Neuro Talk January (2017)

What is one pre-hospital stroke screen that is used by EMS?
Miami Emergency Neurologic Deficits
LA Motor Scale
Cincinnati Prehospital Stroke Screen
All the Above
The Rapid Arterial oCclusion Evaluation (R.A.C.E.) scale is used pre-hospital to help determine the presence of what?
Small vessel occlusion stroke
Large vessel occlusion stroke
Brain stem infarction
Posterior infarction
What is the trial Carolinas Medical Center is piloting to help in our ability to achieve our key time intervals?
Door to ED
Door to CT
Door to IR
Door to ICU
What is the penumbra?
Area of stroke
Zone of compromised neuronal cells located around the area of infarct that are unable to function but remain viable
Infarcted tissue that is permanently damaged
The most reliable assessment tool used to determine small vessel occlusion vs. Large vessel occlusion
The technology Rapid Imaging shows what?
Hemorrhage
Brain that is damaged
Brain that is salvageable
Brain that is damaged and brain that is salvageable
What is the largest cerebral artery?
Anterior cerebral artery (ACA)
Middle cerebral artery (MCA)
Posterior cerebral artery (PCA)
Anterior communicating artery
What percentage of people are left-side brain dominant?
0-5%
30-35%
50-55%
90-95%
What lab values are not acceptable prior to the administration of tPA?
Platelets <100,000
INR<1.7
Glucose >50
PT <15 seconds
What are some things affected in a patient with a Left MCA occlusion?
Movement & Sensation on Right side
Movement & Sensation on Left side
Memory, Attention, & Judgement
Perception
Speech
Left gaze preference
Right gaze preference
HR & BP
When is the Modified Rankin Scale (MRS) documented on a stroke patient to track their progress/recovery?
Only on admission
Only on admission and discharge
Admission, discharge, 1 month later
Admission, discharge, 90 days, 1 year
I attest that I have read and reviewed the education provided in this module.
Yes
No
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