Ch 1 - Stroke: Name the Lesion Flashcards

1
Q

Where is the lesion

A

A - Optic Nerve

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2
Q

Where is the lesion

A

B - Base of left optic nerve (Wilbrand’s knee)

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3
Q

Where is the lesion

A

C - Optic Chiasm

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4
Q

Where is the lesion

A

D - Optic tract

OR

G - Striate cortex

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5
Q

Where is the lesion

A

E - Visual radiations (lateral portion)

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6
Q

Where is the lesion

A

F - Visual radiations (medial portion)

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7
Q

What is a stroke?

A

Rapidly developing cerebral function signs lasting >24 hours or leading to death with no cause other than vascular origin

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8
Q

What is a transient ischemic attack?

A

Stroke sympoms <24 hours

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9
Q

What are the non-modifiable risk factors of stroke

A

Age >55

Male>female

African America 2x>Caucasians>Asians

Family history of stroke

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10
Q

What are modifiable risk factors of stroke?

A

HTN

Hx of TIA/Stroke

Heart dz (CHF, AFib, Valvular dz, CAD, PFO)

Diabetes

Cigarette smoking

Carotid Stenosis

ETOH abuse/cocaine use

High dose estrogens

Hypercoagable states

HLD, Obesity/sedentary lifestyle

Migraine HA

Sleep apnea

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11
Q

Where are the “stoke belt” states?

A

Southeastern US

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12
Q

Which cerebtral artery supplies the lower limb motor strip?

A

Anterior cerebral artery (ACA)

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13
Q

Which cerebral artery supplies the upper limb motor strip?

A

Middle cerebral artery (MCA)

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14
Q

What are the types of ischemic stroke?

A

Thrombolic

Embolic

Lacunar

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15
Q

What are the types of hemorrhagic stroke?

A

Intracerebral (ICH): HTN

Subarachnoid (SAH): rupture aneurysm

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16
Q

Characteristics of thombotic strokes

A

Usually occur at night

Intermittent progress of neuro deficits

Slowly progress over 24-48 hours

Neuro deficits depend on cerebral territory affected

17
Q

Characteristics of embolic strokes

A

Immediate onset of neuro deficits

Usually while patient awake

Siezures may occur at onset

MCC cardiac source (mural thrombi and platelet aggregate

18
Q

Causes of cardiac emboli

A

Afib

Rheumatic heart disease (mitral valve stenosis)

Post-MI

Vegetation on heart valves

19
Q

Characteristics of Lacunar strokes

A

Onset acute or gradual

Strong correlation with HTN

Small infarcts (Occlusive ateriolar or small artery dz)

Ofter pure motor or sensory synd

Absence of higher cortical function involvement

20
Q
A