Recognition
Imaging
Technical Terms
Code Stroke
Challenges for Double Points
100

What the letters of BEFAST represent.

What are balance, eyes, facial droop, arm weakness, and time.

100

The gold standard for diagnosing acute ischemic stroke.

What is MRI? What is MRI brain?

100

The medical term that refers to difficulty swallowing.

What is dysphagia?

100

This piece of information is used to determine how much Tenecteplase to give.

What is weight?
100

The medical director of stroke who oversees CSMH, CSMC, and Torrance.

Who is doctor Song?

200

These symptoms are highly suggestive of a middle cerebral artery (MCA) stroke?

What are aphasia, facial droop, and arm/grip weakness?

200

The purpose for the stat non-contrast head CT during code stroke.

What is rule out bleeding in the brain?

What is rule out hemorrhagic stroke?

200

The medical term that refers to uncoordinated movement.

What is ataxia?

200

Five modifiable risk factors for stroke.

What are hypertension, hyperlipidemia, atrial fibrillation, smoking, obesity, sleep apnea, diabetes, stress, sedentary lifestyle, etc?

200

The large blood vessel that runs the length of the brainstem.

What is the basilar artery?

300

These could be signs of subarachnoid hemorrhage.

What is sudden onset/thunderclap headache?

What is the worst headache of life?

What is sudden onset nausea and vomiting with elevated BP?

What is sudden onset headache with neck pain/stiffness?


300
Imaging modality that can be used to identify large vessel occlusion, aneurism, and stenosis.

What it is CTA/MRA?

What is CTA/p?

300

The medical term that refers to double vision.

What is diplopia?
300

This piece of information is used to determine if the patient is within the window for treatment with thrombolytics.

What is last known well time?

300

5 of the elements of the standard of care for patients admitted with new stroke

What are?:

Lipid panel, A1C, CTA, MRI brain, TTE, antiplatelet, swallow screen, permissive HTN, SLP/OT/PT

400

These symptoms are characteristic of a stroke in the occipital lobe.

What is hemianopsia?

What is diplopia?

400

The TTE with bubble study is used to identify this risk for acute ischemic stroke.

What is a PFO?

What is a patent foramen ovale?

400

The medical term that refers to slurred speech.

What is dysarthria?
400

The goal door-to-needle time.

What is within 45 minutes of arrival?
400

Two medical interventions for subarachnoid/intracerebral hemorrhage (meaning things a doctor needs to order).

What are?:

Intubation, reversal agents, labetalol, nicardipine.

500

These symptoms, although often overlooked, can be signs of a cerebellar stroke.

What are dizziness, gait instability, ataxia?

500

During assessment for wake-up stroke, these two imaging modalities must be pursued in order to determine indication for thrombolytics.

What are CTA and MRI?

500

The area of potentially salvageable brain tissue that surrounds the ischemic core.

What is the penumbra?

500

2 potential complications of thrombolytic administration.

What is bleeding?

What is conversion to hemorrhagic stroke?

What is angioedema?

500

Sign of a stroke that may have occurred due to posterior cerebral artery (PCA) occlusion

What is hemianopia or diplopia

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