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SCRN Exam 2022 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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SCRN Exam 2022 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 17, 2024
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SCRN Exam 2022
__________ is more common in women over 65, leading to a higher incidence in stroke
compared to men - correct answer-a fib

15 minute reduction in door to needle time results in - correct answer-an additional
disability-free life after stroke

one month of additional disability free life for each 15 minutes

4 D's of brainstem strokes - correct answer-dysarthria, dysmetria, dysphagia,
diplopia

44% increase in stroke incidence - correct answer-people ages 25 to 44 y/o

may be due to the rise of type 2 DM, HLD, and obesity
cigarette smoking, alcohol use, and illicit drug use

7 D's of stroke chain of survival - correct answer-Detection
Dispatch
Delivery
Door
Data
Decision
Drug

ABCD2 score - correct answer-predicts short term risk of stroke in TIA patients

age, blood pressure, clinical features, duration of symptoms, diabetes

AC resumption time after intracerebral hemorrhage - correct answer-held at least for 1 week

Acute care management - correct answer-continue to monitor neurological status
begin early mobilization of patient
close observation during transition sitting to standing

after 24 hours - correct answer-can restart antihypertensives

age group of people who get hypercoaguable state workups after large vessel ischemic
strokes - correct answer-young people

especially those negative for cardiac abnormalities

AHA guidelines for physical activity to reduce stroke risk - correct answer-moderate to
vigorous activity 3-4 times a week for 40 minutes each

,AHA stroke systems of care - correct answer-involves key elements of care across the
continuum, based on the standards related to stroke center certification, prehospital
collaboration, and rehab care

does not dictate specifics such as NIHSS certification for nursing staff

alternative to head CT when diagnosing a SAH - correct answer-lumbar puncture

provides evidence of CSF properties

amygdala: limbic system - correct answer-plays a crucial role in the management of stress,
rage, and anxiety
center for memory and emotions

amyloid angiopathy - correct answer-a condition in which there is an accumulation of
abnormal proteins (amyloid) in the small cerebral arteries
this accumulation weakens vessel walls leading to ICH
frequently associated with alzheimer's disease
***declining memory prior to occurrence is key

arachnoid mater - correct answer-middle layer of the meninges

arterial tear - correct answer-an uncommon but serious complication of angio
bleeding into the retroperitoneal area
produces symptoms of back and abdominal pain

arteriovenous malformation - correct answer-direct connection between arteries and veins
rather than the usual route of arteries to arterioles to capillaries to venues to veins

veins are likely to rupture under pressure because they do not have muscular walls like
arteries do

Barthel Index

the higher the score (100 is best), the more independent the patient is - correct answer-used
to measure performance in specific ADLs

basal ganglia - correct answer-coordinating center for several nerve tracts including
coordinating muscle movement

benchmarking - correct answer-valuable tool in driving performance improvement in
hospitals

seeking out best practices and building performance improvement goals to attain them
comparing your current internal performance data against past performance data, or
comparison among nursing units
comparing rates of asp pna with those of stroke centers in your region

, benefits of having a stroke unit where the majority of stroke patients are cared for - correct
answer-reduced in-hospital mortality
reduced length of stay
increased discharges to home

BG strokes - correct answer-lacunar strokes --> pure sensory or pure motor

Binswanger's disease - correct answer-condition of insufficient blood supply to the
subcortical tissue

Birth Control + Smoking= - correct answer-high risk for blood clots

more dangerous than smoking + drinking

blood brain barrier role in ischemic stroke - correct answer-protects against influx of
inflammatory cells

when disrupted, this protective mechanism may be incapacitated, resulting in edema and
possible hemorrhagic transformation

blood pressure goals if they did not receive tPA - correct answer-systolic < 220
diastolic < 120

** do not want to bring BP down fast d/t risk for hypotension

BP goal post tPA - correct answer-<180/105

BP if they did not receive TPA - correct answer-220/120

Brain attack coalition (BAC) - correct answer-published the recommendations for
establishment of primary stroke centers in 2001

inspired by the improved patient outcomes seen with trauma guidelines

brain conditions under hyperthermia - correct answer-metabolic needs increase as individual
cells attempt to maintain ionic balance

carotid dissection - correct answer-the tearing of the intima of the carotid artery

tiny clots form along the torn, rough edges of the tear
as they break off and migrate up to the brain, multiple tiny infarcts can occur, and because
each carotid supplies only one side of the brain, dissection would result in infarcts only on
one side

carotid endarterectomy - correct answer-prevention measure
does not fix the stroke symptoms, prevents another stroke from occurring

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