Term
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Definition
| What is a sensory problem where written or spoken words are not properly understood? |
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Term
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Definition
| What is a motor problem where words can’t be formed or expressed? |
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Term
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Definition
| What number increases during a hemorrhagic stroke? |
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Term
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Definition
| Which artery is involved in a stroke with symptoms of contralateral weakness affecting the face, arm and leg, and deviation of the eyes to the side of the lesion? |
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Term
| Vertebral Basilary Artery |
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Definition
| Which arteries are involved in strokes with symptoms of drop attacks, comas, vertigo, and ataxia? |
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Term
| Throbotic Ischemic Stroke |
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Definition
| What type of stroke is usually preceded by a TIA and is caused by ulcerative plaque in the common carotid artery? |
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Term
| Reversible Ischemic Neurologic Deficit |
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Definition
| Signs and symptoms of a stroke that last >24hours and have no residual? |
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Term
MRI
*better than a CT for small vessels |
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Definition
| What type of imaging scan would you use to determine the difference between an ischemic and hemorrhagic stroke? |
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Term
| athero-thrombotic ischemic stroke |
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Definition
| What type of stroke is caused by a blood clot leading to an artery in the brain? |
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Term
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Definition
| Smaller-sized strokes caused by an embolus that moves to progressively smaller arterial branches until it gets stuck? |
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Term
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Definition
| Stroke due to occlusive disease of small penetrating arterioles usually seen in the deep white matter of the brain? |
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Term
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Definition
| White matter lesions enhanced with Gadolinium on an MRI that show up periventricular are classic for what disease? |
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Term
| Vasculitic Infarct Stroke |
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Definition
| Inflammation in the intracerebral arteries that causes arterial spasms and edema that lead to brain ischemia? |
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Term
| Hematologial-Related Infarct Stroke |
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Definition
| Stroke due to an insufficient stream of blood to the brain, b/c of diseases such as sickle cell anemia or polycythemia. |
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Term
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Definition
| A stroke that occurs when there is a fall in blood pressure, for whatever reason, and the very distal areas of the brain (where the distributions of the cerebral arteries overlap) are not perfused. |
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Term
Primary Intracerebral Hemorrhage
*if in the cerebellum it is a neurosurgical emergency |
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Definition
| A stroke due to a weak artery that spontaneously bleeds. |
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Term
| Secondary Intracerebral Hemorrhagic Stroke |
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Definition
| Strokes that are secondary to identifiable causes such as anticoagulation, aneurysm, AVM, hemophilia, tumor, etc. |
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Term
| Secondary Intracerebral Hemorrhagic Stroke |
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Definition
| What type of stroke would you suspect if hemorrhage is located in an unusual location? |
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Term
| Anterior Communicating Artery |
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Definition
| What is the most common site of a subarachnoid hemorrhage? |
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Term
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Definition
| A ruptured aneurysm in the Circle of Willis. |
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Term
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Definition
| What would you suspect if a pt presented with the "worst headache I've ever had and a stiff neck"? |
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Term
CT
*MRI - best for acute infarct, but misses hemorrhage |
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Definition
| Which imaging study is best for an acute hemorrhage, but missed infarct? |
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Term
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Definition
| Using an ECG, what would you be looking for in a patient that had a stroke? |
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Term
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Definition
| What is the gold standard for imaging cerebral circulation? |
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Term
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Definition
| tPA must be given within how many hours? |
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Term
-In the vertebral & basilar arteries
-lacunar infarcts deep in the brain
-embolic strokes |
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Definition
| Which types of strokes is surgury NOT recommended for? |
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Term
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Definition
| A cyclooxygenase inhibitor that inhibits platelet aggregation by preventing formation of thromboxane A2, and shown to prevent strokes in males? |
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Term
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Definition
| What should be prescribed for pts with a cardiac source of embolization? |
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Term
INR
*Keep around 2-3
*Normal is 1 |
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Definition
| How is Warfarin (Coumadin) tested? |
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Term
| cerebral arteriovenous malformation (AVM) |
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Definition
| An abnormal connection between arteries and veins in the brain that is present at birth (congenital). |
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Term
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Definition
| Cerebellar tonsils protrude through the foramen magnum and into the cervical spinal canal. |
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Term
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Definition
| Central cord syndrome is a classic presentation of this syndrome? |
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