Stroke Medical Management Lecture 4.2

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22 Questions

What is the main characteristic of Broca's aphasia?

Inability to produce fluent speech but ability to comprehend information

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

Temporal lobe

What is the main characteristic of global aphasia?

Inability to produce fluent speech and comprehend information

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

Aspiration pneumonia

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

Patients with hemispheric lesions

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

Cautious behavior and insight to deficits

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

Pusher syndrome

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

Decreased mobility and exercise

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

DVT and PE

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

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

To reestablish circulation in the brain

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

To prevent the growth of blood clots

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

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

To prevent the growth of blood clots

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

Antihypertensive agents

What is the purpose of beta blockers in stroke management?

To control high blood pressure

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

Contra-posterior shearing forces

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

5-20 mmHg

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

Vegetative state

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

Decorticate posturing

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

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

Minimally conscious state

Learn about the modifiable risk factors, FAST warning signs, associated conditions, hemispheric involvement, and comorbid conditions related to stroke. Explore general approaches to increase cerebral perfusion and the use of tissue plasminogen activator. Understand the management of blood pressure and antihypertensive pharmacological agents.

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