Stroke

Question 1

Contralateral hemiparesis and sensory loss.

Lower worse than upper.

Answer 1

Anterior cerebral artery.

Question 2

Contralarteral hemiparesis and sensory loss

Upper worse than lower.

Contralteraly homoymous hemianopia.

Aphasia

Answer 2

MCA

Question 3

Contraleteral homonymous hemianopia with macular sparing

Visual agnosias

Answer 3

Posterior cerebral artery.

Question 4

Ipsilateral CN 3 palsy

Contralateral weakness of upper and lower limb

Answer 4

Weber’s syndrome

Question 5

Ipsilateral ataxia, nystagmus, dysphagia and facial numbness, CN palsy.

Contralateral hemisensory loss

Answer 5

Lateral medullary syndrome

Question 6

Facial paralysis and deafness

Answer 6

Lateral pontine.

Question 7

What part of the cerebellum produces results in gait ataxia

Answer 7

A lesion in the cerebellar vermis.

Question 8

Management of stroke if outwith 4.5 hour window and haemorrhagic ruled out?

Answer 8

300mg aspirin.

Question 9

When do you start anticoagulant for an AF caused stroke?

Answer 9

14 days after the event.

Question 10

To qualify as a total anterior circulation stroke what do u need?

Answer 10

Unilateral hemi-paresis or hemi sensory loss
Homonymous hemianopia
Cognitive dysfunction.

Question 11

What is a lacunae stroke?

Answer 11

One of:

• Pure sensory
• Ataxic hemiparesis
• Unilateral weakness.