Cerebrovascular System

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Questions

Question 1

A patient presents with symptoms suggesting a stroke. The FAST algorithm is used for rapid recognition. What does the 'A' in the FAST acronym represent?

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Question 2

What is the primary function of the cerebellum in the context of the cerebrovascular system?

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Question 3

What is the effective time window for administering tissue plasminogen activator (tPA) to a patient with an ischemic stroke to reverse brain ischemia?

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Question 4

Which condition is a major cause of cardiogenic emboli that can lead to an ischemic stroke?

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Question 5

What is the term for the area of brain tissue immediately surrounding an infarction that is receiving marginal blood flow and is considered salvageable with reperfusion?

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Question 6

Which of the following laboratory results would make a patient ineligible for tPA treatment for an ischemic stroke?

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Question 7

What is the primary characteristic that distinguishes a transient ischemic attack (TIA) from a full ischemic stroke?

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Question 8

According to the text, a patient with an occlusion in the middle cerebral artery (MCA) is likely to present with which set of symptoms?

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Question 9

What is the primary purpose of performing an initial non-contrast head CT scan for a patient with acute stroke symptoms?

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Question 10

What is the term for a severe, sudden headache that peaks in intensity within seconds and is a hallmark symptom of a hemorrhagic stroke?

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Question 11

What is the primary physiological cause of a subarachnoid hemorrhage (SAH)?

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Question 12

Which cranial nerve is responsible for the sense of smell?

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Question 13

What is the primary role of the dura mater layer of the meninges?

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Question 14

What does a score of 15 on the Glasgow Coma Scale (GCS) indicate?

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Question 15

What percentage of the population is estimated to have a patent foramen ovale (PFO), a common cause of cardiogenic strokes?

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Question 16

During an acute ischemic stroke, what is the rationale for allowing permissive hypertension?

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Question 17

What is the primary function of the circle of Willis?

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Question 18

A patient with a stroke has difficulty understanding spoken language. Which area of the brain is most likely affected?

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Question 19

A surgical procedure that involves inserting a catheter through a vessel to physically pull a clot out of a cerebral artery is known as what?

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Question 20

What is the primary safety concern a nurse must address for a patient suspected of having an acute stroke before allowing them to eat or drink?

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Question 21

Which part of the brain is primarily responsible for processing visual information, interpretation, and memory?

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Question 22

According to the American Heart Association guidelines mentioned for stroke care, what is the door-to-needle time goal for tPA administration?

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Question 23

Which of these non-modifiable risk factors for ischemic stroke is mentioned in Table 15.3?

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Question 24

What is the term for a type of ischemic stroke that occurs in the small arteries that branch off from larger vessels, often caused by hypertension or diabetes?

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Question 25

What is the most common modifiable risk factor for hemorrhagic stroke?

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Question 26

A patient is admitted for a stroke affecting the posterior inferior cerebellar artery (PICA). Which of the following symptoms would the nurse most likely expect to see?

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Question 27

Which of the following is an example of a surgical intervention for a hemorrhagic stroke caused by a ruptured aneurysm?

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Question 28

What is the primary purpose of the Hunt and Hess classification scale?

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Question 29

A patient experiences a deficit causing a loss of vision in the same halves of the visual field in each eye. What is the correct term for this condition?

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Question 30

A decompressive craniectomy is a surgical intervention primarily used to achieve what outcome in a patient with a hemorrhagic stroke?

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Question 31

What is the primary function of Cranial Nerve VII, the Facial nerve?

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Question 32

A stroke patient is experiencing paralysis and sensory changes affecting the foot and leg on the side of the body opposite to the stroke, along with cognitive impairment and a flat affect. An occlusion of which cerebral artery is the most likely cause?

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Question 33

What is the primary medication class used to manage an ischemic stroke after the acute phase to reduce the risk of subsequent strokes by preventing platelet aggregation?

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Question 34

A patient experiences a stroke that results in an inability to perform tasks or movements when asked, despite understanding the command and having the physical ability to move. What is this deficit called?

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Question 35

What is the primary reason for placing a patient on NPO (nothing by mouth) status immediately upon suspicion of a stroke?

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Question 36

According to the Joint Commission's 'Acute Stroke Ready' certification standards, a head CT scan should be initiated within how many minutes of a patient's arrival?

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Question 37

A patient experiences a stroke that results in quadriplegia and weakness of the mouth and throat, but they retain consciousness and eye movement. What is this rare condition called?

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Question 38

The administration of which intravenous medication is a nonsurgical intervention used to manage increased intracranial pressure (ICP)?

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Question 39

A complication of ischemic stroke, particularly after tPA administration, where a hemorrhagic infarct occurs is known as what?

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Question 40

After an ischemic stroke, the systolic blood pressure goal for a patient who has received tPA is typically maintained below what range?

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Question 41

What is the function of Cranial Nerve XI, the Spinal Accessory nerve?

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Question 42

Which brain lobe is primarily responsible for personality, concentration, and executive function?

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Question 43

What is the gold standard diagnostic tool for determining whether a stroke is ischemic or hemorrhagic?

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Question 44

What does a finding of a 'spot sign' on a Computerized Tomography Angiography (CTA) indicate in a patient with a hemorrhagic stroke?

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Question 45

Which of the following interventions is part of managing a patient who has had a ventriculostomy placed for continuous ICP monitoring?

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Question 46

What is the primary cause of an intracerebral hemorrhage (ICH)?

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Question 47

Which cranial nerve is responsible for vision?

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Question 48

What is the most likely cause for a cryptogenic stroke?

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Question 49

What is the primary role of the trochlear nerve (Cranial Nerve IV)?

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Question 50

Dual antiplatelet therapy for an ischemic stroke typically involves the combination of aspirin and which other medication?

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