Signs and Symptoms
Assessment
Treatment
Prevention
Stroke Alerts
100

The acronym BEFAST which helps people remember the signs of stroke stands for?

What is balance, eyes, face, arm, speech, time?

100
This imaging test is the most sensitive study in detecting acute ischemia.
What is MRI Brain with diffusion weighted imaging?
100

Name 3 main strategies for acute treatment of stroke.

What are acute thrombolysis with tPA/tnk, endovascular thrombectomy, blood pressure management?

100
Name 2 ways to prevent stroke by optimizing risk factors.
What are treat hypertension, control DM, HLD, ASA within 48 hours, warfarin/NOAC if have Afib, diet and exercise?
100

Who calls a stroke alert?

What is RN/LPN, Provider?

200
This type of stroke comprises 87% of all strokes.
What is ischemic stroke?
200
Focused history questions to ask concerning recent events
What are recent events like stroke, MI, trauma, surgery, bleeding? or "Last known well"
200

If patient eligible for TNK, blood pressure should be consistently less than...

What is 185/110?

200

What medication class is given to help prevent strokes in patients with Atrial Fibrillation?

What is Anticoagulants?

200

When is a swallow screen done?

What is BEFORE anything by mouth?

300
Name 3 risk factors for stroke
What are tobacco use, DM, alcohol overuse, HTN, HLD, medication compliance with anticoagulants, family history, prior history of stroke?
300
Specific medication question to ask early in triaging patients with concern for stroke.
What is asking specifically about anticoagulants?
300
24 hours is the treatment window for this intervention
What is endovascular thrombectomy?
300
Etiology work up to prevent future strokes may include these diagnostic tests
What are vascular imaging, Echo, MRI brain, angiogram, genetic testing?
300

How many symptoms from the acronym BEFAST, does the patient need to call a stroke Alert? 

What is ONE? 

400
When all three of these signs of stroke are present, the sensitivity for stroke is approximately 90%
What are face droop, arm weakness, and slurred speech?
400
Well validated stroke severity score used to assess for stroke, guide treatment, and determine prognosis. It is a requirement for stroke center certification.
What is the NIH stroke scale?
400

How often are neuro assessments and Vital signed needed for TNK patients.

What is every 15 minutes?

400

Name at least 3 treatable stroke risk factors.

What are HTN, DM, smoking, HDL? Others might include Afib, carotid artery stenosis.

400

What test is the priority to determine stroke treatment plan. 

 What is CT stroke head, CTA, CT Perfusion?

500

Sudden onset of THIS symptom is associated with high suspicion of hemorrhage

What are sudden, severe headaches (worse HA of their life) especially with nausea/vomiting and/or obtundation?

500
"Great mimicker" of stroke that is usually checked with a finger stick
What is hypoglycemia?
500
Three main medication options for antithrombotic therapy for secondary prevention of CVA are...
What are ASA, Plavix, and Aggrenox (ASA/dipyrimidole)?
500

What medication class is used to lower cholesterol to prevent strokes and reoccurrence. 

What are Statins? (Atorvastatin, Rosuvastatin)

500

Where is the Stroke Box with the TNK?

What is the Pyxis, override Stroke? 

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