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Exam (elaborations)

VASCULAR ARDMS BOARDS DAVIES Exam Questions and Answers 100% Pass

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VASCULAR ARDMS BOARDS DAVIES Exam Questions and Answers 100% Pass What's the first major arterial branch of the aorta is the? - Innominate artery or brachiocephalic artery The vertebral artery usually arises from the: - Subclavian Artery The incidence of new strokes per year is: - from 500,00...

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  • October 25, 2024
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  • 2024/2025
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  • Questions & answers
  • VASCULAR
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
VASCULAR ARDMS BOARDS DAVIES

Exam Questions and Answers 100%

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What's the first major arterial branch of the aorta is the? - ✔✔Innominate

artery or brachiocephalic artery

The vertebral artery usually arises from the: - ✔✔Subclavian Artery

The incidence of new strokes per year is: - ✔✔from 500,000 to 700,000

The abbreviation TIA stands for: - ✔✔Transient Ischemic Attack

A TIA of the right anterior hemisphere of the brain will likely affect: - ✔✔The

left side of the body - affects the side of the body opposite that of the

ischemic hemisphere

Amaurosis Fugax related to an internal carotid lesion will cause: -

✔✔Temporary blindness or shadowing of the ipsilateral eye. affects same

side since thromboembolic activity from ulcerated ipsilateral carotid

atheroma is suspected

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
A transient ischemic attack: - ✔✔Resolves within 24 hours. TIA often last

just a few minutes

Simultaneous bilateral ocular symptoms in the patient with suspected

cerebrovascular disease generally originate form: - ✔✔The vertebrobasilar

arteries . usually originate in the posterior circulation , as the visual cortex

is in the occipital lobe. The specific binocular symptom of homonymous

hemianopia results from obstruction of a middle cerebral artery branch, not

the vertebrobasilar system

What are symptoms when vertebrobasilar circulation is effected? -

✔✔Vertigo, dizziness, ataxia, or other bilateral or global symptoms .

What are symptoms when anterior circulation is effected? - ✔✔Facial

Asymmetry, unilateral

What accurately defines RIND also called stroke with recovery? - ✔✔A

neurologic ischemic deficit that resolves completely after 24 hours.

Describes an intracranial ischemic event that does not resolve within 24

hours but thereafter completely resolves.

A 56- year old patient reports loss of vision in her left eye two days ago,

with total resolution in 10 minutes. Yesterday morning she developed

weakness and numbness in her right hand and was unable to hold her

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
coffee cup. This afternoon her hand strength is about 90% normal, with

normal sensation. Clinically she has: - ✔✔Stroke because it has persisted

longer than 24 hours and has not resolved completely

The infraorbital artery is a terminal branch of the: - ✔✔Maxillary Artery . It

creates one of the potential anastomoses with orbital branches that can

provide collateral pathways in the even of carotid obstruction

Amaurosis Fugax can be interpreted as a: - ✔✔Transient Ischemic Attack

of the eye.

Dysphagia is : - ✔✔Difficulty swallowing. Symptom associated with

vertebrobasilar insufficiency.

A binocular disturbance that disrupts vision in half the visual field of both

eyes is called: - ✔✔Homonymous Hemianopia

Paresthesia refers to: - ✔✔tingling sensation

A patient describes a 30-minute episode of garbled speech. This is called: -

✔✔Dysphasia . Aphasia is widely used as well but technically this is

incorrect, since it means "absence of speech."

A right-handed patient experiences a 30-minute episode of dysphasia.

Which area of circulation is suspect? - ✔✔Left hemisphere . The speech

area of the cortex is in the temporal lobe of the dominant hemisphere

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
What is true regarding subclavian steal? - ✔✔It is usually a harmless

hemodynamic phenomenon. It is caused by arterial obstruction proximal to

the origin of the vertebral artery. This creates an abnormal pressure

gradient that pulls or "steals" flow from the vertebral artery to perfuse the

ipsilateral upper extremity.

Subclavian steal occurs: - ✔✔more often on left side .

A hemispheric stroke usually affects: - ✔✔The middle cerebral artery

distribution and the contralateral side of the body

Stenosis of the following vessel presents the highest risk for a TIA: -

✔✔Internal Carotid Artery

The vertebral arteries branch from the subclavian arteries to unite and form

the: - ✔✔Basilar Artery . This system is called the vertebrobasilar system

and is responsible for the circulation to the posterior portion of the brain .

A decreased pulse at mid neck is suggestive of: - ✔✔Common Carotid

stenosis if the contralateral pulse is normal. Sometimes the right neck pulse

can feel reduced because of the larger muscles overlying the carotid.

Occasionally the right neck feels stronger due to tortuosity of the common

carotid Artery.

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