How Well You Know About Stroke? Quiz!
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- 1.A stroke is a sudden onset of a focal neurologic deficit.
- A.
True
- B.
False
- 2.Which of the following are signs of a stroke?
- A.
Decreased urination
- B.
Difficulty speaking
- C.
Dizziness
- D.
Pain that radiates from the chest to the left arm
- E.
Sudden changes in vision
- F.
Sudden numbness/weakness of face, arm, or leg, especially on one side of the body
- G.
Sudden severe headache
- 3.The majority of strokes are caused by ischemia.
- A.
True
- B.
False
- 4.Check the potentially modifiable risk factors for having a stroke.
- A.
Atrial fibrillation
- B.
Diabetes
- C.
Dyslipidemia
- D.
Family history of cardiovascular disease
- E.
Hypertension
- F.
Smoking
- 5.A transient ischemic attack (TIA), also known as a mini-stroke, is of no concern, as it will recede in no more than 24 hours.
- A.
True
- B.
False
- 6.Besides the tests such as CT scans or MRI that are necessary for establishing the diagnosis of ischemic stroke, which is the one test that may preclude the initiation of IV tPA, if IV tPA is appropriate?
- A.
Blood glucose
- B.
CK-MB
- C.
CRP
- D.
Troponin
- 7.What is the blood pressure goal to establish a patient for fibrinolytic therapy?
- A.
< 140/90 mmHg
- B.
< 160/90 mmHg
- C.
< 185/110 mmHg
- D.
< 205/120 mmHg
- 8.For patients who do not receive fibrinolytic therapy, utilize blood pressure medications to lower blood pressure by 15% during the first 24 hours of stroke onset only if the patient's blood pressure is above what threshold?
- A.
>140/90 mmHg
- B.
>160/90 mmHg
- C.
>185/110 mmHg
- D.
>220/120 mmHg
- 9.Fibrinolytic therapy may be used for hemorrhagic strokes.
- A.
True
- B.
False
- 10.Patients must be treated with fibrinolytic therapy no more than 3 hours from the onset of symptoms.
- A.
True
- B.
False
- 11.tPA (alteplase) is the preferred fibrinolytic for stroke treatment.
- A.
True
- B.
False
- 12.Which of the following are exclusion criteria for receiving fibrinolytic therapy?
- A.
Active internal bleeding
- B.
Blood glucose < 90 mg/dL
- C.
Blood pressure >185/110 mmHg
- D.
INR>1.7
- E.
Stroke within 3 months
- 13.Select the correct dosing for tPA (Alteplase) in acute ischemic stroke; check all that apply to the dosing.
- A.
Infuse 0.9 mg/kg (max dose 100 mg) over 60 minutes
- B.
Infuse 0.9 mg/kg (max dose 90 mg) over 60 minutes
- C.
Administer 25% of the dose as a bolus over 1 minute
- D.
Administer 10% of the dose as a bolus over 1 minute
- 14.How often should blood pressure and neurological assessment be obtained during alteplase therapy?
- A.
Hours 1-2: Every 15 minutes
- B.
Hours 1-2: Every 30 minutes
- C.
Hours 1-2: Every 60 minutes
- D.
Hours 2-8: Every 15 minutes
- E.
Hours 2-8: Every 30 minutes
- F.
Hours 2-8: Every 60 minutes
- G.
Hours 8-24: Every 15 minutes
- H.
Hours 8-24: Every 30 minutes
- I.
Hours 8-24: Every 60 minutes
- 15.Aspirin 325 mg is a viable option for secondary prophylaxis in stroke patients.
- A.
True
- B.
False
- 16.Which of the following medications are needed for secondary prophylaxis in stroke patients?
- A.
Antihypertensives
- B.
Aspirin
- C.
Statin
- D.
Warfarin
Questions: 5 | Attempts: 13497 | Last updated: Sep 11, 2019
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