Stroke

Question 1

Ischaemic Stoke

Answer 1

TBC

Question 2

Small vessel stroke

Answer 2

TBC

Question 3

Left parieto-occipital infarct

Answer 3

TBC

Question 4

Parietal lobe infarct

Answer 4

TBC

Question 5

Lacunar Syndromes

Answer 5

TBC

Question 6

Amyloid angiopathy

Answer 6

TBC

Question 7

Lacunar infarcts

Answer 7

TBC

Question 8

Thalamic infarcts

Answer 8

TBC

Question 9

How do MCA strokes typically present?

Answer 9

MCA strokes typically present with the symptoms individuals associate most commonly with strokes, such as unilateral weakness and/or numbness, facial droop, and speech deficits ranging from mild dysarthria and mild aphasia to global aphasia.

Question 10

What is a subdural hematoma?

Answer 10

A buildup of blood on the surface of the brain.

Question 11

What is a spinal stroke?

Answer 11

A disruption of blood supply to the spinal cord.

Question 12

What is a subarachnoid haemorrhage?

Answer 12

Bleeding in the space between your brain and the surrounding membrane (subarachnoid space).

Question 13

Describe the presentation of subarachnoid haemorrhage.

Answer 13

The primary symptom is a sudden, severe headache. There may also be nausea, vomiting and a brief loss of consciousness

Question 14

How will a basal ganglia infarct present?

Answer 14

A basal ganglia stroke affects the part of the brain that controls movement, perception, and judgement.

Question 15

Roughly what part of the spine does a C6 fracture effect?

Answer 15

A C6 spinal cord injury affects the cord near the base of the neck

Question 16

What is a cerebral infarction also called?

Answer 16

An ischaemic stroke

Question 17

What are 4 points of routine monitoring you always check in stroke patients?

Answer 17

1. Lipid Studies
2. HbA1c
3. Swallowing status
4. Bowel Use

Question 18

How may a parietal stroke present?

Answer 18

Impairment of speech, thought, coordination, and movement

Question 19

What is a cerebrovascular accident?

Answer 19

The medical term for stroke.

Question 20

What is crescendo TIA?

Answer 20

Crescendo TIA is a term commonly used to describe multiple recurrent episodes of TIA over hours to days.

Question 21

Describe the prevalence of MCA accident

Answer 21

The MCA is by far the largest cerebral artery and is the vessel most commonly affected by cerebrovascular accident

Question 22

How long is VTE prophylaxis routinely held for post haemorrhagic stroke?

Answer 22

48 hours

Question 23

How long after haemorrhagic stroke can anticoagulation be charted?

Answer 23

TBA

Question 24

How long after haemorrhagic stroke can antiplatelets be charted?

Answer 24

TBA

Question 25

Describe the acute management of blood pressure following an ischaemic stroke

Answer 25

Patients with acute ischaemic stroke with blood pressure > 220/120 mmHg should have their blood pressure reduced by no more than 20% over the first 24 hours.

Question 26

What is a lacunar stroke?

Answer 26

A stroke that occurs when one of the arteries that provide blood to the brain’s deep structures is blocked

Question 27

If a patient on HRT has a stroke, what should be done?

Answer 27

You should cease HRT.

Question 28

Describe the role of antiplatelet therapy in embolic stroke.

Answer 28

Antiplatelets are not used in the management of embolic stroke unless they are needed for another indication (such as stenting).

Question 29

What should you always do if you see a patient on an antiplatelet post embolic stroke?

Answer 29

You should always query the indication.