Chapter 10

Question 1

Middle Cerebral Artery Infarct in the superior division could affect

Answer 1

speech and language

Question 2

Middle Cerebral Artery Infarct in the inferior division could affect

Answer 2

Sensory understanding of language

Question 3

Left frontal lobe is involved in

Answer 3

Motor area for language

Question 4

What are leticulostriate arteries

Answer 4

Deep penetrating arteries

Question 5

Stroke patients

Answer 5

Result of a MCA stroke - often paralyzed on one side of the body

Question 6

Anterior Cerebral artery supplies what part of the brain

Answer 6

medial part of the brain

Question 7

An infart to the anterior cerebral artery - would cause

Answer 7

sensory and motor problems to the legs and pelvis

Question 8

Warning signs of ischemia

Answer 8

Face (has their face fallen on one side?
Arm: can they raise both arms nd keep them there
Speech: is their speech slurred
Time: how fast did it happen - maybe time to call 911

Question 9

If the speech is slurred what area of the brain would have been affected?

Answer 9

Broca’s area

Question 10

Transient Ischemic Attack (TIA)

• what is it
• how long does it last for
• mechanism

Answer 10

Neurological deficit

Question 11

Stroke symptoms are

Answer 11

neurological

Question 12

Thrombin stroke

- describe

Answer 12

Stationary clot
symptoms are gradual
Symptoms more likely in morning when BP is low
Deficits are always the same distribution in repeated attacks

Question 13

Embolic stroke

-describe

Answer 13

Deficits are maximum at onset
sudden onset
usually with exercise
repeat events will be different locations

Question 14

Septic emboli comes from

Answer 14

bacterial endocarditis (rheumatic fever –> street throat)

Question 15

Cholesterol (fat) emboli comes from

Answer 15

long bone fractures

Question 16

Air emboli

- aka?

Answer 16

air getting trapped din the lugs - has to be 300 ml or more - deep sea divers
aka Bends disease

Question 17

Cardiac embolus

Answer 17

from atherosclerosis

Question 18

List the sources of emboli

Answer 18

Air
Septic embolus
cholesterol embolus
Cardiac embolus

Question 19

Hypertensive stroke is due to

Answer 19

vascular changes of hypertension and atherosclerosis

Question 20

Hypertensive stroke affects what structures in the brain?

Answer 20

Usually basal ganglia
Thalamus
Cerebellum
Pons

Question 21

Hypertensive stroke will involve what arteries?

Answer 21

Lenticulostriae arteries = small arteries

Question 22

Stroke risk factors include

Answer 22

Hypertension
Diabetes
Hypercholesterolemia
Cigarette smoking
Family history of stroke (past history of stroke)
Heart disease or anomaly

Question 23

Carotid artery stenosis is due to

Answer 23

atherosclerosis

Question 24

Carotid artery stenosis affected arteries include:

What finding could we suspect?

Answer 24

Anterior Cerebral artery
Middle cerebral artery
ophthalmic artery
- Bruit

Question 25

Carotid artery stenosis can affect the ophthalmic artery which can cause

Answer 25

one eye blindness

Question 26

Arterial Dissection is due to

Answer 26

head or neck trauma

Question 27

Arterial dissection cause tear of _______. Which can lead to what?

Answer 27

tunica intimate of carotid or vertebral arteries - blood flows into this tear and balloons out leading to an aneurysm - thrombus is now formed

Question 28

Carotid dissection often presents with ipsilateralturbulent sound with heart beat and ____ syndrome

Answer 28

horner's syndrome

Question 29

Vertebral artery dissection leads to _______ headache

Answer 29

Suboccipital - posterior neck pain