Wk 4 TIA

Question 1

What does TIA stand for?

Answer 1

Transient ischemic attack

Question 2

TIA is related to __ disease

Answer 2

cerebrovascular

Question 3

What is the definition of TIA?

Answer 3

Acute, focal cerebral insufficiency that lasts less than 24 hrs

Question 4

What is the typical duration of a TIA?

Answer 4

Less than 60 mins with no residual effects

Question 5

TIAs usually involve __ vessel that gets occluded or clotted off

Answer 5

ONE

Question 6

What is a stroke?

Answer 6

Neurological deficits lasting longer than 24 hours

Question 7

How can a stroke be diagnosed?

Answer 7

On CT scan, blood in brain tissue

Question 8

TIAs are more common in what gender?

Answer 8

Males

Question 9

If someone has a TIA, this puts them at higher risk for…

Answer 9

a stroke within 1 month after the TIA

Question 10

Someone experiencing a TIA will present differently depending on…

Answer 10

which vessel is involved

Question 11

A person with recurrent TIAs will have the same…

Answer 11

symptoms with each TIA

Question 12

TIA onset and recovery are both __

Answer 12

abrupt

Question 13

TIAs follow a vascular line meaning…

Answer 13

symptoms are associated with location of defect

Question 14

TIAs can present like a disorder called __ __

Answer 14

Bell’s palsy

Question 15

What is Bell’s palsy?

Answer 15

Patient presents with drooping face or mouth because of paralysis of the facial nerve

Question 16

A person with Bell’s palsy will also be evaluated for…

Answer 16

TIA

Question 17

Can someone recover from Bell’s palsy?

Answer 17

Yes

Question 18

If someone has a TIA in the carotid area, what will they present with?

Answer 18

DYSPHAGIA (difficulty swallowing)
Numbness
Weakness, heaviness in contralateral arm, leg or face
Ipsilateral monocular vision loss

Question 19

Where is the vertebrobasilar area?

Answer 19

Located in the back of the brain

Question 20

If someone has a TIA in the vertebrobasilar area, what will they present with?

Answer 20

DYSPHASIA (difficulty speaking)
vertigo
blurry vision
ataxia
ipsilateral face
contralateral body

Question 21

What does ipsilateral mean?

Answer 21

Staying on the same side

Question 22

What does contralateral mean?

Answer 22

Crossing over the midline

Question 23

What is important to look at with someone who has had a TIA?

Answer 23

history and physical

Question 24

What should you be looking for on the history & physical of a patient who has had a TIA?

Answer 24

Identify any pattern, history

Any vascular problems

Question 25

Why would we do a CT on a patient with a suspected TIA or stroke?

Answer 25

To rule out hemorrhagic stroke or lunar infarcts

Question 26

Why would we do a MRI/MRA on a patient with a suspect TIA or stroke?

Answer 26

Assess for aneurysms, dye used

Question 27

Why are carotid Doppler studies done?

Answer 27

To see if there is any build up in the carotid arteries that could be reducing blood flow to the brain, carotid stenosis

Question 28

What else might they do to assess a TIA?

Answer 28

Echocardiogram to See if there is a cardiac issue

Question 29

If a patient is having a TIA, what anticoagulants might they be prescribed?

Answer 29

Low-dose aspirin

clopidogrel (anti-platelet)

Question 30

If the TIA is cardiac related, what might the patient be prescribed?

Answer 30

Warfarin and heparin

Question 31

When is a carotid endarterectomy indicated?

Answer 31

70% stenosis of the carotid artery

Question 32

What is a carotid angioplasty?

Answer 32

Carotid artery is opened up with a balloon and then filter is placed to catch any plaque that may break free