CVA

Question 1

Primary risk factors for CVA

Answer 1

HTN
cardiac disease or arrhythmias
diabetes
smoking
TIAs

Question 2

Secondary risk factors for CVA

Answer 2

obesity
high cholesterol
things that lead to HTN
inactivity
alcohol

Question 3

TIA is usually in which arteries

Answer 3

carotid and vertebrobasilar

Question 4

Stroke in evolution is

Answer 4

thrombus that gradually progresses
neurological deficits are not seen for one to two days after

Question 5

Ischemic strokes includes

Answer 5

embolus
thrombus

Question 6

Embolus

Answer 6

CVD
embolus can be solid, liquid or gas

Question 7

With an embolus, because there is sudden onset of occlusion, tissues …. to infarct can sustain higher permanent damage than those of thrombotic infarcts.

Answer 7

distal

Question 8

An embolic CVA occurs rapidly with no warning, and often presents with a

Answer 8

headache

Question 9

Thrombus is

Answer 9

an atherosclerotic plaque

Question 10

Thrombi are … and symptoms can appear in ….
Usually occurs during … or upon awakening from …

Answer 10

variable
minutes to several days
sleeping
MI or post-surgery

Question 11

Hemorrhagic stroke is from ..
It occurs when?
Symptoms evolve in relation with…
Roughly half the deaths of this type of stroke occur within…

Answer 11

HTN
during the day
speed of the bleed
48 hours

Question 12

Left hemisphere CVA

Answer 12

weakness of R side
increased frustration
decreased processing
possible aphasia
possible dysphagia
possible motor apraxia
decreased discrimination between L and R
R hemianopsia

Question 13

Right hemisphere CVA

Answer 13

weakness of L side
decreased attention span
left hemianopsia
decreased awareness and judgment
memory deficits
left inattention
decreased abstract reasoning
emotional lability
impulsive behaviors
decreased spatial orientation

Question 14

Brainstem CVA

Answer 14

unstable vitals
decreased consciousness
decreased ability to swallow
weakness on both sides
paralysis on both sides

Question 15

Cerebellum CVA

Answer 15

decreased balance
ataxia
decreased coordination
nausea
decreased ability for postural adjustment
nystagmus

Question 16

Flexor synergy of scapula

Answer 16

elevation and retraction

Question 17

Flexor synergy of shoulder

Answer 17

abd and ER

Question 18

Flexor synergy of elbow

Answer 18

flex

Question 19

Flexor synergy of forearm

Answer 19

sup

Question 20

Flexor synergy of wrist

Answer 20

flexion

Question 21

Flexor and extensor synergy of fingers and thumb

Answer 21

flex, add

Question 22

Extensor synergy of scapula

Answer 22

depression and protractionE

Question 23

Extensor synergy of shoulder

Answer 23

IR and add

Question 24

Extensor synergy of elbow

Answer 24

ext

Question 25

Extensor synergy of forearm

Answer 25

pron

Question 26

Extensor synergy of wrist

Answer 26

ext

Question 27

Flexor synergy of hip

Answer 27

abd, ER

Question 28

Flexor synergy of knee

Answer 28

flex

Question 29

Flexor synergy of ankle

Answer 29

DF and sup

Question 30

Flexor synergy of toes

Answer 30

ext

Question 31

Extension synergy of hip

Answer 31

ext, IR and add

Question 32

Extension synergy of knee

Answer 32

ext

Question 33

Extension synergy of ankle

Answer 33

PF and inversion

Question 34

Extensor synergy of toes

Answer 34

flexion and add

Question 35

NIH stroke scale measures

Answer 35

acute CVA relative to impairment

Question 36

Functional Independence Measure measures

Answer 36

level of burden through assessment of mobility and ADL management

Question 37

Stroke Impact Scale measures

Answer 37

physical and social disability or level of impairment secondary to CVA

Question 38

Fugl-Meyer assesses

Answer 38

motor, sensory and balance impairment; also assesses pain and ROM