123 Questions
Approximately how many people in the UK have a stroke each year?
152,000
What is the fourth largest cause of death in the UK?
Stroke
Between 2002-2008 and 2010-2017, there was a 67% increase in the incidence of stroke in which age group?
Those under 55 years
What percentage of stroke survivors lack confidence?
73%
What percentage of stroke survivors live in fear of another stroke?
63%
What percentage of stroke survivors find it difficult to talk about their stroke and its effect on their lives?
44%
What percentage of stroke survivors feel that friends and family treat them differently?
56%
What percentage of stroke survivors are unable to care for family in the same way as before?
55%
What percentage of stroke survivors had broken up with their partner or considered doing so?
44%
What are the learning objectives of the symposium?
To describe the pathophysiology of ischaemic and haemorrhagic stroke
Which of the following is a classic presentation of a left middle cerebral artery (MCA) infarct?
Dysphasia, right sided weakness/numbness
Which of the following is a negative symptom of stroke?
Left-sided weakness/numbness
What is the acronym used to emphasize the importance of timely treatment in stroke?
TIME
What is the estimated number of neurons that die per minute in a stroke?
1.9 million
What is the clinical assessment criterion for stroke symptoms and signs?
Symptoms and signs fitting within a vascular territory
Which type of stroke involves emboli from extracranial thrombosis?
Thromboembolic ischemic stroke
What is the abbreviation for the National Institutes of Health Stroke Scale?
NIHSS
What is the physiological blood flow to the brain per 100g per minute?
50ml
What is the term used to describe a large infarct causing a compressive effect in the area of the middle brain artery?
Critical ischemia
What is the imaging technique commonly used to assess stroke?
Computed Tomography (CT)
Which specialty is NOT mentioned as a potential pathway to becoming a stroke doctor?
Rehabilitation
Where is the hyperacute stroke unit located?
Louisa Martindale Building
Which organization's website can provide more information about stroke?
Stroke Association
Which of the following is a common symptom of a stroke?
Receptive dysphasia
What is the most likely diagnosis for the 58-year-old man with difficulty speaking, photophobia, and vomiting?
Migraine
What is the key feature of Bell's Palsy?
Lower motor VII palsy
What is the most likely diagnosis for the 76-year-old man with left-sided weakness and a GCS of 13?
Hypoglycemia
What is the most likely diagnosis for the 72-year-old woman with gradual onset headache and a right homonymous hemianopia?
Tumor
What is the treatment for Bell's Palsy?
Steroids for 1 week
What is the most likely cause of the left facial droop in the 45-year-old man with recent viral illness and earache?
Bell's Palsy
What is the most likely cause of the speech disturbance and right homonymous hemianopia in the 87-year-old woman?
Stroke
What is the first-line treatment for elevated blood pressure in the 87-year-old woman?
Labetalol
What is the recommended management for the patient with left occipital tumor?
Palliative care
Which of the following tests would you like now?
Chest x-ray
What is the diagnosis based on the CT scan findings?
Left total anterior circulation stroke (TACS)
How would you manage this patient?
Aspirin and IV fluids and admit to stroke ward
Could this be a stroke?
Yes
What is the diagnosis based on the CT scan findings?
Subacute right lacunar infarct
What would you do next?
Monitor blood pressure
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
Which of the following tests would you like now?
Blood sugar
What can you see on the CT scan?
Thrombus in proximal left MCA
How would you manage this patient?
Aspirin and IV fluids and admit to stroke ward
Could this be a stroke?
Yes
What can you see on the CT scan?
Subacute right lacunar infarct
What would you do next?
Monitor blood pressure
What is the diagnosis based on the CT scan findings?
Right lacunar stroke (LACS)
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
What can you see on the CT scan?
Normal findings
What is the most appropriate management for this patient with a right lacunar stroke (LACS)?
Aspirin and IV fluids, and admit to stroke unit
Which of the following is a key feature of Bell's Palsy?
Involvement of the forehead and incomplete eye closure
What is the most likely cause of the left facial droop in the 45-year-old man with recent viral illness and earache?
Bells Palsy
What is the most likely diagnosis for the 58-year-old man with difficulty speaking, photophobia, and vomiting?
Migraine
What is the most likely diagnosis for the 76-year-old man with left-sided weakness and a GCS of 13?
Stroke
What is the most likely diagnosis for the 72-year-old woman with gradual onset headache and a right homonymous hemianopia?
Stroke
What is the most appropriate management for this patient with a left occipital tumor?
Palliative care
What is the most likely cause of the speech disturbance and right homonymous hemianopia in the 87-year-old woman?
Stroke
What is the most appropriate management for this patient with a right temporoparietal hemorrhage?
Prothrombin complex concentrate and vitamin K
What is the most likely diagnosis for the 45-year-old man with left facial weakness and incomplete eye closure?
Bells Palsy
What is the most likely diagnosis for the 58-year-old man with difficulty speaking and recent visual disturbances?
Migraine
Which of the following is a language disorder that affects speaking, auditory comprehension, reading, and writing?
Aphasia
What is the term used to describe a motor speech disorder due to impaired motor planning for speech?
