Stroke Syndromes Flashcards

1
Q

Akinetic mutism
Transcortical motor aphasia (repetition ability retained)
Contralateral sensory & motor symptoms in LE

A

ACA infarction

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2
Q

Contralateral hemiparesis
Contralateral facial plegia
Contralateral sensory loss

A

MCA infarction

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3
Q

Ataxia
Nystagmus
Altered mental status
Vertigo

A

PCA infarction

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4
Q

Crossed neurologic deficits:
ipsilateral CN deficit’
Contralateral motor weakness

A

Brainstem lesion

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5
Q

Unilateral cortical blindness

Contralateral homonymous hemianopsia

A

Distal posterior circulation stroke

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6
Q
Unilateral limb weakness
Dizziness
Dysarthria
N/V
Dizziness
Horner's syndrime
A

Basilar artery occlusion (Middle posterior circulation)

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7
Q
N/V
Dysphagia
Nystagmus
Unilateral limb weakness/ ataxia
Unilateral CN V symptoms
A

Vertebrobasilar occlusion (Proximal posterior occlusion)

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8
Q
Dizziness w/ or w/o vertigo
N/V
Headache
Gait instability
Limb ataxia
A

Cerebellar infarction

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9
Q

Pure motor or pure sensory deficit

A

Lacunar infarction

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10
Q
Unilateral headache
Neck pain
Face pain
History of migraine
Other RF: HTN, large vessel arteriopathies
A

Carotid/ vertebral artery dissection

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11
Q

Tx of carotid/ vertebral artery dissection

A

IV heparin ff by warfarin to maintain INR 2-3

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12
Q

Goal time in stroke protocol

A

all eval & interventions done in 60 mins

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13
Q

In stroke protocol, brain imaging should be done within __ mins of patient’s arrival

A

25 mins

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14
Q

Only lab test result required prior to thrombolytic therapy

A

Bedside glucose determination

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15
Q

Permissive hypertension allows BP below __/__

A

220/120 mmHg

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16
Q

BP contraindicated in rTPA

A

> 185/110

17
Q

Tx for HTN during & after rTPA administration

A

Nicardipine 5 mg/hr, titrate up to 2.5 mg/hr at 5-15 mins/hr (max: 15 mg/hr)

18
Q

Initial dose of aspirin given within 24-48 hrs after stroke onset in AHA/ASA guidelines

A

325 mg

19
Q

Transient episode of neurological dysfx caused by focal brain, spinal cord or retinal ischemia, w/o acute infarction

A

Transient ischemic attack (TIA)

20
Q

1st line tx for TIA

A

Dypiridamole plus aspirin

21
Q

Anticoagulation therapy should be initiated in AF patients in an __ setiing

A

inpatient

22
Q

Most common cause of ischemic stroke in children

A

Sickle cell disease

23
Q

Consideration for stroke in young adults preceded by minor trauma or cardioembolic event (MVP, RHD, paradoxical embolism)

A

Cervical arterial dissection

24
Q

TRUE or FALSE? rTPA does NOT cross the placenta

A

TRUE

25
Q

Scoring systemto predict very early stroke risk after TIA

A

ABCD2

Age>/=60; BP>/=140/90; Clinical features such as unilat weakness, speech impairment; Duration >/= 60 mins; Diabetes