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FREE NURSING AND STUDY GAMES ABOUT NVRN EXAM
QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -199 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: What is the TICI score?
Answer:
Done for Thrombolysis cerebral infusion after tx
Grade 0: no perfusion
G1: penetration w min. perf
G2: partial perf, G2a/2b: better
G3: complete perf
Goal is 2b/3 w/n 6h of stroke onset
Question 2: Where is midbrain and what are infarct findings
Answer:
From thalamus to pons, CN3,4 pupil dilate, EOM dysfx, decr LOC, (M)(S) disrupt
Question 3: Where is 9-11, cognitive fx area
Answer:
ACA behind forehead seen in SAH affects orientation, memory, insight, judgement, arithmetic/abstract thinking
Question 4: NIH scoring LOC
Answer:
0- alert 1- not alert, arousable 2- needs repeated stimulation, obtunded, req strong painful stimuli to make mvmnts 3- Reflex motor response, totally unresponsive, flaccid
Question 5: Normal BP/prehtn/high stage 1/high stage 2
Answer:
normal BP 120-80
prehtn: 120-139/80-89
high Stage 1: 140-159/90-99
Hight Stage 2; >160/100
Question 6: What should you r/o with Intraventricular hemm
Answer:
Presence of ACA or AcomA aneurysm, usually is expansion of hemm in BG, IPH
Question 7: Internal capsule is which distrubution
Answer:
MCA
Question 8: what are CTP scans for
Answer:
Looking to save penumbra and ischemic penumbra, measures tiss perfusion, usuall for "wake up" strokes
Question 9: Stroke Severity Scales
Answer:
Los Angeles Motor Score - LAMS: lg vessel occl: face 0-1/grip 0,1,2/arm strength 0,1,2 Shortened NIH, sNIHSS 8 items
Question 10: What time frame should IV tPA be adm to acute stroke
Answer:
w/n 4.5h
Question 11: How many total vertebrae?
How many cervical, thoracic, sacral, coccygeal?
Answer:
total 33: 24 vertebral & 2 fused ( atlas C1, axis C2)
Cerv 7, thor 12, sacral 5, coccy 4
Question 12: Where would you find cortical blindness stroke
Answer:
top of the BA or PCA occl.
Question 13: Ways to manage ICH
Answer:
airway mgmt, INR >1.4 needs reverse anticoag, BP reduction 160/90, CPP 60-80mm Hg
(MAP-ICP=CPP)
Question 14: what is SV: stroke volume
Answer:
amt of blood ejected by heart with ea contraction
Question 15: What scales are used to grade SAH severity
Answer:
Hunt & Hess Grading Scale World Federation of Neurological Surgeons Scale
Question 16: What is tx and appearance of amyloid angiapathy hemm
Answer:
more round and no tx can be done, more on surface
Question 17: What is total cranial volume made up of and how much
Answer:
1400-1500ml: CSF, brain tiss, blood
Question 18: Where is SAH
Answer:
Bleeding in subarachnoid space, usually from aneurysm rupture or trauma, "star" appearance or "hanging chicken"
Question 19: What is correct HOB for hemm & ischemia
Answer:
H: 30 deg
I: 0 deg, pt turned to side 20% incr blood flow
Zodiac trial - only did lg vessels Question 20: Where is Area 44: Broca's area
Answer:
Left MCA, frontal lobe
Expressive aphasia: spoken/written lang. word finding,
Question 21: What % of strokes are first time?
What % need institutional care?
Answer:
70% 20%
Question 22: Which is best ASA or Plavix for stroke
Answer:
Plavix to reduce event Plavix + ASA to lower risk of embolic events, but not long term except wtih stents
Question 23: What high risks are included with ICH
Answer:
HTN, >55y, anticoag therapy, amyloid angiopathy, smoke, alcohol use, asians (highest), AA 65-74y, white older age
Question 24: 2nd most common hemm stroke
Answer:
aneurysmal SAH, >women, ICA
Question 25: What are the drug choices to manage BP wtih tPA
Answer:
labatelol 10-20mg q 5-15m up to total 150mg IVP
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