Finall Exam:l NRl 572/l NR572l (Latestl
2025/l 2026l Update)l Advancedl Acutel
Carel Managementl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
Q:l Causesl ofl hemorrhagicl stroke
Answer:
-metastaticl brainl tumor
-Hypertension
-Transformationl ofl ischemicl stroke
-cerebrall aneurysm
-coagulopathyl orl anticoagulation
-headl trauma
-Arteriovenousl malformation
-Drugs,l suchl asl amphetaminesl orl cocaine
-amyloidl angiopathy
-Durall arteriovenousl fistula
-cavernousl angiomal
-capillaryl talangiectasia
Q:l Subjectivel symptomsl ofl hemorrhagicl stroke
Answer:
*l Symptomsl occurl acutelyl (minutesl tol hours)l andl typicallyl coincidel whenl mostl peoplel
arel activel (daylight)l *
-severel HA
-nausea
-vomiting
-dizziness
l
Symptomsl tendl tol worsenl andl precede,l butl mayl occurl simultaneously,l alongsidel focall
neurologicall deficitsl orl alteredl mentall status.
Seizures,l whilel uncommon,l mayl occur
Q:l Whatl historyl shouldl youl ascertainl inl al patientl whol isl suspectedl ofl havingl anl
intercraniall hemorrhage?
,Answer:
Usel ofl anticoagulationl orl antiplateletl agents
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l cerebellum
Answer:
-decreasedl LOC
-ataxial (usuallyl beginningl inl thel trunk)
-ipsilaterall sensoryl lossl orl faciall weakness
-miosisl
-gazel paresisl (conjugatel gazel palsy)l
-skewl deviationl (verticall misalignmentl ofl thel eyes)
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l brainstem
Answer:
-autonomicl instability
-ocularl bobbing
-miosis
-decreasedl LOC
-faciall weakness
-quadriparesis
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l caudatel nucleus
Answer:
-confusion
-contralaterall hemiparesis
-Conjugatel gazel paresis/palsy
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l putamen
Answer:
-aphasia
-homonymousl heminopia
-neglect
-l contralaterall sensoryl loss
-quadriparesis
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l lobar
Answer:
-contralaterall hemiparesisl orl sensoryl lossl
-contralaterall conjugatel gazel paresis
,-homonymousl hemianopia
-abulia
-aphasia
-neglectl
-apraxia
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l thalamus
Answer:
-confusion
-contralaterall hemiparesisl orl sensoryl loss
-aphasia
-gazel paresis
-homonymousl hemianopia
-miosis
Q:l DDxl forl hemorrhagicl stroke
Answer:
•l ischemicl stroke
•l cervicall arteryl dissection
•l TIA
•l sinusitis
•l hypoglycemia
•l sentinell headache
•l malignantl hypertension
•l spontaneousl intracraniall hypotension
•l cerebrall venousl thrombosis
Q:l imagingl forl hemorrhagicl stroke
Answer:
Nonl conl CTl headl andl MRIl brainl w/ol gad:l bothl consideredl goldl standardl testl forl
diagnosisl ofl intracraniall hemorrhage....l Butl non-conl CTl headl isl morel widelyl usedl
becausel ofl highl sensitivity,l abilityl duel tol detectl location,l size,l extensionl intol ventricularl
system,l asl welll asl assessingl forl presencel ofl surroundingl edema..l Itl isl alsol morel cost-
effective,l convenient,l andl timelyl inl thel initiall workl up.
Q:l Whenl dol youl wantl tol usel MRIl overl CTl inl hemorrhagicl stroke?
Answer:
Inl differentiatingl betweenl acute,l subacute,l orl chronicl hemorrhages
Q:l Emergencyl medicinel managementl ofl hemorrhagicl stroke
, Answer:
-transportl tol strokel capablel facility
-Airway,l oxygenation,l ventilation
-Treatmentl ofl coagulopathyl immediatelyl withl FFP,l vitaminl K,l andl prothrombinl complexl
concentratesl asl indicated
Q:l Whatl levell plateletl countl shouldl bel correctedl withl plateletl transfusionsl inl
hemorrhagicl stroke
Answer:
PLTl <50k
Q:l Hypertensionl managementl inl hemorrhagicl stroke
Answer:
Forl patientsl withl SBPl 150-220:l
Goall SBPl 140l
Nicardipinel gttl forl SBPl >220
Q:l Whichl hemorrhagicl strokel patientsl arel recommendedl tol undergol emergentl surgery?
Answer:
-cerebellarl hemorrhagel andl accompanyingl signsl ofl neurologicall deterioration
-somel supratentoriall hemorrhagesl withl massl effect
Q:l Whatl needsl tol bel consideredl beforel restartingl al patientl onl anticoagulation/anti-
plateletl agentsl postl intracraniall hemorrhage?
Answer:
Hypertensionl needsl tol bel well-controlled
Alwaysl riskl vsl benefit
Q:l Treatmentl windowl forl mechanicall thrombectomyl forl ischemicl stroke
Answer:
24l hoursl froml lastl knownl well
Q:l Whenl shouldl antiplateletl drugl therapyl withl aspirinl bel started?
