Stroke Diagnosis and Management Quiz
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Questions and Answers

What is the recommended systolic blood pressure for patients with an initial presentation of hypertension due to intracerebral bleeds?

  • 140 mmHg (correct)
  • 120 mmHg
  • 130 mmHg
  • 150 mmHg
  • What is the recommended glucose control range for post-stroke patients?

  • 3 to 10 millimoles per liter
  • 4 to 11 millimoles per liter (correct)
  • 6 to 15 millimoles per liter
  • 5 to 12 millimoles per liter
  • What percentage of stroke survivors leave the hospital with a disability?

  • 50%
  • 80%
  • 75%
  • 65% (correct)
  • What percentage reduction in stroke risk can be achieved by lowering blood pressure by 10 systolic or 5 diastolic?

    <p>40%</p> Signup and view all the answers

    What is a highly effective medication for secondary prevention following a stroke or TIA?

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

    What risk factor accounts for up to 50% of the stroke risk?

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

    What is the recommended approach for patients with a hemorrhagic stroke?

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

    What is the recommended total cholesterol level for patients with a hemorrhagic stroke?

    <p>135 milligrams per deciliter</p> Signup and view all the answers

    What is the recommended oxygen saturation level for considering supplemental oxygen in post-stroke patients?

    <p>95%</p> Signup and view all the answers

    What is the primary focus in stroke management following the acute phase?

    <p>Preventing further strokes</p> Signup and view all the answers

    What is the recommended range for blood pressure reduction to lower the stroke risk?

    <p>10 systolic or 5 diastolic</p> Signup and view all the answers

    What is the recommended approach for hydration and nutrition in stroke patients who failed the swallowing function test?

    <p>Enteral feeding tube placement</p> Signup and view all the answers

    What does the FAST acronym stand for in stroke diagnosis?

    <p>Facial drooping, arm weakness, speech disturbances, time</p> Signup and view all the answers

    What is the purpose of the ROSIER score in stroke diagnosis?

    <p>Recognizing stroke in the emergency room</p> Signup and view all the answers

    What imaging technique is more sensitive for chronic hemorrhages and areas of ischemia in the head?

    <p>MRI with diffusion-weighted imaging</p> Signup and view all the answers

    What is the recommended oral dose of aspirin for patients with acute ischemic stroke?

    <p>150 to 300 milligrams</p> Signup and view all the answers

    What is the recommended INR range for starting anticoagulation in cases of venous sinus thrombosis?

    <p>2 to 3</p> Signup and view all the answers

    What is the purpose of mechanical thrombectomy in stroke management?

    <p>To remove a large artery occlusion</p> Signup and view all the answers

    What is a contraindication for thrombolysis in stroke treatment?

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

    When should statins be started in individuals following an acute stroke?

    <p>Not routinely started</p> Signup and view all the answers

    What is the aim in the early stages of ischemic stroke?

    <p>To restore cerebral blood flow as fast as possible</p> Signup and view all the answers

    What is the purpose of a CT scan of the head without contrast in suspected stroke patients?

    <p>To rule out bleeding</p> Signup and view all the answers

    What are the components of the NIHSS score used in the physical exam of suspected stroke patients?

    <p>Levels of consciousness, motor function, sensory function, language, attention</p> Signup and view all the answers

    What is the purpose of the doppler ultrasound of the carotids in stroke diagnosis?

    <p>To assess blood flow in the carotid arteries</p> Signup and view all the answers

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