Hemisphere IV Rapid Stroke Response Practice Test

These questions are part of the practice quiz. Start practicing

• Which statement best describes the main eligibility criteria for IV alteplase in suspected AIS?
• Which factor increases the risk of orolingual angioedema after thrombolysis?
• Which imaging modality is used to identify the salvageable penumbra in acute stroke?
• What finding is associated with higher mortality risk if hemorrhage occurs after thrombolysis?
• What BP monitoring schedule is recommended after starting thrombolytic therapy?
• Which imaging modality uses IV contrast to provide a detailed view of head and neck vessels and detects occlusion or stenosis?
• What does an mTICI grade 0 indicate?
• What is the approved intravenous thrombolysis window for eligible ischemic stroke patients?
• When is initiating anticoagulation typically considered after cardioembolic stroke?
• Which statement best describes the ASPECTS score in acute ischemic stroke?
• In DW-MRI mismatch criteria for the 6-24 hour window, which core infarct volume qualifies with NIHSS >=10 and age <80?
• Which of the following is a high-risk contraindication to tPA beyond standard criteria?
• Which statement accurately describes DWI positive/FLAIR negative mismatch?
• In T2-weighted MRI, which statement is true?
• What is the imaging time target for Brain CT/MRI in the acute stroke workflow?
• In the context of 6-hour thrombectomy eligibility, which imaging finding supports selection when considering DW-MRI?
• If a single MCA region shows ischemia on CT (for example, the insular region), how many points are subtracted from the ASPECTS total?
• Which class of medication is associated with increased risk of orolingual angioedema after thrombolysis?
• What is the recommended onset-to-thrombolytics time window?
• Which metabolic disturbance can mimic stroke symptoms?
• An ASPECTS score of less than 6 indicates what?
• MCA cortex areas are allotted 7 points. Which regions are included?
• Which statement about MRI in acute stroke is accurate?
• Which statement best describes the ischemic core on perfusion imaging?
• What is the ideal door-to-needle time for IV tPA administration in many EDs?
• Which statement best describes mTICI grade 3?
• Perfusion-diffusion mismatch on MRI in stroke evaluation indicates what about brain tissue?
• What is the primary purpose of the NIH Stroke Scale (NIHSS) in acute stroke care?
• Which MRI sequence is most suitable for visualizing the ventricles and subdural spaces?
• In ASPECTS, subcortical structures are allotted 3 points. Which structures are included?
• What is the typical secondary prevention regimen for noncardioembolic ischemic stroke?
• What does the Eyes component of BEFAST assess in stroke screening?
• How should an unstable stroke patient who cannot protect their airway be managed?
• What imaging study should be obtained urgently if intracranial hemorrhage is suspected after thrombolysis?
• List common post-stroke complications to monitor during inpatient care.
• How should hypoglycemia be addressed in acute stroke management?
• What is the general approach to stabilization in hemorrhagic stroke?
• Which designation corresponds to a Comprehensive Stroke Center?
• Which imaging approach is prioritized to identify large vessel occlusions and guide reperfusion decisions?
• What imaging study is used to exclude intracranial hemorrhage prior to thrombolytic therapy in acute ischemic stroke?
• Which condition is listed as a stroke mimic and is not a primary neurological disease?
• How can stroke codes be optimized to improve patient outcomes?
• What is the target door-to-skin puncture time for stroke patients who require transfer?
• What is the primary use of FLAIR MRI sequences?
• What glucose target range is generally recommended in acute ischemic stroke care?
• On a normal CT, what should be observed in the cisterns?
• Which statement is true for the 6-24 hour thrombectomy eligibility criteria?
• Which statement about last known well timing is correct?
• What is the target door-to-door transfer time between hospitals?
• Which imaging pattern is most consistent with a fairly acute stroke suitable for thrombolysis when onset is unclear?
• Does advanced age alone disqualify a patient from IV tPA?
• In hospital-to-hospital transfers for stroke, when should a repeat CT be performed?
• What is the primary function of a hospital Stroke Rapid Response Team?
• Which designation represents an Acute Stroke Ready Hospital?
• Which statement about MRI versus CT in acute stroke is true?
• How are DOACs managed in an acute ischemic stroke with suspected LVO but no hemorrhage?
• What is the dose of tranexamic acid used when bleeding after thrombolysis and blood products are contraindicated or ineffective?
• Why is the head of the bed often raised to 30 degrees after stroke?
• When restarting anticoagulation after a DOAC in acute stroke with LVO and no hemorrhage, what is the recommended approach?
• What quick bedside test helps determine stroke severity at presentation?
• Which symptom is listed as an associated symptom of stroke, particularly with cerebellar or hemorrhagic stroke?
