Ischemic Stroke

Course #90285 - $60-


Self-Assessment Questions

    1 . Which of the following is excluded from the nervous system disease category in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11)?
    A) Cerebral infarction
    B) Vascular dementia
    C) Intracerebral hemorrhage
    D) Subarachnoid hemorrhage

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    2 . Which of the following is a classic sign/symptom of subarachnoid hemorrhage?
    A) Seizure
    B) Aphasia
    C) Photophobia
    D) Numbness/weakness

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    3 . The most common focal neurologic sign of a TIA is the sudden onset of
    A) paralysis.
    B) imbalance.
    C) transient monocular blindness.
    D) unilateral weakness/numbness.

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    4 . What is the risk of a stroke within seven days after a TIA for individuals who sought treatment for this event?
    A) 5%
    B) 10%
    C) 20%
    D) 50%

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    5 . All of the following statements regarding TIAs are TRUE, EXCEPT:
    A) Evaluation of TIA should include screening for atrial fibrillation.
    B) TIA should be considered a serious precursor to ischemic stroke.
    C) Upon suspicion of TIA, patients should be advised to take 300 mg aspirin.
    D) If symptoms resolved promptly and the patient feels well, evaluation can be scheduled at patient convenience and office schedule availability.

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    6 . Most individuals with stroke have recoverable penumbral tissue for at least how long after the onset of symptoms?
    A) 30 minutes
    B) 1 hour
    C) 2 hours
    D) 3 hours

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    7 . An ischemic stroke in the right anterior hemisphere would cause which of the following neurologic deficits?
    A) Ataxia
    B) Aphasia
    C) Nystagmus
    D) Left field visual neglect

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    8 . Which of the following is part of the posterior circulation of the brain?
    A) Choroidal artery
    B) Vertebrobasilar artery
    C) Internal carotid artery
    D) Posterior communicating artery

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    9 . The most common cardiogenic cause of embolic stroke is
    A) atrial fibrillation.
    B) valvular thrombi.
    C) myocardial infarction.
    D) congestive heart failure.

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    10 . At three months after a stroke, what percentage of stroke survivors need long-term care?
    A) 10%
    B) 20%
    C) 40%
    D) 60%

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    11 . The average age at the time of ischemic stroke is
    A) 65 years in men and 70 years in women.
    B) 70 years in both men and women.
    C) 71 years in men and 75 years in women.
    D) 80 years in men and 81 years in women.

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    12 . According to statistics presented by the American Heart Association (AHA), which of the following populations has the highest prevalence for stroke?
    A) Black
    B) White
    C) Hispanic or Latino
    D) American Indian/Alaskan Native

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    13 . Which of the following has the most evidence as a risk factor for ischemic stroke?
    A) Hypertension
    B) Hypercoagulability
    C) Metabolic syndrome
    D) Sleep-disordered breathing

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    14 . According to the 2017 Guideline, how often should an individual with a blood pressure of 124/85 mm Hg be screened for hypertension?
    A) Every month
    B) Every 3 to 6 months
    C) Every 2 years
    D) Every 3 years

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    15 . Following acute ischemic stroke and an immediate call for EMS, what approximate percentage of patients could receive optimal therapy (e.g., thrombolytics) within three hours of symptom onset?
    A) 5%
    B) 10%
    C) 20%
    D) 29%

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    16 . Which of the following statements regarding predicting stroke risk is TRUE?
    A) Validated tools are available to assess the risk of stroke.
    B) The ABCD assessment includes points for laboratory results.
    C) Risk assessment tools have been shown to improve primary prevention.
    D) Interactivity among independent risk factors can affect risk prediction.

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    17 . Which of the following is NOT recommended as part of the initial evaluation (in the emergency department) of an individual with suspected stroke?
    A) Urine culture
    B) Oxygen saturation
    C) Determination of electrolyte levels
    D) Computed tomography of the brain

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    18 . Which of the following clinical signs suggests subarachnoid hemorrhage rather than ischemic stroke?
    A) Ptosis or miosis
    B) Severe headache
    C) Fever and cardiac murmur
    D) Elevated erythrocyte sedimentation rate

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    19 . Which of the following statements regarding stroke centers is TRUE?
    A) A stroke system of care improves acute and post-acute care but has no effect on EMS.
    B) There is no formal certification process for designating an institution as a comprehensive stroke center.
    C) No states have policies mandating direct routing of individuals with suspected stroke to a primary stroke center.
    D) Individuals with stroke are more likely to receive thrombolytic therapy at a primary or comprehensive stroke center.

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    20 . The most common serious medical complication of rt-PA is
    A) angioedema.
    B) anaphylaxis.
    C) myocardial rupture.
    D) secondary brain hemorrhage.

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    21 . Which of the following settings is associated with the best rehabilitation care for patients with ischemic stroke?
    A) Patient's home
    B) Inpatient stroke unit
    C) Long-term care facility
    D) Outpatient therapy clinic

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    22 . Which of the following statements regarding pressure injuries is TRUE?
    A) Pain is a hallmark characteristic of a severe pressure injury.
    B) Lower body mass index is a risk factor for pressure injury.
    C) Patients should be monitored every other day for skin breakdown.
    D) Most pressure injuries are associated with superficial tissue injury only.

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    23 . The diagnosic study of choice for deep vein thrombosis is
    A) D-dimer test.
    B) echocardiography.
    C) Doppler ultrasound.
    D) Well's prediction model.

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    24 . Which of the following statements regarding assessment of patients with stroke is TRUE?
    A) Psychosocial support is not useful for fecal incontinence.
    B) Pain is most commonly caused by sensorimotor pathway damage.
    C) Cognitive impairment is associated with post-stroke urinary dysfunction.
    D) The STRATIFY tool is effective in predicting the risk of a fall in stroke survivors.

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    25 . Chronic pain after stroke most commonly involves a
    A) hip.
    B) hand.
    C) shoulder.
    D) lower extremity.

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    26 . The cognitive function that shows the most improvement by six months after stroke is
    A) language.
    B) calculation.
    C) visual memory.
    D) abstract reasoning.

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    27 . A stroke survivor who interprets figurative speech literally has
    A) dysarthria.
    B) receptive aphasia.
    C) apraxia of speech.
    D) expressive aphasia.

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    28 . Which of the following statements regarding psychological issues in stroke patients is TRUE?
    A) Symptoms of post-stroke depression are obvious.
    B) Depression occurs in 15% of patients after stroke.
    C) Generalized anxiety disorder often coexists with post-stroke depression.
    D) Post-stroke depression does not respond well to selective serotonin reuptake inhibitors.

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    29 . Increasing safety during activities of daily living is a major goal of which type of exercise?
    A) Aerobic
    B) Neuromuscular
    C) Strength training
    D) Flexibility/stretching

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    30 . Which of the following statements regarding risk for recurrent stroke is TRUE?
    A) Risk is highest in the first week after a stroke event.
    B) Risk remains higher for the next 12 months than in subsequent years.
    C) Risk can be lowered by controlling blood pressure and optimizing lifestyle behaviors.
    D) All of the above

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