STROKE

Question 1

stroke vs TIA

Answer 1

stroke sx last more than 24 hours, TIA can lead to stroke within 6 months

Question 2

2 main types of stroke

Answer 2

ischemic

hemmoragic

Question 3

most common vessel with stroke

Answer 3

MCA

Question 4

most strokes (80%) are ____

Answer 4

ischemic

Question 5

with ischemic stroke, pt typically had some form of ___ disease

Answer 5

CV

Question 6

3 causes of ischemic stroke

Answer 6

embolus
thrombus
hypotension

Question 7

what is embolus

Answer 7

plaque, blood, or other matter in stagnent blood

Question 8

thrombus is

Answer 8

a blood clot

Question 9

small, ischemic strokes that are very DEEP in WHITE matter

Answer 9

lacunar stroke

Question 10

sx of lacunar strokes

Answer 10

either sensory or motor, not usually both

Question 11

what is a serious injury/issue that can lead to an ischemic stroke

Answer 11

internal bleeding can lead to hypotension which can lead to ischemic stroke

Question 12

2 types hemmorhagic stroke

Answer 12

intracerebral, sub arachnoid

Question 13

hemmoraghic strokes are caused by ___ or ___

Answer 13

aneurysms or AV malformations

Question 14

thrombus is usually where

Answer 14

plaque in the carotid arteries

Question 15

carotid arteries form the ___ circ

Answer 15

anterior circulation (MCA)

Question 16

post circ arteries are

Answer 16

cerebral and basilar

Question 17

dilation in a BV that can burst

Answer 17

aneurysm

Question 18

where do aneurysms occur

Answer 18

bifrications of BV

Question 19

AVM

Answer 19

arterial venous malformation (mass of cappilaries)

Question 20

the 2 vert arteries form the ___ A

Answer 20

basilar

Question 21

the ACA supplies the

Answer 21

medial and front side of the cortex

Question 22

TPA only works for __ stroke

Answer 22

ischemic (within 3 hours)

Question 23

angiogram is good for what conditions

Answer 23

anuerysm and AVN

Question 24

US is good for detecting

Answer 24

plaque in car A

Question 25

LOC is sx of what type of stroke

Answer 25

intracerebral hemorrhagic

Question 26

H/A, N/V, and decrease LOC is sx of what type of stroke

Answer 26

SA hemorrhagic

Question 27

with INR, if INR is low their chance of clotting is ___

Answer 27

high

Question 28

what can mimic a stroke

Answer 28

low BS

Question 29

ACA/MCA strokes are often from plaque forming in the

Answer 29

carotid arteries

Question 30

best choice for hemorrhagic stroke (imaging)

Answer 30

CT

Question 31

many small strokes deep in the white matter. usually only with the elderly. gray matter shrinks

Answer 31

multi infarct dementia

Question 32

best imaging choice for ischemic stroke

Answer 32

MRI

Question 33

why isn't CT a good choice for ischemic stroke

Answer 33

they take days to show effects

Question 34

thrombolysis

Answer 34

break down of a clot with tPA (tissue plasminogen activator)

Question 35

components of the ICF

Answer 35

body structure and function (body part and deficit of body part) activity (movement of body part needed for activity) participation (the actual event they participate in - hobbies - job)

Question 36

what does Ca+ do during a stroke

Answer 36

``` initial arrest infarct release of NT altered metabolism Ca increase which leads to edema which increases pressure which increases free radicals ```

Question 37

penundra

Answer 37

area around stroke

Question 38

where/what is most effected with ACA stroke

Answer 38

contralateral hemiparesis with sensory loss LE most effected behavior and personality most effected

Question 39

what is most effected with MCA stroke

Answer 39

contralateral hemiparesis UE most effected speech/language effected

Question 40

if I were to say right hemipareses, what is that considered

Answer 40

L sided stroke (meaning right side body issues)

Question 41

left hemiparesis means

Answer 41

left sided body issues (stroke occured on right side of brain)

Question 42

MASSIVE infarct of MCA (maybe ACA) that causes edema with herniation, coma or death

Answer 42

internal carotid artery syndrome

Question 43

PCA syndrome

Answer 43

minimal deficit usually sx depend on location | sx include: sensory loss, thalmic px, homonomous heminopsia, agnosia

Question 44

Lacuna strokes are often assct. with

Answer 44

HTN

Question 45

what is locked in syndrome

Answer 45

vertebrobasilar stroke that only eyes work/move

Question 46

agnosia means

Answer 46

inability to recognize/identify items

Question 47

thalmic px is associated with

Answer 47

PCA Stroke

Question 48

what often is the cause or precursor to an embolus

Answer 48

atrial fib that causes stagnant blood

Question 49

locked in syndrome is due to a stroke of the

Answer 49

vertebral basilar artery