• CT angiography (CTA) is best described as:
• Before giving thrombolytics, which blood pressure threshold must be met?
• Within what time window can mechanical thrombectomy be considered in select patients with favorable perfusion imaging or meeting DAWN/DEFUSE-3 criteria?
• How should blood pressure be managed before administering IV tPA?
• What BP target is recommended during the first 24 hours after tPA administration?
• Which baseline laboratory tests should be obtained to evaluate for comorbid conditions such as MI and arrhythmias?
• Which statement best contrasts ischemic and hemorrhagic stroke in terms of initial management priorities?
• Symptoms of intracranial bleeding following thrombolysis include which of the following as a common presentation?
• In the 6–24 hour window, thrombectomy is indicated based on which criteria?
• An ASPECTS score of 6 or higher indicates what?
• What is the role of statin therapy after ischemic stroke?
• Which of the following is not listed as an overlooked symptom of stroke?
• How long is blood pressure typically elevated after a stroke?
• In a suspected LVO patient with reduced consciousness, what is a prudent airway strategy?
• Which statement best describes noncontrast CT in stroke evaluation?
• Which finding would indicate no hematoma or hemorrhage on CT interpretation?
• What impact does fever have on stroke outcomes?
• For evolving infarcts, what happens to ADC values?
• Apparent Diffusion Coefficient (ADC) imaging is used with DWI to provide:
• What oxygen saturation level is the target in stroke management?
• NOT a sign of intracranial hemorrhage after thrombolysis?
• MR angiography (MRA) primarily detects:
• What is the primary purpose of CT Angiography (CTA) in acute stroke?
• During/after reperfusion, what is the recommended BP target to avoid rebound hypertension?
• Cardiac troponin may elevate after a stroke due to what mechanism?
• List the main monitoring priorities in the first 24 hours after acute stroke treatment.
• What is the recommended timing for starting anticoagulation after cardioembolic stroke when imaging shows no hemorrhage?
• Which action supports monitoring for systemic hemorrhage after thrombolysis?
• How many points are on the ASPECTS scoring tool and how are points adjusted?
• After thrombolytics, which blood pressure target should be maintained?
• Under BP management in stroke, when should elevated blood pressure be treated?
• DEFUSE-3 criteria rely on which feature to extend the thrombectomy window?
• Which designation specifically refers to a hospital capable of performing thrombectomy?
• Tenecteplase administration requires which verification step?
• How is symptomatic intracerebral hemorrhage after thrombolysis managed?
• In pregnancy-related stroke, which imaging choice minimizes fetal exposure while providing diagnostic information?
• Which IV antihypertensive agent has a titration protocol starting at 5 mg/hr with increments of 2/5 mg/hr every 5-15 minutes up to a max of 15 mg/hr?
• On CT, ischemic tissue is typically described as which of the following?
• Which blood product is used to replace clotting factors during hemorrhage after thrombolysis?
• What is the primary purpose of initial CT imaging in suspected stroke?
• Which statement best describes signs of intracranial hemorrhage after thrombolysis?
• Which imaging test must be performed to rule out intracranial hemorrhage before giving IV tPA?
• Which combination represents the initial counters for orolingual angioedema?
• What is malignant cerebral edema and how is it managed?
• What is the maximum time window for onset-to-thrombectomy in this protocol?
• Which item is an exclusion criterion under DAWN trial criteria?
• What is the purpose of advanced imaging in acute stroke?
• What is the target door-to-doctor time in the protocol?
• Which combination represents two major contraindications to IV alteplase in acute ischemic stroke?
• Which standardized scale is used to monitor neurological status in the acute stroke setting?
• Which imaging sequence is capable of detecting ischemia within minutes after onset?
• Which imaging modality offers a perfusion map and helps determine salvageable brain tissue in acute stroke?
• What BP threshold is stated for proceeding with thrombolysis in this material?
• Which blood pressure criterion excludes thrombectomy?
• What is the recommended approach to dual antiplatelet therapy in selected minor ischemic strokes?
• Which statement best distinguishes door-to-needle time from door-to-groin time in acute ischemic stroke care?
• Tenecteplase should be administered as which method?
• Which statement about fever management after ischemic stroke is correct?
• Gradient Echo or T2-weighted sequences are useful for which purpose?
• The term thrombolytic eligibility in stroke care refers to which concept?
• What is reperfusion injury and why is it relevant after tPA or thrombectomy?
• What does the ischemic penumbra refer to on imaging?
• What is the main therapeutic goal of mechanical thrombectomy in eligible LVO stroke patients?
• In acute stroke management, what does collateral status information from CT angiography help determine?
• On CT imaging, how does an acute intracranial hemorrhage typically appear?
