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WorksheetsSCRN Stroke Complications Review
Total questions: 10
Worksheet time: 5mins
The CSF is produced at approximately what rate per minute?
0.5 ml
20 ml
0.3 ml
1 ml
The ventriculostomy should be leveled at what external landmark?
Ear lobe
outer canthus of the eye
Tragus
Chin
Which internal landmark do you level the ventriculostomy to?
Lateral ventricle
Foramen of Monroe
Foramen of Luschka
When a patient comes in complaining of the sudden onset of the "worst headache of their life," the SCRN suspects a Subarachnoid Hemorrhage (SAH). The CT scan is negative, what is the next test the SCRN should anticipate?
CT angiogram
Cerebral angiogram
Lumbar puncture
Magnetic resonance image (MRI)
Your patient is 72 hours post left MCA stroke and has increased drowsiness. As the SCRN what your you suspect?
Vasospasm
Re-bleed syndrome
Hemorrhagic Conversion
Cerebral edema
A CT scan shows cerebral edema with a 7mm midline shift. The SCRN should anticipate giving which drugs: select all that apply.
HCTZ
Nimodipine
Mannitol
Hypertonic Saline
CSF is found in which space?
Subdural
Epidural
Subarrachnoid
Your patient is sleepier SAH post day 6. As the SCRN you suspect vasospasm and will prepare the patient for which diagnostic test.
Cerebral angiogram
Transcranial doppler
CT angiogram
MR angiogram
A patient has a large aneurysm with a narrow neck, as the SCRN you would anticipate the following procedure.
Clipping in the OR
Coiling in IR
Pipeline stent
No procedure
Your patient came back from interventional radiology after cerebral angiogram. As the SCRN you know VS, neuro check, vascular checks, and site checks are performed at which intervals.
Assessments: Q15 min x 4, Q30 min x 2, Q 1 hour x 4
Hours Q15 min x 4, Q30 min x 2, Q 1 hour x 4
Hours: Q15 min x 2, Q30 min x 6, Q 1 hour x 16
Assessments: Q15 min x 4, Q30 min x 4, Q 1 hour x 4
