Geri

Question 1

What is a TIA?

Answer 1

Focal neurological deficit due to a blockage of blood supply to part of the brain lasting less than 24 hours

Question 2

What is the risk assesment tool used for TIA and what does it measure?

Answer 2

ABCD2 score designed to improve the prediction of a short term risk of stroke
ABCD (age, blood pressure, clinical features, diabetes)
A score greater than 4 means there is a higher risk

Question 3

What are the causes of a TIA?

Answer 3

Atherothromboembolism
Hyperviscosity
Cardioembolism
Vasculitis

Question 4

What is a stroke defined as?

Answer 4

Sudden onset Focal neurological deficit which lasts more than 24 hours

Question 5

What are the assesment tools used for the rapid assesment of a patient presenting with a suspected stroke?

Answer 5

FAST (face, arm, speech, time): used to raise public awareness of stroke
Rosier used by medical staff to distinguish between stroke and stroke mink.

Question 6

What is NI stroke scale?

Answer 6

It is used to document and evaluate neurological status in acute stroke patients

Question 7

What does the NIHSS involve?

Answer 7

15 items- consciousness levels, language, neglect, visual field loss, extra ocular eye movements, ataxia, motor strength, dysarthria, sensory loss

Question 8

How long should aspirin 300mg be continued for after onset of stroke symptoms?

Answer 8

2 weeks

Question 9

How long should someone not drive for after a stroke?

Answer 9

A month, they can deuce after this as long as there is no neurological sequale
If recurrent TIAs you cannot drive for 3 ninths

Question 10

With someone with a stroke or TIA who have carotid stenosis what should they be referred for?

Answer 10

Carotid endarterectomy

Question 11

What is the priority of end of life care?

Answer 11

Dignity and comfort

Question 12

How can end of life care be recognised?

Answer 12

Semi comatose
Bed bound
Only able to take sips of fluid
Unable to take medicine orally

Question 13

What are the symptoms people face at their end of life?

Answer 13

Pain 
Nausea and vomiting
Dyspnoea 
Agitation 
Confusion 
Constipation

Question 14

What does the death certification process involve?

Answer 14

Checking that pupils are fixed and dilated
No response to pain
No breath and heart sounds heard on one minute of auscultation

Question 15

What are the stages of a death certificate?

Answer 15

1a- cause of death
1b- condition leading to this cause of death
1c- additional condition leading to 1b
2- contributing factors or conditions

Question 16

Who is cremation paperwork completed by?

Answer 16

2 independent doctors

1) who cared for the patient
2) independent doctor 2 years post registration