Affected vessels
Testing/Treatment/Prevention
Stroke Misc
Unrelated: EtOH Withdrawal Symptoms
100

The vessel which causes contralateral paresis and sensory loss in the face and arms; contralateral homonymous hemianopsia

What is the MCA?

100

Name of calculation we use to determine atrial fibrillation stroke risk

CHA₂DS₂-VASc

100

What does BE FAST stand for?

Balance Issues

Eye sight changes

Face Drooping

Arm weakness

Speech Difficulty

Time to call 911

100

Alcohol withdrawal syndrome (uncomplicated) - occurs how many hours after last drink? What are some symptoms associated with this?

6-24 hours

Palpitations, sweating, tachycardia, elevated blood pressure, hyperthermia

Anxiety, insomnia

Tremor

Headaches

nausea, vomiting

200

Vessel which causes contralateral paresis and sensory loss in the leg.

What is the ACA?

200

Lab you obtain if you suspect temporal arteritis? What do you immediately treat with?

ESR to test.  Corticosteroids to prevent further visual loss

200

What is the difference between a stroke and TIA?

A TIA is a temporary, focal cerebral ischemia; without acute infarction or permanent loss of function, lasting < 24 hours


200

Alcoholic hallucinosis typically occurs how many hours after last drink?

12-24 hours. 

Consciousness is usually intact.

Vital signs may be normal.

Auditory and/or visual hallucinations are common; tactile hallucinations are also possible

Delusions

300

Vessel associated with contralateral homonymous hemianopia w/ macular sparing.

What is PCA!?

300

Surgery for symptomatic patients with >60% stenosis or asymptomatic pts w/ >70%

Carotid endarterectomy

300
A stroke in the US happens every ___ seconds?

Every 40 seconds, someone in the United States has a stroke. Every 3 minutes and 11 seconds, someone dies of stroke in this country.

300

Delerium tremens occurs how many hours after last drink?  How is it described?

Usually occurs 72-96 hours after last drink.  Characterized by persistent alteration of consciousness and sympathetic hyperactivity due to alcohol withdrawal. May be lethal.

400

Name of vessel that when dissected can cause sudden HA, neck pain, and Horner syndrome

What is carotid artery dissection?

400

What is the MOA of plavix?

Irreversibly inhibiting the P2Y12 receptor on platelets

400

How many brain cells die every minute during stroke?

Two million brain cells die every minute during stroke, increasing risk of permanent brain damage, disability or death.

400

Alcohol withdrawal seizures typically occur how many hours after initial drink?

8-48 hours. Clinical features: tonic-clonic seziures

500

What syndrome/vessel that when affected can cause vertigo, nystagmus, and hiccups? Hint: it's medullary

What is Wallenberg syndrome/PICA?

500

How do you distinguish alcoholic hallucinosis from the hallucinations associated with delirium?

Patients with delirium usually have impaired consciousness and abnormal vital signs.