Signs and Symptoms
Time is Brain
Assessment
Treatment
Prevention
100
What are the types of Stroke?
Ischemic and Hemorrhagic
100
Time required for death of neurons after complete interruption of blood flow
Less than 5 minutes
100
This imaging test is the most sensitive study in detecting acute ischemia.
MRI Brain with Diffusion Weighted Imaging
100
Target Blood pressure for Thrombolysis
<180/105 mmHg
100
Name 3 complications associated with Stroke
UTI
Pneumonia
DVT
Depression
200
Who gave the first detailed description of stroke?
Hippocrates
200
Door to Needle time should be less than?
60 minutes
200
Well validated stroke severity score used to assess for stroke, guide treatment, and determine prognosis.
NIH (National Institutes of Health) Stroke Scale
200
Any 3 contraindications for Thrombolysis
- Prior intracranial hemorrhage
- Known structural cerebral vascular lesion
- Known malignant intracranial neoplasm
- Ischemic stroke within 3 months (excluding stroke within 3 hours*)
- Suspected aortic dissection
- Active bleeding or bleeding diathesis (excluding menses)
- Significant closed-head trauma or facial trauma within 3 months
200
One lifestyle choice that has been associated with Increased Risk of Stroke, Hypertension and Cancer but lower incidence of Alzheimer's / Parkinson's disease.
Smoking
300
Name any 3 risk factors for Stroke
Hypertension
Diabetes
A-FIB
Age
Obesity
300
Time required for Thrombolysis
4.5 hours from onset of symptoms
300
Great mimicker of Stroke that you would rule out by one simple bed side blood test
Hypoglycemia
300
Which group does Clopidogrel fall under?
P2Y12 receptor inhibitor
300
Name the Score used in stroke assess a patient's functional disability.
Modified Rankin Score
400
Sudden onset of THIS symptom is associated with high suspicion of hemorrhage
Sudden, Severe headaches (worse HA of their life) especially with nausea/vomiting and/or obtundation
400
Door to groin time?
90 minutes
400
Specific medication question to ask early in triaging patients with concern for stroke
Anticoagulants
400
Name two tissue plasminogen activator used in Stroke for thrombolysis.
1. Alteplase
2. Tenecteplase
400
Name the risk assessment tool used by healthcare professionals to identify patients at risk for developing pressure ulcers.
Braden Scale
500
What does the acronym BEFAST stand for?
500
In a patient with Ischemic Stroke, Mechanical Thrombectomy can be performed in..
Patients who present to hospital within 24 hours from LKW
500
Ischemic Stroke
500
Name three medications that have been proven in multiple researches to prevent recurrence of Stroke.
1. Aspirin
2. Clopidogrel
3. Rosuvastatin
500
Define Stroke.
The World Health Organization (WHO) defines a stroke as the rapid onset of neurological dysfunction caused by a vascular issue, with symptoms lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.