Anatomy & Physiology
Hyperacute Phase
Acute Phase
Case Scenarios
Mystery
100

This portion of the brain is responsible for executive functioning, personality, behavior and problem solving

What is the frontal lobe?

100
The blood pressure parameter pre-administration of IV thrombolytics is...

What is SBP < 185 AND DBP < 110?

100

This screening tool is required in all suspected stroke patients prior to any PO administration.

What is the dysphagia screen?

100
Bob arrives to the ER at 0800 with right sided weakness. These symptoms started suddenly at 0200. At 0930 Bob symptoms resolved. At 1200 Bob noticed his speech sounded "funny". Bob's last known well is..

What is 0930?

100

The acronym "FAST" is used to help identify stroke symptoms. "FAST" stands for...

What is facial droop, arm weakness, speech and time?

200

This portion of the brain is responsible for respiratory rate, heart rate, blood pressure and wake-fullness.

What is the brain stem?

200

In the hyperacute phase of stroke, a non-contrast CT head is utilized for this purpose.

What is to rule out a bleed or a large completed infarct?

200

Name the two blood tests that are drawn in all stroke patients.

What is lipid panel and HbA1C?

200

A patient goes to bed at 10pm and wakes up at 6am with right sided weakness. The last known well would be...

What is 10pm?

200

This type of procedure is the gold standard for diagnosing cerebral aneurysms, AVMs, arterial dissections and dural AV fistulas.

What is a cerebral angiogram?

300

A patient presents with R arm weakness, R facial droop and aphasia. The artery being affected is this artery, which is most often occluded in patients with ischemic stroke.

What is the left middle cerebral artery (MCA)?

300

This lab is the only diagnostic lab study required prior to the administration of thrombolytics.

What is a blood glucose?

300

This EPIC documentation (formerly known as torture in nursing school) is required by DNV on all stroke patients.

What is the CVA care plan?

300

Your patient has received TPA and you notice on your Q15 minute neuro check that the patient's speech is increasingly garbled. The next step in this scenario to..

What is stop the infusion?

300

Three stroke mimics include:

What is seizures, hypoglycemia, migraine, brain tumor, overdose and infection?

400

At the base of the brain, the carotid and vertebrobasilar arteries form a network of communicating arteries known as this.

What is the Circle of Willis?

400

This medication can be given up to 4.5 hours of last known well in pts with a suspected ischemic stroke

What is tenecteplase (TNK) or alteplase (TPA)?

400

The vital sign and neuro check order following thrombolytic administration is...

What is Q15 minutes x 2 hours, Q30 minutes x 6 hours and Q1 hour x 16 hours?

400

A patient's family member asks you what two of the most common risks are of thrombolytic administration. You respond..

What is hemorrhagic conversion and angioedema?

400

Temporary weakness/numbness or visual changes caused by vascular disease that resolve within 24 hours is know as this.

What is a transient ischemic attack (TIA)?

500

This set of vessels is responsible for delivering blood supply to the posterior circulation of the brain.

What are the vertebral arteries?

500

It is determined that your patient is a candidate for IV thrombolytic therapy. If the patient weighs 150lbs what would be the TPA dose (bolus & infusion) and what would be the TNK dose?

What is TPA bolus dose of 6mg/infusion of 55mg and TNK bolus of 17mg?

500

This is ordered for all patients who received thrombolytics 24 hours post administration?

What is a non-con CT head?

500

A patient comes in with "the worst headache of their life". What do you suspect to find on CT and what is a possible intervention?

What is a subarachnoid hemorrhage and possible EVD placement?
500

On a non-contrast CT a large white area would indicate...

What is a bleed?
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