenesis of an embolic stroke -
correct answer ✅fragments formed outside of the brain break off
and travel to the brain
sudden onset
describe the pathogenesis of a thrombotic stroke -
correct answer ✅vessel occlusion/ platelet aggregation
gradual onset, often during sleep when BP is low
what are risk factors for an embolic stroke? -
correct answer ✅atrial fibrillation, endocarditis, valve disease,
CABG, patent foramen ovale
what population is associated with "Lacunes" penetrating artery
disease? -
correct answer ✅associated with chronic HTN and DM
elderly
small areas of infarction
higher cortical areas are preserved, there is no LOC, language, or
visual defects
,Stroke Module 4 - Exam with Verified
Detailed Answers
what three factors determine the severity of neurological defects
after a stroke? -
correct answer ✅location and extent of the injury, amount of
collateral blood flow, and early acute care management
the severity and symptoms of stroke are dependent on a number of
factors, including: -
correct answer ✅location of the ischemic process, size of the
ischemic area, the nature and functions of the structures involved,
availability of collateral blood flow
slow occlusions may allow for collateral blood to take over, while
sudden events do not.
what would explain impairments after a stroke resolving
spontaneously after about 3 weeks? -
correct answer ✅brain swelling subsides
residual neurological impairments are those that last longer than 3
weeks/ after brain swelling goes down, and may lead to lasting
disability
,Stroke Module 4 - Exam with Verified
Detailed Answers
what is the difference between a major stroke and a deteriorating
stroke? -
correct answer ✅a major stroke is stable, usually with severe
impairments
a deteriorating stroke is when neurological status changes in a
negative direction after admission to the hospital (may be due to
cerebral or systemic issues - such as cerebral edema or a
progressing thrombosis)
What ICF category does the Fugl-Meyer Assessment of Physical
performance look at? -
correct answer ✅body structure and function
stroke specific, impairment based test
what ICF category does the Wolf Motor Function Test look at? -
correct answer ✅activity limitations
stroke specific
, Stroke Module 4 - Exam with Verified
Detailed Answers
what ICF category does the Stroke Impact scale look at? -
correct answer ✅activity and participation restrictions
it is stroke specific, self report measure developed to assess
function and QOL after stroke.
assesses strength, memory/thinking, emotions, communication,
ADL, mobility, hand function
what is the FIM? -
correct answer ✅functional independence measure
categories of helper/ no helper
activity focused
measure of physical, psychological, and social function
uses level of assistance a patient needs to grade functional status
from total independence to total assistance.
measures what the patient does, not what they could do under
certain circumstances
Detailed Answers
describe the pathogenesis of an embolic stroke -
correct answer ✅fragments formed outside of the brain break off
and travel to the brain
sudden onset
describe the pathogenesis of a thrombotic stroke -
correct answer ✅vessel occlusion/ platelet aggregation
gradual onset, often during sleep when BP is low
what are risk factors for an embolic stroke? -
correct answer ✅atrial fibrillation, endocarditis, valve disease,
CABG, patent foramen ovale
what population is associated with "Lacunes" penetrating artery
disease? -
correct answer ✅associated with chronic HTN and DM
elderly
small areas of infarction
higher cortical areas are preserved, there is no LOC, language, or
visual defects
,Stroke Module 4 - Exam with Verified
Detailed Answers
what three factors determine the severity of neurological defects
after a stroke? -
correct answer ✅location and extent of the injury, amount of
collateral blood flow, and early acute care management
the severity and symptoms of stroke are dependent on a number of
factors, including: -
correct answer ✅location of the ischemic process, size of the
ischemic area, the nature and functions of the structures involved,
availability of collateral blood flow
slow occlusions may allow for collateral blood to take over, while
sudden events do not.
what would explain impairments after a stroke resolving
spontaneously after about 3 weeks? -
correct answer ✅brain swelling subsides
residual neurological impairments are those that last longer than 3
weeks/ after brain swelling goes down, and may lead to lasting
disability
,Stroke Module 4 - Exam with Verified
Detailed Answers
what is the difference between a major stroke and a deteriorating
stroke? -
correct answer ✅a major stroke is stable, usually with severe
impairments
a deteriorating stroke is when neurological status changes in a
negative direction after admission to the hospital (may be due to
cerebral or systemic issues - such as cerebral edema or a
progressing thrombosis)
What ICF category does the Fugl-Meyer Assessment of Physical
performance look at? -
correct answer ✅body structure and function
stroke specific, impairment based test
what ICF category does the Wolf Motor Function Test look at? -
correct answer ✅activity limitations
stroke specific
, Stroke Module 4 - Exam with Verified
Detailed Answers
what ICF category does the Stroke Impact scale look at? -
correct answer ✅activity and participation restrictions
it is stroke specific, self report measure developed to assess
function and QOL after stroke.
assesses strength, memory/thinking, emotions, communication,
ADL, mobility, hand function
what is the FIM? -
correct answer ✅functional independence measure
categories of helper/ no helper
activity focused
measure of physical, psychological, and social function
uses level of assistance a patient needs to grade functional status
from total independence to total assistance.
measures what the patient does, not what they could do under
certain circumstances
