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NEUROLOGY II > Stroke Scales > Flashcards

Stroke Scales Flashcards

1
Q

Which arteries may cause cortical signs during stroke?

A

ACA, MCA, PCA

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2
Q

What is the difference between transcortical motor aphasia and broca’s aphasia?

A

both are NOT fluent and can comprehend, but ..

Transcortical motor aphasia - can repeat
Broca’s aphasia - CAN’T repeat

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3
Q

Hemiparesis due to infarction of recurrent artery of heubner is most prominent where?

A

Face and upper extremities

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4
Q

This is the most common location of stroke in the cerebral cortex

A

MCA

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5
Q

T/F: MCA supplies the caudate nucleus and the corpus callosum

A

F- ACA supplies the caudate nucleus (via RAH) and corpus callosum

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6
Q

T/F: The opercular syndrome (Foix Chavany-Marie Syndrome) causes pseudobulbar palsy with bilateral insular lesions, affecting CN V, VII, IX

A

T

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7
Q

Which artery supplies the parasylvian fissure?

Which artery supplies the subcortical areas (thalamus, hypothalamus, posterior aspect of internal capsule, midbrain, CN3 and 4 nuclei)

A

MCA

PCA

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7
Q

Which artery is affected when it presents with homonymous hemianopsia with macular sparing?

What supplies the macula?

A

PCA
MCA

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8
Q

Presentation of subcortical strokes (3)

A

motor deficits
loss of sensation
intact speech and awareness

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9
Q

This is the main sensory relay station of the brain

A

Thalamus

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10
Q

This type of subcortical stroke has unilateral weakness and no sensory impairment

Which brain component is affected?

A

Pure motor

Contralateral posterior limb of the internal capsule

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11
Q

This type of subcortical stroke has unilateral numbness and no motor impairment

Which brain component is affected?

A

Pure sensory

Thalamus

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12
Q

T/F: Brainstem strokes have a crossed findings pattern

A

T

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13
Q

CNs situated at midbrain:
in the pons:
in the medulla:

A

Midbrain - 3,4
Pons: 5-8
Medulla: 9-12

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14
Q

4Ms Medial Structures

A

Motor pathway
Medial lemniscus
Medial longitudinal fasciculus
Motor component of cranial nerves

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15
Q

4Ss Lateral structures

A

Spinocerebellary pathway
Spinothalamic Tract
Sympathetic Pathway
Sensations from the face

16
Q

This is the main blood supply to the brainstem

A

Vertebrobasilar system

17
Q

What is the modified rankin scale score for moderately severe disabililty; unable to walk without assistance and unable to attend to own bodily needs without assistance

A

4

18
Q

What is the modified rankin scale score for severe disability, bedridden, incontinent, and requires constant nursing care and attention

A

5

19
Q

What are the ICH SCORE components?

A

GCS score
Age >/80
ICH volume >/30
Intraventricular hemorrhage
Infrantentorial origin of hemorrhage

20
Q

What will the patient score be in Hunt and Hess scale if she is alert and oriented, with full nuchal rigidity but no neurological deficit?

A

2

21
Q

What will the patient score be in Hunt and Hess scale if she is alert and oriented, with minimal nuchal rigidity and mild headache?

A

1

22
Q

What will the patient score be in Hunt and Hess scale if she is confused and with mild neurological focal deficits?

A

3

23
Q

What will the patient score be in Hunt and Hess scale if she comatose?

A

5

24
Q

what is the Fisher grading when no SAH is detected?

A

1

25
Q

What is the difference between fisher grading and Hunt and Hess scale for SAH?

A

Hunt and Hess scale- measures risk of surgical mortality on patients admitted with aneurysmal SAH

Fisher Scale- measures risk of cerebral arterial vasospasm in patients with aneurysmal SAH

26
Q

What is the fisher grading if there is no SAH but with ICH or IVH

A

4

27
Q

What is the fisher grading if there is localized clot within the subarachnoid space that is 3 mm thick

A

3

minimum: 1mm thick

28
Q

T/F: Grade 2 Fisher refers to localized layer of subarachnoid blood that is <1mm thick

A

F- must be diffused

29
Q

Components of ABCD2 Scoring for TIA

A

Age >/60
BP >/140/90
Clinical Features of TIA (unilateral weakness, speech disturbance w/o weakness)
Duration of symptoms
Hx of Diabetes

30
Q
A
31
Q
A

NEUROLOGY II (4 decks)

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