Stroke Certification Exam Questions and Answers 100% Pass

Stroke Certification Exam Questions and Answers 100% Pass what is the mainstay of acute therapy for stroke? - Answer-tPA (alteplase) T/F: most patients don't arrive to the ED in time to receive tPA - Answer-true what is the time window that tPA needs to be given in? - Answer-within 4.5 hours of onset of symptoms what is the most disabling side effect of stroke therapy? - Answer-ICH what are 2 hallmark signs of stroke? - Answer-one-sided weakness and drooping face secondary prevention of stroke involves controlling/managing risk factors, ____ ____, and the use of ___ ____ in all patients - Answer-educating patients, antithrombotic agents (most patients will also receive a statin and a BP lowering agent) Stroke may be a result of cerebrovascular (____) or cardioembolic (____) sources. The final result of both thrombus formation and embolism is an arterial ____ -> decreased cerebral blood flow and ischemia distal to the occlusion. Thrombosis may take place in a few minutes or hours or even days to fully evolve. A large vessel can take longer to become occluded than a smaller vessel and there may be warning signs. One of the most important warning signs is a ____. - Answer-thrombotic, a. fib, occlusion, TIA where are pharmacologic interventions most likely to be effective in stroke? - Answer- penumbra (that zone is supplied with blood by collateral arteries but if their perfusion is not re-established quickly then the cells in the penumbra will die too b/c collateral circulation is inadequate to maintain the oxygen demand) headache is more common with ___ stroke - Answer-hemorrhagic what are 5 factors associated with increased stroke risk? - Answer-advanced age, DM, symptoms more than 10 minutes, weakness, and impaired speech ABCD^2 is a simple score used to identify individuals at high early risk of stroke after TIA, what are the 5 categories? - Answer-age, BP, clinical features, duration of symptoms, daibetes how do you manage TIA? - Answer-manage risk factors (same as for ischemic stroke) name 4 non-modifiable risk factors for ischemic stroke - Answer-age, race (black & hispanic), family history of stroke/TIA, prior stroke/TIA name 11 modifiable risk factors for ischemic stroke - Answer-HTN, smoking, DM, asymptomatic carotid disease, dyslipidemia, sickle cell disease, a. fib, dietary factors, physical inactivity, CAD, HF this is the #1 modifiable risk factors for stroke - Answer-HTN how should you prevent a stroke in a patient who has HTN - Answer-follow JNC 7 guidelines for treating HTN according to compelling indications this is the most common arrhythmia associated with stroke - Answer-a. fib how do you prevent stroke in patients with a. fib? - Answer-antithrombotics (rate control has not been shown to prevent stroke) how do you predict annual risk of stroke in patients with a. fib? - Answer-CHADS2 recent data confirms that ___ is superior to ASA therapy for stroke prevention in patients with a. fib - Answer-warfarin