Which would you give for an ischemic stroke?

I represent the thickening/narrowing of arteries.

Slurred speech, impaired movement, drooling, and other signs that resolve in mins-hrs. Which am I?

TIA's are usually caused by which type of blockage/obstruction?

Which cardiogenic source causes the majority of ischemic strokes?

For pts w/ ALS, life expectancy is 2-5 yrs, they receive antispasmodics, antidepressants, and _ for fatigue. There is no cure; tx is supportive. Pts usually die d/t respiratory failure or infection.

Maximize functioning, maintain highest level of QoL. Provide honest information for new diagnosis, assess psychosocial, and acute admissions may require intubation.

With ALS fasciculation (muscle twitch), cramps, or weakness may occur. With disease progression, increasing muscle weakness and atrophy happens, but bladder/bowel control remains intact. In late stages, per ppt, what becomes increasingly difficult? Select all that apply.

Pts w/ Huntington's disease show onset btw 35-45, die within 10-20 yrs, and have 50% chance of giving it to their children. Chorea is the jerky, involuntary movement that affects the shoulders, hips, and face. Pts usually succumb to _ as a result of the condition?

Meds for Huntington's disease?

Which condition will most likely be diagnosed or identified w/ genetic testing or presymptomatic testing?

Note: keep confidential

Which condition has a "light at the end of the tunnel"? There is a potential for remyelination of nerve cells d/t to the sparing of Schwann cells.

Recovery or "return to normal" can take weeks, months, or years.

Pt has severe weakness/numbness in legs and arms, ascending weakness w/ dyskinesia, loss of feeling + movement (paralysis), and/or severe bradycardia. Severe cases > total paralysis.

Which condition is described?

Both involve respiratory failure. This one involves a positive tensilon test (improvement after edrophonium), dilated pupils, tachycardia, HTN, aspiration, and incontinence. Which am I?

Both involve respiratory failure. This one involves a negative tensilon test (worsens after edrophonium) and requires the use of atropine to counter bradycardia, asystole, and bronchoconstriction. Which condition am I?

Pt has weakness in eye muscles (ocular myasthenia), drooping of one or both eyelids (ptosis), blurred vision (diplopia), change in facial expression, difficulty swallowing, SOB, impaired speech (dysarthia), and weakness in arms, hands, fingers, legs, and neck. Which condition am I?

Pyridostigmine Bromide leads to?

Note: Treatment w/ MG

Relapsing-remiting is the most common cause of MS. Nystagmus is the rhythmic eye movements and the tongue is affected by CNXII - hypoglossal. Keep pts in air-conditioning. What are the most common symptoms of MS? Select all that apply

Typical signs of MS are blurred vision, intention tremor, and urinary hesitancy. Which of the following represent the charcot's neurologic triad? Select all that apply.

Putting the neck to the chest may elicit a sign of MS that represents an electric shock that passes down the back of your neck into your spine and can radiate to your arms/legs. Which sign is that?

What matter is seen on which imaging?

For aspiration precautions, elevate the bed to at least _ degrees?

Note: If pt coughs after eating/drinking, request a swallowing assessment. Risk for aspiration may exist for weeks after a stroke. Tuck chin when swallowing, decrease distractions, place food in the back on the unaffected side.

Position pt on weak or paralyzed side for only 30 mins.

Inability to recognize an object by sight, touch, or hearing.

Note: Neglect is a phenomenon whereby a person consistently ignores stimuli present to one side of their body in copying, drowing, and normal activity. Remind the pt to use both sides of their body; dress affected side first.

Fluent aphasia; speaks in full, long sentence that make no sense at all; green shirt.

saying a WHOLE lot of nothing.

Nonfluent aphasia; pt can understand language but has difficulty getting the words out; speech is slow/choppy; expressive aphasia.

speech is BROKEN

I am a type of dysphagia associated w/ difficulty initiating swallowing.

I am the type of dysphagia associated w/ passing food down the esophagus.

Impaired speech-lanague (aphasias), slow performance/cautious behavior, aware of deficits, depression, anxiety, and impaired comprehension of language & math indicates which type of brain damage?

Spatial-perceptual, deny/minimize problems, rapid performance/short attention span, impulsive w/ safety concerns, impaired judgement, and impaired concept of time indicates which type of brain damage?

Mild or partial weakness/loss of strength on one side of the body.

Severe or complete loss of strength on one side of the body.

Difficulty swallowing.

Motor speech disorder; muscles involved w/ speech are weakened, damaged, or paralyzed

Loss of sight in halfof the vision field.

With cerebral aneurysm, you can clip, coil, or stent that thing. Avoid stress, aim for quiet, reduce pain, anxiety and other ways to raise BP. Ideally pts should be on bed rest. Report increasing headache and monitor all activity.

What's the earliest sign of hemorrhagic stroke?

A CCB used to prevent/reduce the likelihood of vasospasm

Which is referred to as white matter disease?

Collateral ciruclation is rare w/ anterior cerebral artery storkes d/t to which artery?

Which area of the brain is associated w/ thought and personality?

Which area of the brain is associated w/ motivation, planning, and organizing complex behavior?

Which correctly identifies the specs on the Golden Hour for pts suspected of having a stroke?

To reduce ICP, I am an osmotic diuretic. Which am I?