KP Virtual Stroke Conference Quiz for CEU Survey

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* 1. Please type in your name and email

Name

Company

Email Address

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* 2. I attest that I have done the following

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* 3. The immediate period after a TIA is often ignored

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* 4. NIHSS should be used to assess a TIA

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* 5. High risk TIA patients may be discharged with the following the medications

Clopidogrel and aspirin

Vitamin C

Heparin subcutaneous

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* 6. A score to determine risk of a future stroke in TIA patients is

ABCD2

mRS

NIHSS

GCS

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* 7. The NIHSS adequately evaluates the posterior circulation

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* 8. The posterior circulation includes the following except

Middle cerebral artery

Basilar artery

Left vertebral artery

Right vertebral artery

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* 9. Posterior strokes account for

10% of all strokes

40% of all strokes

30% of all strokes

20% of all strokes

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* 10. The following is a symptom of posterior circulation strokes

Quadriplegia

Balance

Obtundation

Dizziness

All of the above

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* 11. HINTS is

A tool being explored in the field for evaluation of posterior stroke.

This stands for High Intensity Neurological Testing Syndrome.

None of the above.

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* 12. Dizziness is only caused by posterior strokes.

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* 13. Covid-19 can cause

Inflammation

Hypercoagulopathy

Meningitus

Muscle Injury

All of the above

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* 14. Elevated coagulation and cardiac biomarkers in COVID-19 patients are hypothesized to reflect an inflammatory state characterized by coagulation activation and endothelial dysfunction.

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* 15. CoVID causes large vessel occlusions

Unknown

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* 16. There has been an

Observed delay in care seeking for stroke due to COVID

No observed delay.

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* 17. COVID 19 causes systemic inflammatory activity which may cause.

Lower rates of respiratory tract infections

High hospital bills

Carotid plaque rupture

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* 18. The risk for stroke is higher with COVID-19 than influenza

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* 19. Alteplase has been approved since

1996

2006

1956

The dawn of time

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* 20. TNKase dosing of _________has shown to be the same as 0.4mg/kg in terms of safety and efficacy.

0.25 mg/kg

0.50 mg/kg

2.5 mg/kg

5.0 mg/kg

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* 21. TNKase may be given

Up to 4.5 hours

Up to 3.5 hours

Up to 5.5 hours

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* 22. TNKase has _________half life compared to alteplase.

A longer

A shorter

A similar

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* 23. TNKase is thought to be

Equal or better than Alteplase in terms of efficacy and safety

Better than Alteplase in terms of efficacy and safety

Better because it is less expensive for patients

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* 24. The important post operative monitoring parameter for Moya Moya is

Blood Pressure

Pain

O2 sat

NIHSS

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* 25. Patients with Moya Moya disorder develop __________ to maximize cerebral perfusion.

Collateral

Increased lung capacity

Large blood vessels

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* 26. Signs and symptoms of Moya Moya include all except

Muscular hypertrophy

Speech arrest

Shaking limb TIA

Numbness

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* 27. The primary surgical procedure for treatment of Moya Moya disorder involves

Extra-intracranial bypass

Ablation

Stenting

Clipping

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* 28. There are eight domains of a stroke system of care;

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* 29. .Which statement best describes the discharge disposition of patients after a stroke.

Roughly half go to post acute care either inpatient rehabilitation or skilled nursing facility and half go home either without services or with services.

Many more people go home with services than to a facility.

Many more people go to a nursing home than anywhere else.

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* 30. Gaps in management of post stroke care were found in the following areas except;

Assessment for depression and anxiety

Urinary incontinence

Information about intimacy post stroke

Assistance in return to work

Follow up with primary care physician for risk factor management.

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* 31. Anti-Coagulation therapy for ischemic stroke patients with atrial fibrillation should be initiated

Prior to discharge

Is not indicated for ischemic stroke

Four to fourteen days after onset of neurological symptoms

When insurance allows

The optimal timing is uncertain

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* 32. The following is considered a DOAC, NOAC or TSOAC

Pradaxa

Warfarin

Coumadin

Heparin

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* 33. Patient specific factors including infarct size and presence of hemorrhage can influence the risk of ischemic and hemorrhagic outcomes and must be considered in the decision-making process.

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* 34. NOAC’s could be used within

2 weeks of stroke onset

4 weeks of stroke onset

6 months of stroke onset

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* 35. The benefits of NOAC, DOAC and TSOACs are

Frequent lab testing not required

Fewer drug interations

Rapid onset and offset

All of the above.

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* 36. A score used to measure reperfusion is

TICI score

GCS

MAP

Blood Flow Perfusion Index (BFPI)

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* 37. Neuroembolectomy was recommended by the AHA to consider for treatment since:

2000

2015

2018

1996

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* 38. Embolectomy may be performed through the following approach;

Radial or femoral

Femoral only

Femoral or subclavian

Carotid, radial, subclavian, or femoral

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* 39. Intra-arterial alteplase cannot be performed, alteplase can only be given intravenously.

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* 40. Palliative Care should be consulted only when all other aggressive treatment options have been exhausted.

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* 41. The Palliative Care team can help the inpatient medical team by:

providing emotional support for the family

helping explain treatment options in simple, layperson terms

Help family members to think about what the patient would want for themselves

All of the above.

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* 42. The single-most important role of the bedside nurse in helping family make goals of care decision is:

Listening

Telling the family what to do

Staying silent

Speaking on behalf of the physician

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* 43. Palliative Care focuses on:

helping to clarify the treatment plan within the goals of care for the patient and family

convincing the family to choose comfort care

protecting the physician from having to discuss plans with the family

prescribing more pain medications

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* 44. Risk factors of childhood AIS include:

Thrombophilia (including sickle cell disease)

Systemic Inflammatory Diseas

Genetic/metabolic conditions

All of the above

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* 45. The basic initial evaluation of a child with AIS includes MRI, MRA head, and MRA neck.

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* 46. The NIHSS can be used instead of the Pediatric NIHSS for children ___ years of age and older.

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* 47. Good outcomes occur in one-third to one-half of children with AIS without acute treatment.

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* 48. Presenting symptoms of hemorrhagic stroke in children include:

Headache, ALOC, seizures, and focal neurologic deficits

Headache and shortness of breath

Headache, ALOC, and hyperactivity

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* 49. High dose early mobility has been shown to;

Cause harm in stroke patients

Be beneficial at certain times for certain patients

Is always beneficial

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* 50. The AVERT Trial was an

Observational trial only

Randomized controlled clinical trial

Conducted by surveying the patient experience

Done by chart review of outcomes

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* 51. The study was not blinded.

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* 52. AVERT was conducted in

Australia only

Australia and Ireland

Many countries, Singapore, Scotland, Ireland, and Australia