ASSESSMENT OF STROKE

Question 1

-Contralateral lower limb sensory
- Bladder dysnfunction
-Babinski’s sign

Answer 1

Anterior Cerebral Artery

Question 2

-Most common
-Contralateral upper limb sensory & motor deficits (although if posterior limb internal capsule affected, lower limb may also be involved)
-Speech dysfunction

Answer 2

MCA

Question 3

-Contralateral homonymous hemianopsia with macular sparing

Answer 3

PCA

Question 4

Cranial Computed Tomography Scan (Non-Contrast)

Answer 4

-Should be performed within 25 minutes or less from the time the patient presents to the emergency department (ED)
-To determine if the event is ischemic or hemorrhagic as the type of stroke determines treatment

Question 5

Prevention Strategy: Risk Reduction

Answer 5

-Lifestyle modification
- Control of blood pressure
-Religious compliance of prescribed anti-hypertensives
-Weight Control
-Diet: -Dietary Approaches to Stop HTN (DASH) Diet
-High in fruits and vegetables
-Low fat diary
- Lean Protein
-Mediterranean Diet
-Plenty of fruits and vegetables, bread and whole grains
- Olive oil as primary source of fat
-Dairy products, eggs, fish and poultry in low to moderate amounts 7

Question 6

Prevention Strategy: Early Detection and Prompt Treatment

Answer 6

Cincinnati Prehospital Stroke Scale

Facial Droop Normal Sign: Facial movements are equal and bilateral

Facial Droop Abnormal Sign: Unilateral, unequal movement of face

Arm Drift Normal Sign: able to raise arms simultaneously or able to hold out both arms

Arm