Answer:
Withinl 48l hoursl ofl ischemicl stroke
2025/l 2026l Update)l Advancedl Acutel
Carel Managementl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
Q:l Causesl ofl hemorrhagicl stroke
Answer:
-metastaticl brainl tumor
-Hypertension
-Transformationl ofl ischemicl stroke
-cerebrall aneurysm
-coagulopathyl orl anticoagulation
-headl trauma
-Arteriovenousl malformation
-Drugs,l suchl asl amphetaminesl orl cocaine
-amyloidl angiopathy
-Durall arteriovenousl fistula
-cavernousl angiomal
-capillaryl talangiectasia
Q:l Subjectivel symptomsl ofl hemorrhagicl stroke
Answer:
*l Symptomsl occurl acutelyl (minutesl tol hours)l andl typicallyl coincidel whenl mostl peoplel
arel activel (daylight)l *
-severel HA
-nausea
-vomiting
-dizziness
l
Symptomsl tendl tol worsenl andl precede,l butl mayl occurl simultaneously,l alongsidel focall
neurologicall deficitsl orl alteredl mentall status.
Seizures,l whilel uncommon,l mayl occur
Q:l Whatl historyl shouldl youl ascertainl inl al patientl whol isl suspectedl ofl havingl anl
intercraniall hemorrhage?
,Answer:
Usel ofl anticoagulationl orl antiplateletl agents
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l cerebellum
Answer:
-decreasedl LOC
-ataxial (usuallyl beginningl inl thel trunk)
-ipsilaterall sensoryl lossl orl faciall weakness
-miosisl
-gazel paresisl (conjugatel gazel palsy)l
-skewl deviationl (verticall misalignmentl ofl thel eyes)
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l brainstem
Answer:
-autonomicl instability
-ocularl bobbing
-miosis
-decreasedl LOC
-faciall weakness
-quadriparesis
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l caudatel nucleus
Answer:
-confusion
-contralaterall hemiparesis
-Conjugatel gazel paresis/palsy
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l putamen
Answer:
-aphasia
-homonymousl heminopia
-neglect
-l contralaterall sensoryl loss
-quadriparesis
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l lobar
Answer:
-contralaterall hemiparesisl orl sensoryl lossl
-contralaterall conjugatel gazel paresis
,-homonymousl hemianopia
-abulia
-aphasia
-neglectl
-apraxia
Q:l Objectivel symptomsl ofl hemorrhagicl stroke:l thalamus
Answer:
-confusion
-contralaterall hemiparesisl orl sensoryl loss
-aphasia
-gazel paresis
-homonymousl hemianopia
-miosis
Q:l DDxl forl hemorrhagicl stroke
Answer:
•l ischemicl stroke
•l cervicall arteryl dissection
•l TIA
•l sinusitis
•l hypoglycemia
•l sentinell headache
•l malignantl hypertension
•l spontaneousl intracraniall hypotension
•l cerebrall venousl thrombosis
Q:l imagingl forl hemorrhagicl stroke
Answer:
Nonl conl CTl headl andl MRIl brainl w/ol gad:l bothl consideredl goldl standardl testl forl
diagnosisl ofl intracraniall hemorrhage....l Butl non-conl CTl headl isl morel widelyl usedl
becausel ofl highl sensitivity,l abilityl duel tol detectl location,l size,l extensionl intol ventricularl
system,l asl welll asl assessingl forl presencel ofl surroundingl edema..l Itl isl alsol morel cost-
effective,l convenient,l andl timelyl inl thel initiall workl up.
Q:l Whenl dol youl wantl tol usel MRIl overl CTl inl hemorrhagicl stroke?
Answer:
Inl differentiatingl betweenl acute,l subacute,l orl chronicl hemorrhages
Q:l Emergencyl medicinel managementl ofl hemorrhagicl stroke
, Answer:
-transportl tol strokel capablel facility
-Airway,l oxygenation,l ventilation
-Treatmentl ofl coagulopathyl immediatelyl withl FFP,l vitaminl K,l andl prothrombinl complexl
concentratesl asl indicated
Q:l Whatl levell plateletl countl shouldl bel correctedl withl plateletl transfusionsl inl
hemorrhagicl stroke
Answer:
PLTl <50k
Q:l Hypertensionl managementl inl hemorrhagicl stroke
Answer:
Forl patientsl withl SBPl 150-220:l
Goall SBPl 140l
Nicardipinel gttl forl SBPl >220
Q:l Whichl hemorrhagicl strokel patientsl arel recommendedl tol undergol emergentl surgery?
Answer:
-cerebellarl hemorrhagel andl accompanyingl signsl ofl neurologicall deterioration
-somel supratentoriall hemorrhagesl withl massl effect
Q:l Whatl needsl tol bel consideredl beforel restartingl al patientl onl anticoagulation/anti-
plateletl agentsl postl intracraniall hemorrhage?
Answer:
Hypertensionl needsl tol bel well-controlled
Alwaysl riskl vsl benefit
Q:l Treatmentl windowl forl mechanicall thrombectomyl forl ischemicl stroke
Answer:
24l hoursl froml lastl knownl well
Q:l Whenl shouldl antiplateletl drugl therapyl withl aspirinl bel started?
Answer:
Withinl 48l hoursl ofl ischemicl stroke
