TIA/Stroke

Question 1

Transient ischemic attack

Answer 1

a temporary episode of neurologic dysfunction (hypoxia that gets resolved)

Question 2

Stroke

Answer 2

an acute neurological deficit that occurs when impaired blood flow to a localized area of the brain, resulting in injury to the brain

Question 3

Ischemic stroke

Answer 3

blood supply to part of the brain is suddenly interrupted through a clot (embolic or thrombotic)

Question 4

Management of ischemic stroke

Answer 4

tPA, heparin infusion, mechanical thrombectomy

Question 5

Time frame for tPA

Answer 5

3-4 hours

Question 6

Hemorrhagic stroke

Answer 6

bleeding into brain tissue/cranial vault

Question 7

Hemorrhagic stroke management

Answer 7

coiling/stenting/clipping of aneurysm, craniotomy, burr holes, reverse clotting factors, HOB 30 degrees, osmotic fluids, treat BP

Question 8

Penumbra

Answer 8

area of decreased perfusion but cells may recover

Question 9

Subarachnoid hemorrhage

Answer 9

blood in space between the brain and arachnoid membrane

Question 10

s/s of subarachnoid hemorrhage

Answer 10

horrible headache, nuchal rigidity

Question 11

Treatment of subarachnoid hemorrhage

Answer 11

aneurysm repair, calcium channel blockers to prevent vasospasm

Question 12

Right hemisphere stroke s/s

Answer 12

Left side changes, memory deficit, changes in thought process

Question 13

Left hemisphere stroke s/s

Answer 13

Right side changes, language impairment