Stroke Practice Questions
(Asterisks*** indicate correct response)
1. A person presenting with a left lower extremity weakness most likely involves which
vascular territory?
a. the anterior cerebral artery***
b. the middle cerebral artery
c. the posterior cerebral artery
d. the basilar artery
2. The right hemisphere is most commonly the dominant hemisphere responsible for
communication.
a. true
b. false***
3. The complication of diabetes insipidus after a stroke is due to injury of which of the
following?
a. the hypothalamus***
b. the thalamus
c. the substantia nigra
d. the midbrain
4. Which of the following types of stroke is most likely to develop hydrocephalus?
a. a lacunar stroke
b. a subarachnoid hemorrhage***
c. a cardioembolic stroke
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, d. a thrombotic stroke
5. Where is the most common area in the brain for obstruction of the CSF flow to occur,
resulting in non‐communicating hydrocephalus?
a. lateral ventricles
b. foramen of Monro
c. arachnoid villi
d. aqueduct of Sylvius***
6. The gag and swallow reflexes are commonly assessed prior to administering oral fluids
following a stroke. Where do the cranial nerves originate that control the gag and swallow
reflexes?
a. the cerebral cortex
b. the midbrain
c. the pons
d. the medulla***
7. Based upon the core measures, patients in atrial fibrillation (AF) should have which of the
following ordered by the time of discharge?
a. anticoagulation therapy***
b. antiplatelet therapy
c. a beta antagonist
d. a calcium channel blocker
8. Which of the following is a nonmodifiable risk of a stroke?
a. hypertension
b. dyslipidemia
2
, c. diabetes
d. age***
9. A patient with an ischemic stroke is to receive a total dose of 60 mg of rtPA. How much
will be administered is a bolus initially?
a. 3 mg IV push
b. 6 mg IV push***
c. 9 mg IV push
d. 12 mg IV push
10. Transcranial Doppler (TCD) studies may be used in which of the following situations?
a. to identify clot resolution during administration of rtPA
b. to identify the presence of patent foramen ovale (PFO)***
c. to differentiate between reversible and irreversible injuries
d. to rule out a hemorrhagic stroke
11. During recovery from a conventional angiogram, the patient becomes agitated and
complains of severe low back pain. Which of the following complications of an angiogram is
most likely?
a. ischemia to the lower extremity
b. retroperitoneal hemorrhage***
c. hematoma at the insertion site
d. watershed stroke
12. Which of the following is the goal for managing glucose levels?
3
, a. Treat if greater than 250 mg/dl
b. Between 140‐180 mg/dl***
c. Maintain less than 130 mg/dl
d. Between 80‐120 mg/dl
13. Which of the following types of strokes is an ischemic stroke caused by chronic
hypertension?
a. a Moyamoya stroke
b. a cerebral venous thrombosis stroke
c. a watershed stroke
d. a lacunar stroke***
14. Which of the following is the most common cause of an intracerebral hemorrhage (ICH)?
a. anticoagulation therapy
b. hypertension***
c. aneurysm rupture
d. an arteriovenous malformation (AVM) rupture
15. Which of the following is a difference between a comprehensive and a primary stroke
center?
a. MRI/MRA capabilities
b. neurocritical care units***
c. contracts with acute stroke ready hospitals (ASRHs)
d. low key quality stroke care measurement are tracked
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