Week 1 SBL Learning Issues

Question 1

Describe The Three Components of Glascow Coma Scale (GCS) Scoring

Answer 1

• Eye Response
• Verbal Response
• Motor Response

Question 2

What is the role of CT imaging in a suspected stroke?

Answer 2

• Differentiating between haemorrhagic/ischaemic stroke
• Checking for mimics
• Preparing for thrombectomy

Question 3

What is the role of MRI imaging in a suspected stroke?

Answer 3

• Assessing tissue viability
• Can detect ischaemic changes earlier than CT (good for milder cases/early detection)

Question 4

What is the more likely use case for NIHSS vs ROSIER in evaluation of stroke patients?

Answer 4

NIHSS: Gauging neurological function over time
ROSIER: Immediate, emergency setting to test for the presence of a stroke

Question 5

What are some risks/adverse effects of thrombectomy?

Answer 5

• Excessive bleeding
• Infection
• Pulmonary embolism

Question 6

What are the risks/adverse effects of tPAs?

Answer 6

• Bleeding risk

Question 7

Thrombectomy is only shown to be effective __ hours after a stroke

Answer 7

24 hours (1 day)

Question 8

Which health professionals may play a role in rehabilitation post-stroke?

Answer 8

• Physiotherapists
• Clinical psychologists
• Speech pathologists

Question 9

What are some residual effects of stroke?

Answer 9

• Impaired communication
• Paralysis/weakness
• Fatigue

Question 10

What is vascular dementia?

Answer 10

Dementia caused by decreased blood restricted blood flow to the brain (secondary to stroke, vascular disease, vascular disease in small vessels etc.)

Question 11

True or false: optic radiations contain bundles of fibres for the inferior and superior visual fields

Answer 11

True. This is how you can lose a quarter of your vision etc.

Question 12

What are the 0-5 muscle power gradings?

Answer 12

0: No contraction
1: Flicker/trace of contraction
2: Movement with gravity
3: Movement against gravity
4: Movement against gravity and resistance
5: Full strength

Question 13

Reflex gradings from 0-4+

Answer 13

0: none
1+: weakened
2+: normal
3+: increased, no clonus
4+: increased, clonus