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OCCTH 585 EXAM/ Practice Questions with Correct Verified Answers/ Latest Update 2024.
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OCCTH 585 EXAM/ Practice Questions with Correct Verified Answers/ Latest Update 2024.
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1OCCTH 585 EXAM/ Practice Questions with Correct
Verified Answers/ Latest Update 2024.
Name 3 risk factors of hemorrhagic strokes. - ANS - 1. Congenital factors
2. Infections
3. Tumors
Where do 90% of intracerebral hemorrhages occur? - ANS - In penetrating arteries
You are gathering intake history from a patient in your fieldwork placement in an acute neuro unit. Your
patient tells you he is 52 years old, and a few days ago, he was playing tennis at his country club when he
suddenly suffered a severe headache before collapsing. His wife called 911 and he was unconscious
when paramedics arrived at the scene.
This case history likely indicates which of the following?
a) Ruptured intracranial aneurysm
b) Vertebrobasilar stroke
c) Wallenberg's syndrome
d) Lacunar stroke - ANS - a) Ruptured intracranial aneurysm
You have just arrived at your level 2 fieldwork placement in a neuro unit at the hospital. Your preceptor
asks you to create an education piece about the warning signs of a stroke. What are 5 signs that you will
be sure to include? - ANS - 1. Dizziness
2. Headaches
3. Vision problems
4. Trouble speaking
5. Weakness
, 2
Your preceptor asks you to do a chart review before you go see a new admission. You see that this
patient has a right CVA. Which side of the body do you expect to see functional deficits in this patient? -
ANS - Left
Which is the most common type of CVA?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ANS - a) ischemic stroke
You are seeing a patient who has been diagnosed with high blood pressure. This may put her at risk for
which type of stroke?
a) ischemic stroke
b) transient ischemic attack
c) hemorrhagic stroke
d) none of the above - ANS - c) hemorrhagic stroke
What is the process that leads to ischemic stroke? - ANS - Atherosclerosis
What are 2 potential causes of cardiac emboli? - ANS - 1. Atrial fibrillation
2. Arrhythmia
Which of the following is NOT true of the etiology of ALS?
a) Women are affected more often than men
b) ALS is progressive and fatal
c) ALS affects both upper and lower motor neurons
d) ALS results in loss of anterior horn cells
e) ALS involves demyelination of corticospinal pathways - ANS - a) Women are affected more often than
men
, 3
True or False: While MS and ALS have different etiologies, they are treated very similarly. - ANS - False
(they have similar symptoms, but they are treated very differently)
What are the 3 earliest clinical markers of ALS? - ANS - 1. Fasciculations
2. Muscle cramps
3. Fatigue
Where is atherosclerosis most likely to occur? - ANS - At branches of blood vessels
True or False: Ischemic strokes occur very quickly and suddenly. - ANS - False. (They are progressive and
occur gradually)
When do ischemic strokes usually occur?
a) during vigorous activity
b) sleeping/at rest
c) upon activity in the morning
d) there is no pattern - they can occur anytime - ANS - b) sleeping/at rest
What is the purpose of tissue plasminogen activator? - ANS - It is used in acute medical management of
ischemic strokes to break up clots and dissolve blockages.
True or false: The use of tPA is contraindicated in hemorrhaging strokes. - ANS - True. (it is used to treat
ischemic strokes, but is contraindicated for treatment of hemorrhaging strokes)
Name 5 risk factors of CVA's. - ANS - 1. Age
2. Obesity
3. Smoking
4. Diabetes mellitus
5. Hypertension
, 4
The circle of Willis is made up of which 3 main arteries? - ANS - 1. middle cerebral artery
2. posterior cerebral artery
3. anterior cerebral artery
Which artery is the largest and most commonly impacted in CVA's?
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery - ANS - b) middle cerebral artery
Which of the following areas are impacted by an MCA CVA?
a) motor
b) sensory
c) cognition
d) all of the above - ANS - d) all of the above
At your fieldwork placement, you are working with a patient who has suffered a stroke. In your intake
assessment, you notice extensive functional deficits in areas including judgement, emotional regulation,
speech, visual perception, and motor planning and execution. While debriefing with your preceptor, he
asks you which cerebral artery you can infer has been impacted. You answer....
a) anterior cerebral artery
b) middle cerebral artery
c) posterior cerebral artery
d) all of the above - ANS - b) middle cerebral artery
Which types of deficits might be seen in a Lacunar stroke?
a) motor
b) sensory
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