Week 1 Quiz

Diet, exercise, and medications can be used to effectively manage all of the following CVA risk factors, EXCEPT:

• High blood pressure

• Type 2 Diabetes

• Blood Disorders

• Obesity

• Heart disease

Your patient suffered a L MCA embolic stroke. Which of the following statements is therefore true?

• The blockage formed within the middle cerebral artery

• The blockage traveled from elsewhere in the body, commonly originating in the lower extremities

• The blockage will likely be found in the distal portion of the middle cerebral artery

• The tear in the artery wall was likely caused by an aneurysm that burst

• The tear in the artery wall was likely caused by high blood pressure

While performing a chart review on your patient in acute care, you note their NIHSS score on admission was found to = 20. Based on the prognostic abilities of this measure, where is a likely discharge destination for this patient?

• Long-term skilled care

• Acute inpatient rehab

• Home with home health PT

• Home with outpatient PT

Isaac is a 72-year-old M who was in his usual state of health until he experienced an abrupt, severe headache, left hemibody weakness, and confusion. He was found to have a right ACA stroke.

His onset of symptoms is most consistent with what type of stroke, and what is a potential intervention for this diagnosis?

• Embolic stroke, mechanical embolectomy

• Subarachnoid hemorrhage, endovascular coiling

• Thrombotic stroke, surgical clipping

• Intracerebral hemorrhage, carotid endartectomy

You are evaluating a patient who is believed to have sustained a transient ischemic attack (TIA). What piece of education would be appropriate to provide this patient during your plan of care?

• "You should expect your impairments to completely resolve in 48-72 hours."

• "It's thought that TIAs occur from temporary ruptures in arterial walls, that are able to heal naturally."

• "These are considered warning strokes - meaning your chances of a full-blown stroke are higher, particularly in the next 90 days."

• "There's nothing that can be done to prevent a stroke from happening now that you've had a TIA."

Which of the following examination findings would be expected of someone who experienced a right middle cerebral artery stroke?

• Broca's aphasia

• MMT: RUE/RLE 5/5; LUE 3/5, LLE 1/5

• • + Double simultaneous stimulation (DSS) test for visual stimuli

• Cogwheel rigidity RUE>RLE

Which examination finding would not be consistent with what can potentially be seen with lacunar infarcts?

• 0/5 MMT throughout one side of the body

• 0/5 MMT and 0/5 Light touch throughout one side of the body

• Inability to remember 3 words after 5 minutes and impulsivity

• Saccadic breakdown noted during smooth pursuit exam

What would NOT be a finding consistent with a stroke involving the internal carotid artery (ICA)?

• Cortical blindness

• UE and LE weakness

• UE and LE sensory loss

• Cognitive impairments

What patient characteristic would be consistent with hemispheric differences commonly seen after a LEFT stroke?

• Significant perceptual deficits

• Unrealistic expectations, at times argumentative

• Difficulty interpreting other's emotions

• Disorganized thought processes, very tangential

Your patient was diagnosed with medial pontine syndrome. Based on this diagnosis, you would expect to potentially find impairment in all of the following tests, EXCEPT:

• Extraocular muscle AROM

• Finger-to-nose

• Vestibulo-ocular reflex

• Facial muscle strength