Stroke Flashcards by Marysia Thomson | Brainscape

Q

Stroke symptoms

A

loss of power

loss of sensation

loss of speech

loss of vision

loss of coordination

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Neurolical history/examination would look at

A

motor (clumsy/weak limbs)

sensory (loss of feeling)

speech

vision (loss in one eye etc)

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What is a stroke?

A

damage to the part of the brain due to blockage of a blood vessel by thrombus or embolus

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

causes of stroke

A

blockage of vessel with thrombus or clot

disease of vessel wall

disturbance of normal properties of blood

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Ischaemic storke %

A

85%

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Haemorrhage stroke %

A

15%

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

ischaemic stoke

A

blood clot stops supply to the brain

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

haemorrhage stroke

A

blood leaks into the brain

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

common cause of cardioembolic stroke

A

atrial fibrillation

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

fibrillation

A

irregular HB that can lead to blood clots

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What part of the brain is effected by stroke?

A

cortex (deep white matter)

left or right side

carotid territory

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Why bother localising stroke?

A

confirms diagnosis

imaging

indication of cause

indication of prognosis

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

TACS

PACS

LACS

POCS

A

total anterior circulation stroke

partial anterior circulation stroke

lacunar stroke

posterior circulation stroke

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

risk factors for stroke

modificable

A

high BP

atrial fibrillation

obesity

diabetes

stress

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

risk factors for stroke

non - modifiable

A

age

race

family history

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Stroke investigation

A

Blood tests (FBC, platelets, lipids)

ECG (24 hour ECG)

CT scan

MRI scan

Echo (to look for clots)

Q

Aims of treating thrombolysis is to

A

restore perfusion before cell death occurs

Q

Risks of thrombolysis

A

haemorrhage

Q

Alteplase

A

thrombolytic drug used to break up thrombus (used in MIs and Stroke)

Q

Transient ischaemic attack (TIA)

A

warning or mini stroke

prompt evaluation is needed (medical emergency)

Q

secondary prevention of stroke

A

clopidogrel (anti-thrombotic therapy)

statin

BP drugs

thrombolysis

Q

3 anti-platelet agents

A

aspirin

dipyridamole

clopidogrel