Stroke w/TM

Question 1

Stroke can be either ischemic (87%) or hemorrhagic (13%), and the two types are treated differently

Question 2

In patients with an ischemic stroke and a blood pressure (BP) <220/120 mm Hg without comorbid conditions requiring acute hypertensive treatment, the acute lowering of BP in the first 48 to 72 hours after stroke onset does not improve survival or the level of dependency ;“permissive hypertension” (BP up to 220/120 mm Hg) is often allowed

Question 3

Early pharmacologic reperfusion (initiated less than _______ hours from symptom onset) with intravenous alteplase or tenecteplase has been shown to improve functional ability after ischemic stroke

Answer 3

less than 4.5 hours

Question 4

Antiplatelet therapy is the cornerstone of antithrombotic therapy for the secondary prevention of non-cardioembolic ischemic stroke

Question 5

Oral anticoagulation is recommended for the secondary prevention of cardioembolic stroke in moderate-to-high risk patients

Question 6

Elevated blood pressure is very common in ischemic stroke patients, and treatment of hypertension in these patients is associated with a decreased risk of stroke recurrence

Question 7

Statin therapy is recommended for all ischemic stroke patients, regardless of baseline cholesterol, to reduce stroke recurrence

Question 8

_________ is the leading cause of disability among adults and the fifth leading cause of death in the United States

Answer 8

Stroke

Question 9

The first recorded use of ‘stroke’ as a lay term was in 1599, attributing the sudden onset of symptoms to a ‘stroke of God’s hande’

Question 10

The term stroke describes patients with an episode of neurologic dysfunction caused by focal cerebral, spinal, or retinal infarction

Question 11

You will hear the term cerebral vascular accident (CVA) and stroke used interchangeably – the recommended term by AHA/ASA is stroke

Question 12

The syndrome of arterial ischemia with transient symptoms (<24 hours) and without evidence of infarction is a transient ischemic attack (TIA)

Question 13

Risk factors of ischemic stroke

________________
Sickle cell disease
Poor diet
Obesity
Physical inactivity

Cigarette smoking
Hypertension
Diabetes
Asymptomatic carotid stenosis
Dyslipidemia

Answer 13

Atrial fibrillation

Question 14

Stroke

The patient may not be able to reliably report the history due to cognitive or language deficits
A reliable history may have to come from a family member or witness