Stroke Clinical Manifestations and Syndromes
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Questions and Answers

Which of the following is a common symptom of a stroke?

  • Unilateral numbness (correct)
  • Chronic fatigue
  • Poor memory retention
  • Increased appetite
  • Females are less likely than males to report nontraditional manifestations of a stroke.

    False

    What is the result of a stroke involving the Internal Carotid Artery?

    Contralateral paralysis of the arm, leg, and face

    One potential symptom of a stroke could be sudden ________ along with weakness.

    <p>nausea</p> Signup and view all the answers

    Match the type of cerebral artery with its associated deficits:

    <p>Internal Carotid Artery = Contralateral paralysis of the arm, leg, and face Middle Cerebral Artery = Contralateral hemiplegia of the arm and face Anterior Cerebral Artery = Contralateral weakness of the foot and leg Vertebral Artery = Numbness and weakness of the face on the involved side</p> Signup and view all the answers

    Which symptom is associated with the Anterior Cerebral Artery?

    <p>Loss of ability to make decisions</p> Signup and view all the answers

    Dysphagia is a possible complication of a stroke affecting the Vertebral Artery.

    <p>True</p> Signup and view all the answers

    Name one nontraditional manifestation of a stroke reported more frequently by females.

    <p>Face pain or limb pain</p> Signup and view all the answers

    Which of the following is NOT listed as a sensory deficit?

    <p>Cognition</p> Signup and view all the answers

    Pain that is not relieved by analgesics may indicate damage to the thalamus.

    <p>True</p> Signup and view all the answers

    What therapy should be provided when a patient's condition stabilizes?

    <p>Cognitive-behavioral therapy</p> Signup and view all the answers

    Symptoms such as ___________ can occur due to an altered proprioception.

    <p>balance issues</p> Signup and view all the answers

    Match the following cognitive and emotional changes to their descriptions:

    <p>Emotional lability = Rapid mood changes Poor judgment = Inability to assess situations accurately Memory loss = Difficulty in recalling information Decreased stress tolerance = Increased sensitivity to stressors</p> Signup and view all the answers

    Which of the following is NOT a complication related to respiratory issues after a stroke?

    <p>Dysphagia</p> Signup and view all the answers

    Hemianopia refers to the inability to recognize familiar objects.

    <p>False</p> Signup and view all the answers

    What is the term for the inability to carry out motor patterns despite having adequate strength and coordination?

    <p>Apraxia</p> Signup and view all the answers

    The loss of social inhibitions and emotional lability after a stroke are examples of __________ changes.

    <p>behavioral</p> Signup and view all the answers

    Match the sensory–perceptual deficit with its description:

    <p>Agnosia = Inability to recognize familiar subjects Apraxia = Inability to carry out motor tasks Neglect syndrome = Failure to respond to stimuli on one side Hemianopia = Loss of half of the visual field</p> Signup and view all the answers

    Which of the following is a cognitive change that can occur after a stroke?

    <p>Poor judgment</p> Signup and view all the answers

    Sensory loss, such as the inability to feel pain or temperature, can occur after a stroke.

    <p>True</p> Signup and view all the answers

    What is the term used for a common sensory–perceptual deficit where the patient ignores one side of their body?

    <p>Neglect syndrome</p> Signup and view all the answers

    Increased intracranial pressure can lead to changes in __________.

    <p>consciousness</p> Signup and view all the answers

    Match the communication disorder with its description:

    <p>Expressive aphasia = Difficulty in producing speech Receptive aphasia = Difficulty understanding language Global aphasia = Loss of both receptive and expressive language abilities Agraphia = Inability to write</p> Signup and view all the answers

    Which complication is associated with the gastrointestinal system after a stroke?

    <p>Constipation</p> Signup and view all the answers

    Patients with stroke may experience hypersensitivity to touch.

    <p>True</p> Signup and view all the answers

    What is the potential effect of neglect syndrome on patients?

    <p>They ignore stimuli on the affected side of the body.</p> Signup and view all the answers

    Complications resulting from stroke may involve multiple __________ systems.

    <p>body</p> Signup and view all the answers

    What percentage of right-handed individuals have the left hemisphere dominant for language?

    <p>88%</p> Signup and view all the answers

    Dysarthria refers to the inability to use or understand language.