• What glucose target is suggested in the stroke context?
• What imaging features justify thrombectomy in the 6–24 hour window?
• For 6-24 hour thrombectomy, what is the permissible pre-stroke mRS?
• In imaging for acute stroke, what finding supports thrombectomy eligibility in terms of penumbra?
• What is the maximum ASPECTS score?
• What is the maximum total dose of Tenecteplase used for stroke treatment?
• If mechanical thrombectomy is being considered, what imaging is recommended?
• What constitutes a Large Vessel Occlusion (LVO) and why is thrombectomy essential?
• What is the weight-based dosing for Tenecteplase in acute ischemic stroke?
• How does fever affect brain injury risk after stroke?
• Why is fever control important after acute ischemic stroke?
• Which of the following is an exclusion criterion for thrombectomy?
• How do ischemic and hemorrhagic strokes differ in urgency and initial management?
• How should EMS decide transport destination for suspected stroke?
• Orolingual angioedema can occur within how long after thrombolytic administration?
• Which region is NOT part of the MCA cortical regions assessed by ASPECTS?
• What does a DWI bright area with a corresponding absence on FLAIR indicate in acute stroke imaging?
• What are key imaging features that make a patient a good extended-window thrombectomy candidate?
• ASPECTS score is used to quantify ischemic changes in which vascular territory on NCCT and to determine eligibility for which procedure?
• Which arteries are typically involved in a Large Vessel Occlusion (LVO)?
• What is the primary purpose of perfusion imaging in acute stroke evaluation?
• On CT, what should be observed about the ventricles in a normal study?
• When should early rehabilitation be initiated in stroke care?
• In which scenario is dual antiplatelet therapy commonly considered?
• Which statement describes mTICI grade 2b?
• What airway management step should be performed for all stroke patients?
• Orolingual angioedema after thrombolysis is characterized by which finding?
• Which arteries are commonly considered large-vessel occlusions eligible for thrombectomy in acute stroke?
• In post-code quality improvement, which practice most contributes to improved outcomes?
• Which option lists an advancing counter for angioedema?
• Which statement about DWI-FLAIR mismatch is true?
• Why is the 'last known well' time critical in stroke management?
• What cardiac complication is observed in about 25% of stroke patients within 72 hours?
• Which statement regarding fever management in stroke care is correct?
• What is the recommended action when hypoglycemia is suspected in acute stroke?
• Which statement best describes the relationship between ASPECTS score and thrombectomy eligibility?
• Which MRI finding best identifies tissue that is already damaged and is part of the standard imaging protocol?
• Which sites are commonly involved in orolingual angioedema?
• In T1-weighted MRI, which statement is true?
• MR perfusion (MRP) provides status of the ischemic zone including what is at risk and salvageable. Which statement best describes this technique?
• Which statement about thrombolysis BP monitoring is true?
• Which finding defines eligibility for thrombectomy within 6 hours?
• Which of the following is NOT listed as a stroke mimic?
• When is mechanical thrombectomy indicated in acute stroke evaluation?
• CT Perfusion (CTP) provides maps of perfusion by calculating which parameters?
• In the AEIOU tips mnemonic, what does A stand for?
• If hemorrhage is suspected after thrombolysis, what is the first step?
• What is the role of perfusion imaging in acute stroke triage?
• What is the target on-scene time for EMS responders in stroke response protocols?
• What is the target door-to-needle time for thrombolytic therapy in stroke care?
• How should suspected stroke in pregnancy be evaluated and managed?
• Which of the following is NOT listed among the overlooked symptoms of stroke?
• The recommended imaging interpretation time should be completed within how many minutes?
• Diffusion-weighted MRI is particularly useful for detecting which feature in acute stroke?
• What must be ruled out on CT imaging before administering IV alteplase?
• Diffusion-weighted imaging (DWI) is best described as:
• Which test is indicated if the patient is on anticoagulant therapy?
• What is the recommended onset-to-thrombectomy time window?
• Which of the following is NOT a common stroke mimic clinicians must differentiate from acute ischemic stroke?
• In acute stroke evaluation, what is the primary reason to check the blood glucose level?
• Which designation is the Primary Stroke Center?
• Post-thrombolysis, how often should neurologic checks be performed during the first 2 hours after administration to monitor for intracranial hemorrhage?
• What CT findings would suggest hemorrhagic transformation after reperfusion therapy?
• What practices help prevent errors during a stroke code and ensure accurate documentation?
• In stroke recognition, BEFAST stands for which sequence of symptoms?
• In DW-MRI mismatch criteria for 6-24 hours, which core infarct volume range with NIHSS >20 and age <80 is considered?
• In the AEIOU tips mnemonic, what does U stand for?