SGD 01: Stroke Flashcards
Which of the following characterizes a UMN lesion?
A. weakness is more obvious distally
B. positive babinski’s sign
C. wasting is prominent
B. positive babinski’s sign
Which of the following may lead you to believe that the thalamus is involved?
A. Patient had intact higher cerebral functions based on neuro PE
B. Sensory deficits in one side
C. motor deficit
D. uncontrolled movements
B
What test would you order to differentiate hemorrhagic vs Ischemic stroke
CT scan
Which is a differential diagnosis for stroke? A. Trauma B. Tumor C. Infection D. Immunologic E. AOTA
E
Unilateral muscle weakness occured suddenly. Which is the most likeley etiology? A. Cardioembolic stroke B. Thrombotic stroke C. Neoplasm D. Infection
B
Pathological process that weakens walls of blood vessels resulting to Charcot-Bouchard microaneuryms
lipohyalinosis
Most common site of hemorrhagic stroke
putamen (40-50%)
What is the appearance of hemorrhage in Plain non-contrast cranial CT scan?
hyperdense
What is the appearance of infarct in Plain non-contrast cranial CT scan?
hypodense
What is the appearance of hemorrhage in MRI with DWI (Diffusion Waited Imaging)?
hypointense in T1; hyper on T2
What is the appearance of infarct in MRI with DWI (Diffusion Waited Imaging)?
hyperintense (bright) in T1; hypo on T2
fastest test to differentiate ischemia
MRI with DWI
Which are the approaches to therapy of stroke patient?
A. Reduce Physical Trauma/Mass Effect
B. Neuroprotection
C. Organized care in acute stroke unit (facilities are there and personnel are knowledgeable)
D. A&B
E. A&C
F. AOTA
F
What is the point score of a patient aged 85 y/o, hematoma volume of <30cc, IVH present, supratentorial, GCS 10
3
