cerebral infarction due to insufficient cerebral blood flow, resulting in ischemia and neuronal injury
10
Ischemic stroke accounts for __% of all strokes
80-85%
10
Name 3 risk factors for ischemic stroke
Age >65; hypertension; diabetes mellitus; atrial fibrillation; carotid artery stenosis
15
Damage from ischemic stroke depends on
location and time!
15
I took French in middle school. We were tasked to write a short story in English and then translate to French and present to the class. I read the English version with a French accent by mistake
Alyssa
15
What is the meaning of "Time is brain...save the penumbra!"
Penumbra = area surrounding the ischemic event. If blood flow is restored quickly enough after a stroke, the penumbra can be preserved by collateral circulation
15
tPA should not be administered for an ischemic stroke after how long?
4.5 hours
15
What does the acronym FAST stand for?
Facial drooping; arm weakness; speech difficulties; time
10
What is the utility of a non-contrast CT in stroke management?
Rule out hemorrhage - contraindication for tPA
15
T/F symptom onset is sudden
F - typically onset over hours (compared to hemorrhagic stroke - sudden onset)
15
Moving home from college, I had a suitcase with all my clothes. When I picked it up from baggage claim, one of the zippers broke from the pocket with all of my underwear. I looked inside and someone had stuffed all of my underwear back in
Alexa
15
Mr. Clooney had RUE and LUE paresis and LUE and LLE intact on neuro exam. What side of the brain was the stroke?
Left! Contralateral side affected
15
WHO's WHO - I learned only a few years ago due to a rude awakening moment that pink lemonade was not actually made from pink lemons
Sulaiman
15
Describe the RACE stroke scale - utility and components
Facial palsy; arm motor function; leg motor function; head and gaze deviation. If R hemiparesis - test aphasia; if L hemiparesis - test agnosia
15
Describe the utility and components of NIH stroke scale
0 = no stroke; 1-4 minor; 5-15 moderate; 16-20 moderate-severe; 21-42 severe
15
Why is it important to order a CT prior to full clinical evaluation in a suspected stroke patient?