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Guidelines > Stroke guidelines > Flashcards

Stroke guidelines Flashcards

1
Q

Stroke syndrome that involves contra lateral weakness of the leg > arm

A

Anterior cetebral artery syndrome

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2
Q

Stroke syndrome that involves arm, face, upper and lower extremity more than the leg?

A

MCA syndrome

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3
Q

In MCA stroke preferential gaze is to what side of the lesion?

A

Ipsilateral side

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4
Q

Homonimous-hemianopsia with macular sparing is found in what stroke syndrome?

A

Part of MCA syndrome

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5
Q

What division of the MCA is affected for expressive aphasia or Bocas aphasia?

A

MCA superior division

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6
Q

Receptive aphasia is found in what division of MCA syndrome?

A

Inferior MCA

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7
Q

In MCA syndrome global aphasia is noted when what side is affected?

A

Dominant side

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8
Q

Agnosia, constructional apraxia, is present when the dominant part of the MCA territory is affected? True or false?

A

False. Non dominant side

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9
Q

Px who cannot calculate, cannot Wright, cannot identify fingers, with left tor right confusion has what type of store syndrome?

A

Gertsman Syndrome

Affecting the dominant hemisphere of the MCA with partial occlusion

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10
Q

Denial Blindness is seen in what stroke syndrome?

A

Antons Syndrome

Bilateral PCA stroke

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11
Q

Contralteral weakness with ipsilateral CN 3 deficit

A

Webber syndrome of the PCA

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12
Q

Contrlaeral rubral tremor (wing flapping) tremor

A

Claudes syndrome

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13
Q

Ipsilateral cerebellar ataxia with contralteral weakness

A

Anterior Inferior cerebellar artery

Maeie-Foix syndrome

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14
Q

Vical cord paralysis, dysphagia, dysarthria, hiccups

A

Posterior inferior cerebellar artery syndrome or wallendburg syndrome

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15
Q

Locked in syndrome

A

Found in basilar artery syndrome

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16
Q

Top 5 stoke mimics

A 
Seizure
Infections
Tumor 
Toxicity
Positional vertigo
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17
Q

Strongest risk factor for stroke among Filipinos

A

Hypertension

18
Q

Most prevalent risk factor for atherothrombosis

A

Smoking

19
Q

For primary stroke prevention regular screening shoud be done for hypertension at least every how many years?

A

Every 2 years

20
Q

Target A1c level for diabetic pxs with stroke

A

<7%

21
Q

To reduce stroke the target BP for pxs with DM shoud be?

A

<130/80

22
Q

For MI patients in order to prevent stroke oral anticoagulants are needed for the following risk factors

A

Persistent AF
Decreased EF
LV thrombosis detected

23
Q

Stroke pxs with LV mural thrombosis should have anticoagulants whatbisnthe target inr and duration?

A

InR 2-3

For at least 3 months to one year

24
Q

Pxs with rheumatic mitral valve disease or prosthetic heart valves need anticoagulants unless contraindicated

A

True

25
Q

When do you give aspirin in pxs with warfarin therapy?

A

For pxs with recurrence of embolism with or without AF

26
Q

For patients with AF who cannot take oral anticoagulants, what is the class 1a evidence drug alternative?

A

Aspirin at 325mg/ day

27
Q

For pxs with very high risk factors target ldl according to stroke guidelines is?

A

<70 mg/dl

28
Q

Mass screening for carotid artery stenosis is recommended? True or false

A

False

Not cost effective

29
Q

CEA ( Carotid Endaraterectomy) is a class 1 indication for?

A
  1. Symptomatic stenosis of >60%, life expectancy atleast 5 years, perioperative risk is <6%
  2. TIA or stroke, ipsilateral carotid stenosis of 70-99%, perioperative risk <6%
  3. Symptomatic patients with 50-69% carotid stenosis depending on px specific factors and initial symptoms
30
Q

For patients with ischemic stroke or TIA is screening for intracranial stenosis recommended?

A

Yes

31
Q

Medication used for prevention of progession of intracranial artery stenosis?

A

Aspirin + cilostazol

32
Q

What is the formula for Maximum hear rate?

A

220-age

For secondary prevention of stroke
50-60% of maximal heart rate is beneficial

33
Q

Moderate intensity exercise is defined as?

A

Scale of 5 or 6 / 10 on relative scale

3.0-5.9 on absolute scale

High in tensity is 6.0 or more on absolute scale

And 7-8/10 on relative scale

34
Q

Recommended

Peak oxygen uptake?

Maximal heart rate?

Heart rate reserve?

For stroke survivors on aerobic exercises

A

Peak O2 and heart rate reserve - 40-70%

Maximal heart rate 50-80%

35
Q

Recommended frequency and duration of aerobic exercises for stroke survivors?

A

3-7 days/ wk

20-60 minute duration

36
Q

Resistance training for stroke patients recommendation?

A

1-3 sets
10-15 reps
8-10 exercises involving large muscle groups

37
Q

BMI recommended for stroke prevention?

Waist to Hip ration?

Waist circumference?

A

18.5-24.9 BMI

  1. 0 in men
  2. 85 in women

35 inches in men
31 inches in women

38
Q

Recommended salt intake for stroke patients?

A

< 2.4 g/day

Potassium 4.7 g/day

39
Q

Iosilateral CN6 palsy, with contralateral plegia

A

Raymond syndrome

Pontine stroke paramedian branches

40
Q

CN 6 and 7 palsy with contralateral plegia

A

Millard-Gubler syndrome

41
Q

CN 12 palsy, contralteral plegia, loss of vibration sense, position sense pain

A

Dejerine

Vertebral artery
Medullary stroke type

Guidelines (5 decks)

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