External resources MCQ 2 Flashcards

1
Q

What is a type of hemorrhagic event outside of the brain that is still considered a stroke?
Subdural hematoma
Subarachnoid hemorrhage
Ischemic stroke
Blood vessel blocked by a clot
Epidural hematoma

A

Subarachnoid hemorrhage

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2
Q

What is the most common type of stroke?
Subarachnoid hemorrhage
Epidural hematoma
Ischemic stroke
Intraparenchymal bleed
Subdural hematoma

A

Ischemic stroke

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3
Q

What is the cause of a small vessel stroke that affects the thalamus?
Amyloid angiopathy
Hemorrhagic transformation
Lacunar infarct
Watershed stroke
Thromboembolic stroke

A

Lacunar infarct

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4
Q

What is the most common cause of a hemorrhagic stroke?
Amyloid angiopathy
Hyperlipidemia
Hypertension
Metastatic brain lesions
Diabetes

A

Hypertension

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5
Q

What is the overall most common type of stroke?
Hemorrhagic stroke due to a ruptured aneurysm
Subarachnoid hemorrhage
Lacunar stroke
Ischemic stroke
Embolic stroke

A
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6
Q

What is the overall most common type of stroke?
Hemorrhagic stroke due to a ruptured aneurysm
Subarachnoid hemorrhage
Lacunar stroke
Ischemic stroke
Embolic stroke

A

Ischemic stroke

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7
Q

What is the normal rate of cerebral blood flow?
Normal CBF is > 75 ml per 100 g brain tissue per minute.
Normal CBF is > 50 ml per 100 g brain tissue per minute.
Normal CBF is > 100 ml per 100 g brain tissue per minute.
Normal CBF is > 30 ml per 100 g brain tissue per minute.
Normal CBF is > 10 ml per 100 g brain tissue per minute.

A

Normal CBF is > 50 ml per 100 g brain tissue per minute.

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8
Q

What is described by the term “penumbral tissue?”
An area of normally perfused brain tissue
An area of the brain that has previously been affected by a stroke
An area of brain tissue that has not been affected by a recent stroke
An area of ischemic tissue surrounding the tissue affected by a stroke that is still potentially salvageable
An area of non-functioning brain tissue that has suffered infarction due to a stroke

A

An area of ischemic tissue surrounding the tissue affected by a stroke that is still potentially salvageable

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9
Q

What is a very serious complication due to brain edema and mass effect after a stroke?
Thalamic infarction
Brain herniation
Venous sinus thrombosis
Sodium/potassium channel dysfunction
Penumbral tissue transformation

A

Brain herniation

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10
Q

After acute occlusion of a cerebral blood vessel, what is the next step in the cascade of events?
Sodium/potassium channels in the cells become dysfunctional
Blood vessels become dysfunctional causing vasogenic edema and apoptosis
Water influx into brain cells causes edema
Brain swelling is seen on CT or MRI imaging
Infarction and necrosis of brain tissue result

A

Sodium/potassium channels in the cells become dysfunctional

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11
Q

What is the biggest risk factor for stroke?
Smoking
Heavy alcohol use
Obesity
Hypertension
Hyperlipidemia

A

Hypertension

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12
Q

Where do the posterior cerebral arteries originate?
The posterior cerebral arteries are branches of the middle cerebral arteries.
The posterior cerebral arteries are branches of the vertebral arteries.
The posterior cerebral arteries are branches of the carotid arteries.
The posterior cerebral arteries are branches of the basilar artery.
The posterior cerebral arteries are branches of the cerebellar arteries.

A

The posterior cerebral arteries are branches of the basilar artery.

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13
Q

What artery supplies the temporal and parietal lobes of the brain?
Vertebral arteries
Anterior cerebral artery
Basilar artery
Middle cerebral artery
Posterior cerebral artery

A

Middle cerebral artery

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14
Q

Where do the posterior inferior cerebellar arteries (PICA) originate?
Posterior cerebral arteries
Circle of Willis
Anterior inferior cerebellar arteries
Vertebral arteries
Basilar artery

A

Vertebral arteries

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15
Q

What part of the brain is supplied by the anterior circulation?
Occipital lobe
Thalamus
Cerebellum
Brainstem
Basal ganglia

A

Basal ganglia

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16
Q

What would be a clinical manifestation of a stroke in the substantial nigra area of the brain?
Hemiplegia of the ipsilateral side
Movement disorder
Ataxia
Hemiplegia of the contralateral side
Hemibody sensory loss

A

Movement disorder

17
Q

A brainstem stroke ABOVE the pons will result in motor loss to what parts of the body?
Arm and leg on one side of the body with the face spared
Face on one side of the body, and arm/leg on the opposite side of the body
Face, arm, and leg all on the same side of the body
Face and arm on one side of the body with the leg spared
Quadriparesis or motor loss in all 4 limbs with the face spared

A

Face, arm, and leg all on the same side of the body

17
Q

A brainstem stroke ABOVE the pons will result in motor loss to what parts of the body?
Arm and leg on one side of the body with the face spared
Face on one side of the body, and arm/leg on the opposite side of the body
Face, arm, and leg all on the same side of the body
Face and arm on one side of the body with the leg spared
Quadriparesis or motor loss in all 4 limbs with the face spared

A

Face, arm, and leg all on the same side of the body

18
Q

Cranial nerve symptoms of oropharyngeal weakness, eye movement abnormalities, and vertigo are due to a stroke in what area of the brain?
Thalamus
Brainstem
Midbrain
Left cerebral cortex
Right cerebral cortex

A

Brainstem

19
Q

What is the biggest risk factor for a lacunar or small vessel stroke?
Smoking
Long-standing hypertension
Obesity
Uncontrolled diabetes
Hyperlipidemia

A

Long-standing hypertension

20
Q

What set of nerve fibers are responsible for movement in the limbs and trunk?
Spinocerebellar tract
Fifth cranial nerve (CN V)
Corticobulbar tract
Medial lemniscus
Corticospinal tract

A

Corticospinal tract

21
Q

What set of nerve fibers are responsible for loss of touch and proprioception on the OPPOSITE side of the lesion (contralateral) in a pontine stroke?
Corticobulbar tract
Corticospinal tract
Medial lemniscus
Fifth cranial nerve (CN V)
Spinocerebellar tract

A

Medial lemniscus