Where is my Brain?
What side and lobe of the brain is Broca's area typically found?
The Left frontal lobe
Which class of drug degrades fibrin?
tPA's / Thrombolytics
Your patient has word finding difficulty, slurred speech, right sided weakness, and is staring off to the left. Which artery is likely occluded?
Left MCA
The ICAs
What is the most common large vessel occlusion?
MCAs
Which lobe is responsible for proprioception?
The Parietal Lobe
My patient has just had a carotid stent inserted. What class of medications will they be prescribed for a long period of time after discharge?
Anti-platelet
The patient presents with left sided visual loss and a moderate headache. Which lobe and artery is most likely affected?
Right PCA and Occipital lobe
Which vessels supply the posterior circulation?
The Vertebral and Basilar arteries
A suspected stroke to what area results in an instant fail in an ASSIST?
Brainstem / posterior circulation
Where is the Reticular activating system primarily found?
In the Brainstem
My medication class works by causing the relaxation of smooth muscle of the arteries.
Calcium channel blockers
Your patient presents with a headache, nausea and Left limb Ataxia and dysmetria. What side and part of the brain is likely affected?
Left cerebellar
Which vessels connect the anterior and posterior circulation?
The Posterior communicating Artery
Hydrocephalus is a very common complication after strokes to which parts of the brain?
Cerebellum and Brainstem
The part of the brain responsible for sensing pain is the...?
Thalamus
Name any drug that prevents factor X activation to factor Xa?
Most anticoagulants.....
The patient presents with confusion, impulsiveness, severe left leg weakness and mild left arm weakness. Which artery is most likely occluded?
Right ACA
What is the largest venous sinus?
The superior sagittal sinus
List TWO contraindications for thrombolysis?
Recent surgery, falls, currently on anti-coagulation, active bleeding, hypertension >185
What part of the brain is responsible for laying down short term memory, and where is it found?
Hippocampus is found in the temporal lobe
In which cohort of patients do we preferentially use heparin over clexane for VTE prophylaxis?
Renally impaired patients.
What area of the brain is most prone to spontaneous Intracerebral haemorrhage?
Basal Ganglia
What are the 3 main arteries that supply the Cerebellum?
PICA, SCA, AICA
What is the name given to the tissue that is still salvageable during an ischaemic stroke?
Penumbra