Common neurologic presentations, stroke recognition, and management decisions tested on the PANCE.
35 cards · mixed cards · AI-written, checked twice. Edit anything.
- About ____ of all strokes are ischemic rather than hemorrhagic.
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87%
- The FAST stroke recognition mnemonic stands for ____.
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Face drooping, Arm weakness, Speech difficulty, Time to call emergency services
- What is the first imaging study ordered for a suspected acute ischemic stroke?
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Noncontrast CT of the head
- Within what time window from symptom onset can IV alteplase (tPA) be given to eligible acute ischemic stroke patients?
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Up to 4.5 hours
- What is an absolute contraindication to giving tPA in acute ischemic stroke?
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Active or recent intracranial hemorrhage
- Contralateral face and arm weakness greater than leg weakness suggests occlusion of which artery?
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Middle cerebral artery (MCA)
- Contralateral leg weakness greater than arm weakness suggests occlusion of which artery?
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Anterior cerebral artery (ACA)
- Contralateral homonymous hemianopia suggests occlusion of which artery?
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Posterior cerebral artery (PCA)
- What is a TIA?
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A transient episode of neurologic dysfunction from focal ischemia without permanent infarction
- Where is Broca's area located?
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Inferior frontal gyrus, in the frontal lobe
- Broca's aphasia is characterized by what type of speech, with comprehension usually intact?
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Nonfluent, effortful speech
- Wernicke's aphasia is characterized by what type of speech?
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Fluent but nonsensical speech with impaired comprehension
- Lacunar strokes are most strongly associated with which chronic condition?
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Chronic hypertension
- Cluster headaches typically present with unilateral pain plus which associated symptoms?
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Ipsilateral lacrimation, rhinorrhea, and eye redness
- Migraine with aura most commonly involves what type of aura symptom?
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Visual disturbances, such as a scintillating scotoma