QBank

Question 1

Broca’s - What division MCA?

Answer 1

Upper Division MCA CVA

Question 2

Wernicke’s - What division MCA?

Answer 2

Lower Division MCA CVA

Question 3

Most significant stroke risk factor?

Answer 3

Age

Question 4

Greatest modifiable risk factor for stroke?

Answer 4

Smoking

Question 5

Percentage of strokes that are ischemic?

Answer 5

87%

Question 6

Cranial nerves located in the forebrain

Answer 6

CN 1 and 2 (Olfactory and Optic)

Question 7

Transient bilateral visual loss

Answer 7

Amaurosis Fugax

Question 8

Amaurosis Fugax is ass with occlusive DZ of?

Answer 8

ICA

Question 9

What strokes can lead to personality changes?

Answer 9

ACA (Anterior Cerebral Artery)

Question 10

Pts deny their blindness despite objective evidence of visual loss and confabulate their stories

Answer 10

Anton’s Syndrome

Question 11

What artery supplies the medulla?

Answer 11

Vertebral arteries

Question 12

Decreased pain / temp on ipsilateral face and contralateral body, and ataxia

Answer 12

Wallenberg Syndrome (Lateral Medullary Syndrome)

Question 13

Ipsilateral CN3 palsy and contralateral hemiplegia

Answer 13

Weber Syndrome

Question 14

CN12 palsy, contralateral hemiplegia and contralateral tactile sensory loss

Answer 14

Medial medullary syndrome (think hypoglossal)

Question 15

Ipsilateral CN6 palsy, contralateral hemiplegia and contralateral sensory loss

Answer 15

Millard-Gubler syndrome

Question 16

What area lesion results in pure motor hemiplegia?

Answer 16

Posterior limb of the internal capsule

Question 17

What area lesion results in pure sensory loss?

Answer 17

Thalamic

Question 18

What area of hemorrhagic CVA is most detrimental

Answer 18

Pons. Pts may only survive if < 1 cm

Question 19

Hunt and Hess scale for Subarachnoid hemorrhage

Answer 19

1. Asymptomatic, mild HA, mild nuchal rigidity
2. Mod-severe HA, nuchal rigidity
3. Drowsiness / Confusion
4. Stupor, Hemiparesis
5. Coma, Decerebrate posturing

Question 20

Percent mortality after SAH?

Answer 20

25%

Question 21

At what MAP should anti-HTN be started and which anti-HTN?

Answer 21

MAP > 130 mmHg. Beta-blockers preferred

Question 22

What med should be started if suspected SAH to prevent vasoaspasm?

Answer 22

Nimodipine

Question 23

What strokes are most likely to occur when sleeping?

Answer 23

Thrombotic strokes

Question 24

What medication is approved for pseudobulbar affect?

Answer 24

Neudexta (dextromethorphan / quinidine)

Question 25

What therapy focuses on abnormal movement in attempt to improve motor contral?

Answer 25

Brunnstrum approach

Question 26

What motion must be intact before starting constraint-induced therapy?

Answer 26

Wrist extension

Question 27

What test is most sensitive an specific when trying to diagnose CRPS?

Answer 27

Triple-phase bone scan

Question 28

What stroke has the strongest association with dysphagia?

Answer 28

Brainstem (think hypoglossal)

Question 29

Decreased output of nouns and word finding difficulty

Answer 29

Anomia

Question 30

Act of meaningless repetition

Answer 30

Echololia

Question 31

New words that are meaningless to everyone other than patient

Answer 31

Neologisms

Question 32

Goal ICP in acute stroke patient

Answer 32

ICP < 20 mmHg

Question 33

Repetitions of slow exercises used to treat ataxia

Answer 33

Frenkel exercises

Question 34

Dysphagia, dysarthria and emotional lability

Answer 34

Pseudobulbar Palsy

Question 35

Saccular aneurysms are most commonly found in what vessel?

Answer 35

Anterior circle of willis

Question 36

Upper division MCA CVA - stronger legs or arms?

Answer 36

Stronger legs

Question 37

Alexia without agraphia with what kind of stroke?

Answer 37

PCA (posterior cerebral artery) CVA

Question 38

Prognosis for functional improvement after Wallenberg syndrome?

Answer 38

Good prognosis

Question 39

Contralateral chorea (affects red nucleus)

Answer 39

Benedikt's syndrome

Question 40

Cutaneous stimulation, proprioceptive maneuvers

Answer 40

Rood Approach