CVA

Question 1

what % of stroke are ischemic?

Answer 1

80%

Question 2

major cause of death in first 5 years after CVA

Answer 2

cardiac disease

Question 3

etiology of ischemic stroke

Answer 3

Carotid atherosclerotic disease with artery-to-artery thromboembolism

Question 4

how does aspirin prevent stroke?

Answer 4

aspirin inhibits thromboxin A, which prevents platelet aggregation

Question 5

hemiparesis affecting the leg > arm

Answer 5

anterior cerebral artery CVA-frontal and parietal

Question 6

hemiparesis affecting arm and face > leg

Answer 6

middle cerebral artery- frontal, temporal, and parietal

Question 7

homonymous hemaniopsia results from

Answer 7

posterior cerebral blockage-occipital

Question 8

monocular loss of vision, first sign of a TIA is known as

Answer 8

Carotid-Amaurosis Fugax

Question 9

stroke symptoms of the face and body and part of brain affected

Answer 9

Right sided stroke will show right sided symptoms on the face (ipsilateral) and contralateral on the body

Question 10

FAST

Answer 10

Face
Arm
Speech
Time

Question 11

tests when you suspect a CVA

Answer 11

• carotid US
• EKG
• transthoracic US, if normal possibly f/u w/TEE to rule out endocarditis

Question 12

standard and best imaging for a CVA

Answer 12

• acute care CT

- best option would be an MRI after a day

Question 13

In medically fit patients with nondisabling stroke, carotid endarterectomy is indicated for stenosis of

Answer 13

> 70% on side ipsilateral to stroke

Question 14

medical therapy is indicated for pts w/stenosis

Answer 14

50%

Question 15

when to use TPA?

Answer 15

within 3 hours of ischemic stroke