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