Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map


Clinical Review Quiz

Management of Ischemic Stroke

Gary L. Bernardini, MD, PhD, and Dileep R. Yavagal, MD

Dr. Bernardini is an associate professor, Departments of Neurology and Neurosurgery, and director, Stroke and Neurocritical Care. Dr. Yavagal is an assistant professor, Departments of Neurology and Neurosurgery, and co-director of neuroendovascular surgery; both are at Albany Medical Center, Albany, NY.



The questions below are based on the article
“Management of Ischemic Stroke”.


Choose the single best answer for each question.


1. All of the following are nonmodifiable risk factors for stroke EXCEPT:
  1. Age
  2. Hypertension
  3. Race
  4. Gender
Click here to compare your answer.


2. The hypoperfused area of brain around the core of infarction that is salvageable if cerebral blood flow is rapidly restored is called

  1. Collateral flow
  2. Cytotoxic edema
  3. The ischemic penumbra
Click here to compare your answer.


3. Which of the following stroke risk factors is best treated with anticoagulation?

  1. Aortic arch plaque
  2. Atrial fibrillation
  3. Carotid disease
  4. Patent foramen ovale (PFO)
Click here to compare your answer.


4. The percentage of ischemic stroke patients in the United States who receive intravenous recombinant tissue-plasminogen activator (rt-PA) therapy ranges from

  1. 2%-5%
  2. 5%-10%
  3. 15%-20%
  4. 25%-30%
Click here to compare your answer.


5. According to the National Institute of Neurological Disorders and Stroke (NINDS) trial, what is the therapeutic time window for intravenous rt-PA and the duration of time over which significant neurologic improvement is expected with rt-PA?
  1. 3-6 hours, 1 day
  2. ≤ 3 hours, 1 day
  3. ≤ 90 minutes, 90 days
  4. ≤ 3 hours, 90 days
Click here to compare your answer.


6. A stroke in which area of the brain would cause aphasia?

  1. Left hemisphere
  2. Right hemisphere
  3. Pons
  4. Cerebellum
Click here to compare your answer.


7. Which of the following results was seen in the Prolyse in Acute Cerebral Thromboembolism (PROACT) II trial, which evaluated intra-arterial treatment of acute stroke with pro-urokinase?

  1. Nonsignificant benefit in 90-day outcomes in the treatment arm
  2. Worse outcome in 90-day outcomes in treatment arm
  3. Better outcome in 90-day outcomes in placebo arm
  4. Significant benefit in 90-day outcomes in treatment arm
Click here to compare your answer.


8. In the prospective multicenter, nonrandomized Mechanical Embolus Removal in Cerebral Ischemia (MERCI II) trial, the rate of recanalization with mechanical embolus removal was

  1. 18%
  2. 30%
  3. 46%
  4. 66%
Click here to compare your answer.


 

Click here to read more about Management of Ischemic Stroke
(Requires Adobe Acrobat Reader)






Check our archives to test your knowledge in other featured articles:

Clinical Review Quiz Archive



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 2/8/07 • kkj