Stroke Medical Management Lecture 4.2

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What is the main characteristic of Broca's aphasia?

Inability to produce fluent speech but ability to comprehend information (correct)

Difficulty following demands and recognizing deficits

Inability to produce fluent speech and comprehend information

Fluent speech but inability to comprehend information

Which area of the brain is primarily affected in Wernicke's aphasia?

Right frontal lobe

Occipital lobe

Left frontal lobe

Temporal lobe (correct)

What is the main characteristic of global aphasia?

Difficulty following demands and recognizing deficits

Slurred speech and difficulty swallowing

Inability to produce fluent speech and comprehend information (correct)

Fluent speech but inability to comprehend information

What is a common risk factor associated with dysphasia as mentioned in the text?

Aspiration pneumonia (A) Signup and view all the answers

Which type of patients may require thickened liquids if unable to take things by mouth?

Patients with hemispheric lesions (C) Signup and view all the answers

What is a common characteristic of individuals with left-hemispheric lesions?

Cautious behavior and insight to deficits (C) Signup and view all the answers

Which perceptual deficit may lead patients to feel like they are falling toward their less involved side?

Pusher syndrome (C) Signup and view all the answers

What is the main cause of cardiopulmonary dysfunction in stroke patients?

Decreased mobility and exercise (D) Signup and view all the answers

What is a common comorbid factor in stroke patients during the acute stages?

DVT and PE (C) Signup and view all the answers

What is the main reason for consulting with physical therapy (PT) and speech therapy (ST) for stroke patients?

To assist in treating cognitive and perceptual deficits (B) Signup and view all the answers

What is the purpose of tissue plasminogen activator (TPA) in the medical management of stroke?

To reestablish circulation in the brain (A) Signup and view all the answers

What is the main function of anticoagulants like warfarin in stroke management?

To prevent the growth of blood clots (A) Signup and view all the answers

How does permissive hypertension apply to the medical management of stroke according to the 2013 AHA guidelines?

The physician holds off on or decreases antihypertensive medication immediately after a stroke (C) Signup and view all the answers

What is the role of antiplatelet therapy like aspirin and plavix in stroke management?

To prevent the growth of blood clots (A) Signup and view all the answers

Which class of medications is primarily used to control high blood pressure in stroke management?

Antihypertensive agents (B) Signup and view all the answers

What is the purpose of beta blockers in stroke management?

To control high blood pressure (B) Signup and view all the answers

What causes the release of excitatory neurotransmitters like glutamate in the brain?

Contra-posterior shearing forces (B) Signup and view all the answers

What is the normal range for intracranial pressure (ICP)?

5-20 mmHg (D) Signup and view all the answers

Which condition is characterized by the individual being unaware of their surroundings and may be weaned off a ventilator?

Vegetative state (D) Signup and view all the answers

Which posturing presents with closed hands, legs extended, and feet turned inward, indicative of rostral injuries to the cerebrum?

Decorticate posturing (C) Signup and view all the answers

Which type of injury is associated with overreactive response to stimuli, elevated heart rate, respiratory rate, and blood pressure, as well as diaphoresis?

Blast overpressure injury (B) Signup and view all the answers

Which condition is characterized by mild awareness and the presence of sleep-wake cycles but no conscious understanding or awareness?

Minimally conscious state (A) Signup and view all the answers