Anatomy
Stroke Syndromes
Stroke Complications
Secondary Prevention
Things Maggie Likes
100
Location of Broca's Area
What is the inferior frontal gyrus of the frontal lobe (typically left).
100
A stroke in this vessel's vascular territory may cause right sided arm/face > leg weakness and sensory loss, right homonymous hemianopsia without macular sparing, apraxia, and aphasia.
What is the MCA of the dominant hemisphere (usually left)?
100
A complication affecting up to 25% of stroke survivors at 2 years for which all stroke patients should be screened
What is post-stroke depression?
100
Modifiable risk factors for stroke (8)
What are:
•HTN
•Heart disease
•Smoking
•A fib
•Diabetes
•Carotid stenosis
•ETOH
•Cocaine
•Hyperlipidemia
•OCP + smoking
•OSA
•PFO
•Hypercoagulation (including cancer)
•Physical inactivity
•Poor diet
100
This song by Chappell Roan references Saskatchewan
What is The Subway?
200
Major branches of ICA
MCA, ACA, PComm, Ophthalmic, anterior choroidal
200
PCA stroke classically produces this visual defecit.
What is contralateral homonymous hemianopsia WITH macular sparing (macula supplied by MCA)
200
When anticoagulation is contraindicated in a patient with lower-extremity DVT, this device may be placed.
What is an inferior vena cava filter?
200
Longterm BP targets for ischemic stroke/TIA (not lacunar) and ICH respectively
What are <140/90 and <130/80?
200
The best movie in the Shrek Franchise and the character that largely contributes to its superiority.
What is Shrek 2 and who is Puss in Boots?
300
This perforating branch of the ACA (a named artery) supplies part of the caudate and anterior internal capsule.
What is the recurrent artery of Heubner?
300
This midbrain syndrome causes ipsilateral CN3 palsy, contralateral ataxia, dysmetria, and dysdiadochokinesia.
What is Claud's Syndrome?
300
Definition of spasticity (callback)
What is a motor disorder characterized by a velocity dependent increase in the tonic stretch reflex with exaggerated tendon jerks (phasic stretch reflex), resulting from hyperexcitability of the stretch reflex as one component of the UMN syndrome.
300
Indication for consideration of CEA (or stenting) for carotid stenosis post-stroke.
What is symptomatic carotid stenosis on imaging of 50-99%?
300
The best reality TV show objectively
What is Love Island UK?
400
The location of this stroke.
What is the basal ganglia?
400
Classic presentation of Anton's Syndrome
What is cortical blindness, anosognosia, and confabulations?
(Caused by insult to bilateral primary visual cortices; bilateral PCA)
400
Most common to least common sites of HO after stroke
Hip > elbow > shoulder > knee
400
Exercise recommendations following stroke.
What is 150 minutes / week, 4-7 days per week, episodes of >10 minutes
400
Who is Fleetwood Mac?
500
1, 10, and 3 respectively
What are the ACA, MCA, and superior cerebellar arteries?
500
If a patient has a lateral brainstem stroke, they will display these symptoms from these four structures.
What are:
- Spinocerebellar pathway: Causes ipsilateral ataxia (unsteadiness) of the arm and leg.
- Spinothalamic pathway: Causes contralateral loss of pain and temperature sensation in the arm and leg.
- Sensory nucleus of CN 5: Causes ipsilateral loss of pain and temperature sensation on the face.
- Sympathetic pathway: Causes an ipsilateral Horner syndrome (miosis, ptosis, and anhidrosis).
500
These two instrumental studies visualize swallow physiology and detect silent aspiration when bedside evaluation is insufficient.
What are videofluoroscopy (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES)?
500
Duration of dual antiplatelet therapy after minor stroke/high-risk TIA.
What is 21-90 days?
500
The best PM&R rotations in descending order. (not including MSK or EMG)
What are:
ABI > Stroke > NMSK > Amp > SCI > Peds