    <p>False</p> Signup and view all the answers

    Name one type of aphasia and describe it briefly.

    <p>Expressive aphasia, which is when a patient understands what is being said but can only respond in short phrases.</p> Signup and view all the answers

    Hemiplegia is paralysis of __________ side of the body.

    <p>one-half</p> Signup and view all the answers

    What is the term for increased muscle tone following a stroke?

    <p>Spasticity</p> Signup and view all the answers

    After a stroke, mobility is typically enhanced due to motor abilities.

    <p>False</p> Signup and view all the answers

    What are two potential complications of immobility following a stroke?

    <p>Pressure injuries and thrombus formation.</p> Signup and view all the answers

    _____________ is a therapy aimed at restoring lost function after a stroke.

    <p>Rehabilitation</p> Signup and view all the answers

    Which type of paralysis involves complete paralysis of the lower part of the body?

    <p>Paraplegia</p> Signup and view all the answers

    Aphasia can be classified as global, meaning the patient has no understanding or ability to express language.

    <p>True</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Aphasia = Inability to use or understand language Dysarthria = Disturbance in muscular control of speech Hemiparesis = Weakness of one side of the body Flaccidity = Absence of muscle tone</p> Signup and view all the answers

    What medical interventions are initially aimed at reducing brain injury after a stroke?

    <p>Medications such as anticoagulants, thrombolytics, and corticosteroids.</p> Signup and view all the answers

    The motor areas of the cerebral cortex and basal ganglia initiate ________ movement.

    <p>voluntary</p> Signup and view all the answers

    What alteration in communication may occur due to cellular damage on the dominant side of the brain?

    <p>Aphasia</p> Signup and view all the answers

    Study Notes

    Stroke Clinical Manifestations

    • Stroke symptoms often present suddenly, are localized, and affect one side of the body.
    • Common symptoms include weakness in the face, arm, and sometimes the leg.
    • Females are more likely to experience non-traditional stroke symptoms like face and limb pain, sudden nausea, shortness of breath, hiccups, palpitations, and generalized weakness.

    Stroke Syndromes

    • Internal Carotid Artery: Weakness or paralysis and sensory deficits on the opposite side of the body, aphasia (if dominant hemisphere affected), and visual field deficits.
    • Middle Cerebral Artery: Drowsiness or coma, hemiplegia on the opposite side of the body, sensory deficits on the opposite side, aphasia (dominant hemisphere), and visual field deficits.
    • Anterior Cerebral Artery: Weakness or paralysis of the foot and leg, sensory loss in the leg and foot, problems making decisions or acting on their own, and urinary incontinence.
    • Vertebral Artery: Pain in the face, nose, or eye, facial numbness and weakness, gait problems, and difficulty swallowing.

    Stroke Complications

    • Sensory-Perceptual: Visual field deficits (hemianopia), inability to recognize familiar objects (agnosia), inability to perform motor tasks (apraxia), and neglect of one side of the body.
    • Cognitive and Behavioral: Changes in consciousness (confusion, coma), emotional lability, loss of self-control, decreased stress tolerance, memory loss, decreased attention span, poor judgment, and inability to think abstractly.
    • Communication: Aphasia (expressive, receptive, global), dysarthria.
    • Motor: Weakness, paralysis, spasticity, and flaccidity.
    • Elimination: Bladder and bowel incontinence.
    • Respiratory: Respiratory center damage, airway obstruction, and impaired coughing.
    • Gastrointestinal: Difficulty swallowing, constipation, and stool impaction.
    • Genitourinary: Incontinence, urinary frequency, urgency, and retention, and kidney stones.
    • Musculoskeletal: Hemiplegia, contractures, bone stiffness, muscle atrophy, and dysarthria.

    Stroke Therapies

    • Initial Therapy: Medications (anticoagulants, thrombolytics, corticosteroids), blood pressure control, maintaining fluid, oxygen, and nutritional status.
    • Rehabilitation Therapy: Physical therapy, occupational therapy, and home health assessment.

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    Description

    Explore the sudden and localized symptoms of stroke, which often affect one side of the body, along with a detailed look at various stroke syndromes. Understand how different arteries like the internal carotid and middle cerebral arteries contribute to distinct clinical presentations. This quiz will deepen your understanding of stroke manifestations and enhance your clinical knowledge.

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