Apraxia of speech
Which of the following is a voice disorder?
Dysphonia
Which of the following is a motor speech disorder due to muscle weakness or incoordination?
Dysarthria
What is the term used to describe difficulties with communication due to complex interplay of cognitive deficits?
Cognitive communication disorder
What is the primary reason for the patient's referral to the Speech and Language Therapist?
Swallow and communication assessment
What is the initial management for the patient's dysphagia?
NG tube
What is the patient's past medical history?
Hypothyroidism
What is the patient's social history?
Smoker 30-40 per day/50 years
What is the patient's age?
61
Which of the following is a recommended strategy for communicating with a patient who has difficulty understanding you?
Keep information short and simple
What is one way to help a patient who is having difficulty communicating?
Encourage them to write or draw
What is one consideration when assessing the patient's progress throughout admission?
The patient's initial presentation and how unwell they were
What is one of the goals the patient would like to achieve?
To be able to do their ironing and washing for themselves
What is one phrase the patient would like to practice for speech therapy?
Thank you
What is one consideration when setting up community support prior to discharge?
The patient's self-neglect and loner lifestyle
What is one aspect of patient-centered care mentioned in the text?
Respecting the patient's wishes and providing time for recovery
What is one potential source of community support mentioned in the text?
Early Supported Discharge Team
What is one consideration when assessing the patient's progress throughout admission?
The patient's initial presentation and how unwell they were
What is one of the goals the patient would like to achieve?
To be able to do their ironing and washing for themselves
What is one strategy for effective communication with a patient who has difficulty understanding you?
Emphasizing key words
What is one strategy for effective communication with a patient who is having difficulty communicating?
Encouraging them to write or draw
What is the purpose of the chat mat mentioned in the text?
To facilitate communication with the patient
What is one goal the patient would like to achieve?
To be able to do their ironing and washing for themselves
What is one consideration when assessing the patient's progress throughout admission?
Their initial presentation and how unwell they were
What is one potential source of community support mentioned in the text?
Say Aphasia Volunteers
What is the primary reason for the patient's referral to the Speech and Language Therapist?
Communication difficulties
What is the term used to describe difficulties with communication due to complex interplay of cognitive deficits?
Aphasia
What is the term used to describe a motor speech disorder due to impaired motor planning for speech?
Apraxia
What is one phrase the patient would like to practice for speech therapy?
Tea please
Which of the following is a key feature of dysarthria?
Motor speech disorder due to muscle weakness or incoordination
What is the term used to describe a language disorder that affects speaking, auditory comprehension, reading, and writing?
Aphasia
Which of the following is a communication disorder caused by impaired motor planning for speech?
Dysphonia
What is the term used to describe a voice disorder?
Dysphonia
Which of the following is a cognitive communication disorder?
Aphasia
What is the term used to describe a motor speech disorder due to muscle weakness or incoordination?
Dysarthria
What is the term used to describe a language disorder that affects one or more of speaking, auditory comprehension, reading, and writing?
Aphasia
What is the term used to describe difficulties with communication due to complex interplay of cognitive deficits?
Cognitive communication disorder
What is the term used to describe a voice disorder?
Dysphonia
What is the term used to describe a motor speech disorder due to impaired motor planning for speech?
Apraxia of speech
What is the recommended minimum amount of therapy (therapist-delivered) that people with motor recovery goals following stroke should receive per day?
3 hours
What is the maximum amount of time stroke patients should be supported to remain active per day?
6 hours
What are the key standards for the provision of rehabilitation services in physiotherapy and occupational therapy?
All of the above
How many stroke-specific rehabilitation beds were increased post-COVID?
25-30 beds
What is the current demand for stroke rehabilitation services compared to the capacity?
Demand is greater than capacity
What is the current complexity of patient presentations across units?
High complexity
What has never been more prevalent to support the case for increased staffing?
The importance of data
What is the primary goal of post-stroke rehabilitation at Bexhill?
To provide patients with an opportunity to regain as much pre-Stroke ability as possible
What is the term used to describe the process of providing patients with an opportunity to regain pre-stroke ability?
Restoration
What is the role of occupational therapists in stroke rehabilitation?
To provide holistic therapy
Which of the following is NOT a key component of rehabilitation?
Accessible
Which of the following is NOT a post-stroke problem that impacts on therapy?
Hearing and vision
Which of the following is NOT a type of assessment mentioned in the text?
Therapy Adjuncts
Why are groups offered in therapy?
To increase engagement
What role do medical representatives have in stroke rehabilitation?
To facilitate patients to achieve their potential
What is the role of neuroplasticity in stroke rehabilitation?
It is one of the key components of rehabilitation
What is the main focus of therapy in stroke rehabilitation?
Increasing independence/function
What is the purpose of goal setting in therapy?
To guide therapy
Why is adherence to NICE guidelines important in stroke rehabilitation?
To ensure evidence-based rehabilitation
What is the role of all professionals in stroke rehabilitation?
To facilitate patients to achieve their potential
Test your knowledge on stroke incidence and the rise of young stroke in the UK. Learn about the statistics, causes, and impact of stroke in this informative quiz.
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