900. Stroke

Question 1

What is the definition of the TIA?

Answer 1

An brief episode of neurological dysfunction caused by focal brain or retinal is he AMIA. Clinical symptoms typically last less than 1 hour and there are no signs of infarctions

Question 2

What is the definition of a stroke?

Answer 2

Check you pictures boy

Question 3

What are the different classes of strokes

Answer 3

Ischemiac: 85%

Heamorrhagic:(15%)
PrimWry intercerabal heamorghage-70%
AV malformation/ sub arachnoid- 30%

Question 4

What causes ischemiac strokes?

Answer 4

Carotid dissection
Carotid plague with emboli
Cardiogenic emboli
Penetrating artery disease

Question 5

What is important to know about the acute signs and symptoms of stroke?

Answer 5

The signs and symptoms fit into the territories and functions of the brain

Question 6

What do you want to find out about the stroke on history?

Answer 6

Neurological defects
Where is the lesion
Way is the lesion
Why has it occurred
Potential complications

Question 7

What does wernickes area do?

What does Broca’s area do?

Answer 7

Wernickes- understands speech comprehension

Broca’s- controls speech

Question 8

What areas deals with comprehension of language?

Answer 8

Parietal lobe

Question 9

What are the frontal lobe functions?

Answer 9

Higher lobe functions

Motor
Speech
Memeory

Question 10

Parietal lobe

Answer 10

Sensation
Awareness of the body
Spatial orientation
Ability to reform learned motor tasks

Question 11

Temporal lobe?

Answer 11

Auditory

Comprehension of speech

Learning and emotion

Question 12

Why do small strokes sometimes give big deficits?

Answer 12

Fibres can be closely packed together

Question 13

Occipital?

Answer 13

Visual cortex

Visual perception

Question 14

What is the difference between dysarthria and dysphasia?

Answer 14

Dysarthria- problems with speech muscles

Dysphasia- impairment of language

Question 15

What is total anterior circulations syndrome

Answer 15

Complete hemispheresis/numbness
Loss of vision on one side
Loss of awareness on one side
Dysphasia

Question 16

What is a partial anterior circulation syndrome?

Answer 16

Branch of a main artery is affected

In between LACS and TACS
2 of 3 TACS criteria

One higher cortical defect (in attention or dysphasia)

Monoparesis

Question 17

What is a lacs?

Answer 17

Lacunae syndrome- affects one of the small arteries

Movement as sensation pathways- weakness of faces and arms and legs

May have dysarthria
Ataxic hemiparesus
No affect on higher function

Question 18

What is a POCS?

Answer 18

Posterior circulation syndrome

Affects posterior artery

Loss of balance
Vertigo
Double visual 
Vision loss
Dysarthria

Question 19

What type of stroke has the highest mortality?

What type of stroke has a high recurrence rate?

Answer 19

TACS- 60% mortality

17% higher early
9% constant

Question 20

What are the non modifiable risk factors for stroke?i

Answer 20

Previous stroke
Male
Previous age
Family history

Question 21

What are the modifiable risk factors

Answer 21

Fat
Smoking
Eating poor
Couch potato
Diabetic
Drugs (illicit or OTC)
High blood presssure
A fib

Question 22

What are the best antivuagukatn strokes for stroke?

Answer 22

Apixoban

Rivoroxaban

Question 23

What mimics strokes

Answer 23

THE 7 S’s

Seizures
Syncope
Sugar
Sepsis
Severe migraine
Space occupying lesions
Psychological