Acute Stroke Treatment

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Which of the following is NOT a type of stroke?

  • Transient Ischemic Attack
  • Ischemic
  • Hemorrhagic
  • Myocardial Infarction (correct)

What is the difference between stroke and Transient Ischemic Attack (TIA)?

  • Absence of infarction
  • Both duration and absence of infarction (correct)
  • Presence of infarction
  • Duration

What is the definition of stroke according to the text?

  • A sudden focal neurological deficit
  • An acute neurological impairment
  • An interruption of blood flow to the brain
  • All of the above (correct)

What is the annual global incidence of stroke?

<p>15 million (C)</p> Signup and view all the answers

Where do 2/3 of stroke deaths and much stroke disability occur?

<p>Developing countries (C)</p> Signup and view all the answers

What is the 3rd commonest cause of death worldwide?

<p>Stroke (C)</p> Signup and view all the answers

What is the risk of stroke in the next 48 hours following a TIA?

<p>Up to 8% (D)</p> Signup and view all the answers

Which type of stroke is the most common cause of all strokes?

<p>Ischemic stroke (B)</p> Signup and view all the answers

What is the most common cause of ischemic stroke?

<p>Atherothromboembolism (A)</p> Signup and view all the answers

Which artery is the most commonly affected in ischemic stroke?

<p>Middle cerebral artery (MCA) (C)</p> Signup and view all the answers

What are the risk factors for stroke?

<p>Previous history of TIAs (B)</p> Signup and view all the answers

Which artery is associated with contralateral face, arm, and leg weakness in stroke?

<p>Middle cerebral artery (MCA) (A)</p> Signup and view all the answers

Which artery is associated with contralateral leg weakness and apraxia in stroke?

<p>Anterior cerebral artery (ACA) (D)</p> Signup and view all the answers

Which artery is associated with contralateral homonymous hemianopia in stroke?

<p>Posterior cerebral artery (PCA) (C)</p> Signup and view all the answers

Which of the following is a characteristic of an acute stroke?

<p>Penumbra is larger than the infarction itself (C)</p> Signup and view all the answers

What is the time window for thrombolytic therapy in acute stroke?

<p>4.5 hours (C)</p> Signup and view all the answers

What is the recommended fluid for IV hydration in acute stroke?

<p>Normal saline (D)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To identify the presence of hemorrhage (C)</p> Signup and view all the answers

What are the indications for fibrinolytic therapy in acute ischemic stroke?

<p>No well-established acute infarct on CT (B)</p> Signup and view all the answers

What are the contraindications for fibrinolytic therapy in acute ischemic stroke?

<p>Presence of hemorrhage on CT (A)</p> Signup and view all the answers

What should be monitored to prevent worsening of stroke in fibrinolytic therapy?

<p>Blood pressure (D)</p> Signup and view all the answers

Which of the following is a relative contraindication/precaution to fibrinolysis in stroke management?

<p>Recent gastrointestinal hemorrhage within 7 days (B)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>SBP &lt; 220 and DBP &lt; 120 (C)</p> Signup and view all the answers

What is the recommended blood pressure reduction target for patients with mild to moderate hypertension post-stroke?

<p>10-15% (B)</p> Signup and view all the answers

What is the recommended duration of antiocoagulation therapy for patients with atrial fibrillation (AF) in stroke prevention?

<p>2-4 weeks (C)</p> Signup and view all the answers

What is the surgical benefit for patients with carotid stenosis < 50% in secondary prevention of stroke?

<p>No surgical benefit (A)</p> Signup and view all the answers

What is the most common cause of hemorrhagic stroke?

<p>Trauma (A)</p> Signup and view all the answers

What is the characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Blood in the sulci of the brain (C)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with transient ischemic attacks (TIAs)?

<p>Aspirin (B)</p> Signup and view all the answers

What are the long-term effects of stroke?

<p>Loss of power and immobility, feeding difficulties, dressing disability, disorientation, poor communication, incontinence, DVT, bed sores, contractures, pneumonia, depression, unemployment (A)</p> Signup and view all the answers

Which of the following is NOT a risk factor for stroke?

<p>Exercise (A)</p> Signup and view all the answers

What is the most common cause of disability following stroke?

<p>Motor deficits (C)</p> Signup and view all the answers

What is the primary difference between a stroke and a Transient Ischemic Attack (TIA)?

<p>Duration of symptoms (C)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with acute ischemic stroke?

<p>Antiplatelet therapy (D)</p> Signup and view all the answers

What is the annual global incidence of stroke?

<p>15 million (C)</p> Signup and view all the answers

Which artery is commonly associated with contralateral face, arm, and leg weakness in stroke?

<p>Middle cerebral artery (B)</p> Signup and view all the answers

What is the 3rd commonest cause of death worldwide?

<p>Stroke (D)</p> Signup and view all the answers

Which of the following is a characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Blood in CT is white (B)</p> Signup and view all the answers

What is the recommended time window for thrombolytic therapy in acute stroke?

<p>4-4.5 hours (C)</p> Signup and view all the answers

Which of the following is NOT a contraindication for fibrinolytic therapy in acute ischemic stroke?

<p>Witnessed seizure (B)</p> Signup and view all the answers

What is the recommended fluid for IV hydration in acute stroke?

<p>Normal saline (B)</p> Signup and view all the answers

Which of the following is an indication for fibrinolytic therapy in acute ischemic stroke?

<p>CT scan shows acute infarct (D)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To assess degree of injury (D)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>&lt; 140/90 mmHg (D)</p> Signup and view all the answers

Which of the following is the most common cause of stroke?

<p>Atherothromboembolism (A)</p> Signup and view all the answers

Which artery is most commonly affected in ischemic stroke?

