Stroke

Question 1

Man with AF presents with difficulty speaking he knows what he wants to say but cant get it across, weakness in his left arm and leg. on examination he has a left homonymous hemianopia. What type of stroke has he had?

Answer 1

Total anterior circulation as meets all 3 criteria of higher erebral dysfunction, homonymous visual defect, contralateral motor or sensory deficit

Question 2

Man presents with slurred speech and right sided weakness of his arm and leg. What type of stroke has he suffered?

Answer 2

Partial anterior circulation

As meets 2/3 of the presentation in TACS

Question 3

Man presents with a blown right pupil with his eye fixed in a ‘down and out’ position, he has an ataxic gait with both of his legs also having pins/needles sensation. What is the likely type of stroke he has?

Answer 3

Posterior circulation stroke due to the cerebellar and cranial nerve palsy

Question 4

60yr old Man who has hypertension and has smoked since 15yrs presents with complete loss of feeling in his right side of his leg and arm. What is the likely type of stroke he has suffered?

Answer 4

Lacunar

Most common in those with hypertesnions and smokers

Question 5

What is the ABCD2 score?

Answer 5

Used to determine how likely TIA patients are to develop cerebrovascualr injuries/ another attack

0-3 points is low
>4 points in high risk and treat with aspirin