Baylor

Question 1

What stroke has the higher mortality - ischemic or hemorrhagic?

Answer 1

Hemorrhagic

Question 2

What is the #1 Non-modifiable risk factor for stroke?

Answer 2

Age

Question 3

What is the #1 MODIFIABLE risk factor for stroke?

Answer 3

Hypertension

Question 4

Risk factor for stroke after TIA - use ABCD2 (what are the factors of this risk assessment tool?)

Answer 4

A - age (0-1)
B - blood pressure (0-1)
C - clinical features (weakness) (0-2)
D - duration (0-2)
D - h/o diabetes (0-1)

Question 5

What disease do you suspect in a young patient without risk factors for CVA?

Answer 5

Anti-phospholipid syndrome

Question 6

What is Virchow’s Triade? (clinical clues may be miscarriage, recurrent thrombosis, thrombocytopenia)

Answer 6

Hypercoagulable state
Hemodynamic changes (stasis, turbulence)
Endothelial injury

Question 7

Medication to enhance motor recovery after stroke?

Answer 7

FLAME trial - Fluoxetine (PRozac)

Question 8

What is CHADS2 risk assessment?

Answer 8

Atrial fibrillation risk for Stroke

C - CHF (1)
H - hypertension (1)
A - age > 75 (1)
D - DM (1)
S - h/o stroke (2)

Question 9

What is Hypertension

Answer 9

BP > 130/90

Question 10

Permissive hypertension after ischemic stroke? When to treat

Answer 10

Systolic > 220

Diastolic > 120

Question 11

What is the increase in risk of stroke with history of Atrial Fibrillation?

Answer 11

5 TIMES!

Question 12

What is Intra-cerebral hemorrhage due to?

Answer 12

Hypertension

-occurs when pt is calm

Question 13

What is Subarachnoid hemorrhage due to?

Answer 13

Ruptured AVM

-occurs with strenuous activity / stress

Question 14

What is Anton Syndrome?

Answer 14

• Lesion of bilateral PCA’s
• Cortical Blindness
• Denial of blindness

Question 15

What is Balint Syndrome?

Answer 15

• Lesion of bilateral PCA’s but to the watershed region of occipito-parietal region
• Optic ataxia, apraxia and simultagnosia (inability to perecive more than one object at a time)

Question 16

What is Alexia without Agraphia?

Answer 16

• Callosal branches of the PCA affecting splenium of Corpus Callosum
• Pure word blindness

Question 17

What is the Rood Approach to stroke rehabilitation?

Answer 17

Sensory input used to facilitate movement

Question 18

What is the Proprioceptive Neuromuscular Facilitation?

Answer 18

• Spiral and Diagonal movements

- Synergy patterns and facilitation

Question 19

What is the Bobath approach to stroke rehabilitation?

Answer 19

-Isolating muscle control and inhibition of abnormal movements

Question 20

What is Brunnstrom approach to stroke rehabilitation?

Answer 20

-Synergistic movements / functional movements

Question 21

What is the most commonly used rehab approach for stroke?

Answer 21

Bobath approach

Question 22

What strength is required for constraint induced therapy?

Answer 22

Wrist ext, thumb ext, finger ext

Question 23

What is the gold standard to diagnose dysphagia after stroke?

Answer 23

Modified barium swallow

Question 24

Medications that can be used for aphasia post-stroke?

Answer 24

Donepezil

Memantine

Question 25

Donepezil - MOA and adverse effects

Answer 25

MOA - increases acetylcholine by binding to and inhibiting acectylcholinesterase
Adverse effects - nausea, diarrhea, vomitingf

Question 26

Memantine - MOA and adverse effects

Answer 26

MOA - glutamatergic system NMDA receptor antagonist

Adverse effects - confusion, dizziness, drowsniness, HA, agitation, hallucination