CVA

Question 1

what is the most common type of ischemic stroke?

Answer 1

emobolic

Question 2

what origin is the most common for ischemic strokes?

Answer 2

cardiac

Question 3

2 causes of embolic stroke

Answer 3

congenital abnormality such as a patent foramen ovale, DVT

Question 4

common precursor to thrombotic stroke

Answer 4

HTN

Question 5

3 causes of thrombotic stroke

Answer 5

arteritis, atherosclerosis, hypercholesteremia/hematologic disorders

Question 6

thrombosis to what arteries causes severe strokes?

Answer 6

vertebral and carotids

Question 7

what is a lacunar stroke associated with?

Answer 7

chronic HTN, diabetic microvascular disease

Question 8

size of lacunar infarct

Answer 8

2-3mm

Question 9

75% of hemorrhagic strokes caused by a bleeding blood vessel occurs in people who have _______.

Answer 9

hypertension

Question 10

common causes of hemorrhagic stroke

Answer 10

hypertensive bleed, intracranial hemorrhage, in presence of AVM or tumor, ruptured aneurysm

Question 11

what is the most common type of hemorrhagic stroke?

Answer 11

Anterior communicating artery aneurysm

Question 12

why is a TIA not considered a real stroke?

Answer 12

because there is no infarction to the cerebral tissue

Question 13

when are hemorrhagic conversions more common?

Answer 13

large infarcts such as MCA

Question 14

clinical signs seen with a brain stem stroke

Answer 14

changes in breathing, movement, sensation, eye movement, HR, blood pressure

Question 15

thalamic pain syndrome symptoms:

Answer 15

involuntary movements
contralateral hemiplegia
paresis of vertical eye movement

Question 16

common stroke symptoms for ACA infarct (2)

Answer 16

urinary incontinence

akinetic mutism

Question 17

common stroke symptoms for MCA infarct (3)

Answer 17

homonymous hemianopsia
conjugate gaze impairment
ataxia of contralateral limb

Question 18

common stroke symptoms for PCA infarct (3)

Answer 18

cranial nerve 3 palsy: ptsosis& impaired pupillary light response
dyslexia but able to write, difficulty with color discrimination
homonoymous hemianopsia

Question 19

infarction to what artery causes medial medullary syndrome/dejerine syndrome

Answer 19

medullary branch of vertebral artery

Question 20

symptoms of a medial medullary syndrome

Answer 20

paralysis w/ atrophy of 1/2 of tongue with deviation to paralyzed side
contralateral hemiplegia, impaired tactile and proprioceptive sense contralaterally

Question 21

occlusion of _____ causes wallenburg syndrome.

Answer 21

PICA/vertebral artery

Question 22

occlusion of ______ causes lateral inferior pontine syndrome.

Answer 22

anterior inferior cerebellar artery

Question 23

occlusion of ______ causes lateral inferior pontine syndrome.

Answer 23

anterior inferior cerebellar artery

Question 24

acute stroke are on bed rest for how many hours?

Answer 24

24-48 hours

Question 25

recommended MAP for ischemic stroke

Answer 25

130-140

Question 26

recommended MAP for hemorrhagic stroke

Answer 26

<110

Question 27

define hemorrhagic stroke.

Answer 27

cellular destruction 2 to reduced blood flow.

mechanical pressure caused by edema and pressure of blood collection

Question 28

hemorrhagic stroke does not follow a ____

Answer 28

artery distribution

Question 29

TIA follows ________

Answer 29

artery distribution

Question 30

where are hemorrhagic conversions more common?

Answer 30

in MCA

Question 31

TPA can be used within how many hours of onset

Answer 31

3 hours

Question 32

BP must be < for using TPA

Answer 32

185/110