SCRN EXAM BUNDLE

A person with a stroke who seems unaware of their disability: - Answer- anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - Answer- Brainstem Watershed stroke is de...

Function of the Frontal Lobe - Answer- "EXECUTIVE" functions reasoning, emotions, judgement, voluntary movement planning and initiation, personality expression and moderation of social functions Broca's area is in this lobe (production of speech) Function of the Parietal Lobe - Answer- "SE...

Penumbra - Answer- Salvageable tissue -oxygen -blood pressure -Glucose Perfusion - Answer- What oxygen delivers to the brain. Above the necklace-Anterior Circulation= - Answer- Unilateral deficits Below the necklace-Posterior circulation= - Answer- Bilateral deficits Circle of Willis-...

cerebral cortex - Answer- gray matter on the outermost section of the cerebrum and cerebellum composed of neuronal cell bodies Four lobes of the cerebral cortex and cerebrum - Answer- Frontal Parietal Temporal Occipital Oxygen supplemental need - Answer- > 93% BP goal post tPA - Ans...

A patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: - Answer- Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal...

A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negativ...

anoxia - Answer- total depletion in the level of O2 although there is adequate blood flow hypoxia - Answer- decrease in O2 levels despite adequate blood flow necrotic pathway - Answer- cell energy failure and rapid cytoskeletal breakdown apoptotic pathway - Answer- programmed cell death ...

Save the penumbra with - Answer- Oxygen> 94%, BP < = 185/110, Glucose 140-180 Anterior Circulation - Answer- Unilateral Deficits ICA- large vessel ACA -leg MCA-arm Posterior Circulation - Answer- Bilateral deficits Basilar-large vessel Vertebral-large vessel Cerebellar arter...

Communicate effectively with pre-hospital personnel. - Answer- When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be emphasized in the community. The greatest time delay is from symptom onset to ED arrival. EMS alerts the hospital, advance n...

Stroke Risk Factors - Answer- Age Gender (men >women) Genetics Stroke Primary Prevention - Answer- Tobacco cessation Blood pressure reduction Stroke Secondary Prevention - Answer- Prevention of another stroke Targets treatment for change once disease is present i.e. Blood Pressure contr...

What percentage of the body's oxygen supply and cardiac output does the brain use? - Answer- The brain uses 20% of the body's oxygen suppy and 15% of the body's cardiac output. *brain cells do not store oxygen or glucose. The need a constant suppy of micronutrients from arterial blood. What i...

Framingham Scale - Answer- Stroke risk assessment (age, SBP, DM, smoker, a fib, HTN) Hunt & Hess Scale - Answer- rates aSAH based on clinical presentation ABCD2 - Answer- determine the risk for stroke in the days following a transient ischemic attack. Age >60 Blood pressure >140/90 ...

How many cranial nerves are there? - Answer- 12 pairs How many spinal nerves are there? - Answer- 31 pairs Penumbra - Answer- Area of ischemic brain tissue that is potentially reversible What are the two types of hemorrhagic stroke? - Answer- intracerebral hemorrhage and subarachnoid hemorr...

What was the role of the Brain Attack Coalition (BAC) in stroke care? - Answer- Founded by 17 neurosurgeons in 1991, they established standardized stroke care criteria based on evidence based practice Which organization provides criteria for a healthcare facility to become a primary stroke center...