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