<p>Middle cerebral artery (A)</p> Signup and view all the answers

What is the characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Hyperdensity in the subarachnoid space (D)</p> Signup and view all the answers

What are the risk factors for stroke?

<p>Hypertension, smoking, diabetes mellitus (A)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with transient ischemic attacks (TIAs)?

<p>Antiplatelet therapy (A)</p> Signup and view all the answers

What is the recommended blood pressure reduction target for patients with mild to moderate hypertension post-stroke?

<p>&lt;140/90 mmHg (D)</p> Signup and view all the answers

What is the annual global incidence of stroke?

<p>3rd commonest cause of death worldwide (B)</p> Signup and view all the answers

Which of the following is a risk factor for stroke?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>SBP &lt; 220 OR DBP &lt; 120 (B)</p> Signup and view all the answers

What is the time window for thrombolytic therapy in acute stroke?

<p>Within 6 hours of symptom onset (D)</p> Signup and view all the answers

What is the most common cause of ischemic stroke?

<p>Atrial Fibrillation (D)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with transient ischemic attacks (TIAs)?

<p>Aspirin (B)</p> Signup and view all the answers

What is the characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Blood in the sulci of the brain (D)</p> Signup and view all the answers

What are the long-term effects of stroke?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a relative contraindication/precaution to fibrinolysis in stroke management?

<p>All of the above (D)</p> Signup and view all the answers

What is the most common cause of hemorrhagic stroke?

<p>Hypertension (C)</p> Signup and view all the answers

Which of the following is the most common cause of death worldwide after ischemic heart disease and cancer?

<p>Stroke (A)</p> Signup and view all the answers

What is the annual global incidence of stroke?

<p>15 million (A)</p> Signup and view all the answers

What is the difference between stroke and Transient Ischemic Attack (TIA)?

<p>Duration and absence of infarction (C)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>&lt; 180/105 mmHg (C)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To rule out subarachnoid hemorrhage (A)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with acute ischemic stroke?

<p>Aspirin (B)</p> Signup and view all the answers

What are the risk factors for stroke?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a characteristic of an acute stroke?

<p>It is irreversible and leads to dead tissue (D)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>Between 140/90 mmHg and 160/100 mmHg (A)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To determine the degree of injury (A)</p> Signup and view all the answers

What is the most common cause of hemorrhagic stroke?

<p>High blood pressure (B)</p> Signup and view all the answers

What are the contraindications for fibrinolytic therapy in acute ischemic stroke?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with transient ischemic attacks (TIAs)?

<p>Antiplatelet therapy (C)</p> Signup and view all the answers

What are the long-term effects of stroke?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a relative contraindication/precaution to fibrinolysis in stroke management?

<p>Recent AMI within 3 months (A)</p> Signup and view all the answers

What is the recommended blood pressure range for patients not eligible for fibrinolytic therapy in stroke management?

<p>SBP &lt; 220 OR DBP &lt; 120 (C)</p> Signup and view all the answers

What is the characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Blood in the sulci of the brain (A)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with transient ischemic attacks (TIAs)?

<p>Start with aspirin (B)</p> Signup and view all the answers

Which of the following is an indication for fibrinolytic therapy in acute ischemic stroke?

<p>Recent AMI within 3 months (A)</p> Signup and view all the answers

What is the most common cause of stroke?

<p>Ischemic stroke (C)</p> Signup and view all the answers

What is the recommended time window for thrombolytic therapy in acute stroke?

<p>Within 3 hours (A)</p> Signup and view all the answers

What is the recommended fluid for IV hydration in acute stroke?

<p>Normal saline (A)</p> Signup and view all the answers

Which artery is associated with contralateral homonymous hemianopia in stroke?

<p>Middle cerebral artery (D)</p> Signup and view all the answers

Which of the following is the most common cause of stroke?

<p>Ischemic stroke (B)</p> Signup and view all the answers

What is the most common artery affected in ischemic stroke?

<p>Middle cerebral artery (MCA) (D)</p> Signup and view all the answers

Which of the following is a common risk factor for stroke?

<p>All of the above (D)</p> Signup and view all the answers

What is the characteristic finding in CT scan for subarachnoid hemorrhage?

<p>Bilateral visual loss (C)</p> Signup and view all the answers

What is the most common symptom of stroke?

<p>Paralysis (C)</p> Signup and view all the answers

Which of the following is a characteristic of an acute stroke?

<p>Flows through arterial system (A)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To rule out other causes of symptoms (D)</p> Signup and view all the answers

Which of the following is the most common cause of stroke?

<p>Ischemic stroke (A)</p> Signup and view all the answers

What is the primary difference between a stroke and a Transient Ischemic Attack (TIA)?

<p>A stroke is permanent, while a TIA is temporary (C)</p> Signup and view all the answers

What is the recommended initial treatment for most patients with acute ischemic stroke?

<p>Supportive care (B)</p> Signup and view all the answers

Which artery is commonly associated with contralateral face, arm, and leg weakness in stroke?

<p>Middle cerebral artery (MCA) (C)</p> Signup and view all the answers

What is the most common cause of disability following stroke?

<p>Ischemic stroke (C)</p> Signup and view all the answers

What is the recommended time window for thrombolytic therapy in acute stroke?

<p>3 hours (B)</p> Signup and view all the answers

What is the purpose of a plain CT scan in stroke management?

<p>To rule out hemorrhagic stroke (C)</p> Signup and view all the answers

Flashcards are hidden until you start studying

Related Documents

More Like This

Stroke and Transient Ischemic Attack
40 questions
Stroke and Transient Ischemic Attack Overview
10 questions
Stroke and Transient Ischemic Attack (TIA)
30 questions
Use Quizgecko on...
Browser
Browser