N-EVAL Flashcards

1
Q

What is a stroke?

A

A stroke occurs when blood flow to a part of the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients.

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2
Q

What are the two main types of strokes?

A

Ischemic stroke and hemorrhagic stroke.

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3
Q

True or False: Ischemic stroke is more common than hemorrhagic stroke.

A

True

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4
Q

What is the most common cause of ischemic stroke?

A

A blood clot that blocks a blood vessel in the brain.

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5
Q

What is the most common cause of hemorrhagic stroke?

A

Weakened blood vessels that rupture and bleed into the brain.

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6
Q

What are some risk factors for stroke?

A

High blood pressure, smoking, diabetes, high cholesterol, and obesity.

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7
Q

What are some common symptoms of stroke?

A

Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body; sudden confusion, trouble speaking, or difficulty understanding speech; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance, or lack of coordination; sudden severe headache with no known cause.

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8
Q

What is the acronym used to remember common stroke symptoms?

A

FAST - Face drooping, Arm weakness, Speech difficulty, Time to call 911.

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9
Q

What is the immediate treatment for ischemic stroke?

A

Administration of clot-busting drugs or a procedure to remove the clot.

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10
Q

What is the immediate treatment for hemorrhagic stroke?

A

Surgery to repair the blood vessel or stop the bleeding.

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11
Q

True or False: Strokes can occur at any age, including in infants.

A

True

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12
Q

True or False: Strokes are always fatal.

A

False

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13
Q

True or False: High blood pressure is a major risk factor for stroke.

A

True

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14
Q

True or False: Stroke is a medical emergency that requires immediate treatment.

A

True

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15
Q

What are the 3 categories/levels of stroke syndrome?

A

Cortical
Subcortical
Brainstem

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16
Q

Pathophysiology:
When there is a cessation of cerebral blood flow what will emerge?

A

Ischemia triggers ISCHEMIC CASCADE

17
Q

Ischemic cascade is the release of ?

A

Neurotransmitter - Glutamate and Aspartate

18
Q

T or F
When glutamate and aspartate releases, there will be a progressive disturbance of energy metabolism & anoxic depolarization = inability of braincells to produce ATP

A

true, this will cause the influx of Ca+ ion

19
Q

What structures are involved in ACA syndrome?

A

(Medial aspect of cortex)

Frontal
- Primary motor area
- Internal Capsule

Parietal
- Primary somatosensory area

Posteromedial aspect of superior frontal gyrus
- Paracentral lobule

4/5 Corpus Callosum

20
Q

What is the difference between hemiplegia and hemiparesis?

A

Hemiplegia - complete paralysis on one side
Hemiparesis - weakness of the one side of the body

21
Q

Strongly associated with hypertensive hemorrhage and diabetic microvascular disease.

A

Lacunar Stroke