True or false: A neurologic examination by itself can determine whether a stroke is ischemic or hemorrhagic.
1 Stroke Emergencies Online Quiz Questions
Use this free practice quiz with 20 questions to review 1 Stroke Emergencies, test your knowledge, and prepare for your next test or exam.
A person suddenly develops facial droop, weakness in one arm, and difficulty speaking. What should a bystander do first?
- A
Wait briefly to see if the symptoms improve
- B
Call 911 and note when the person was last at their usual neurologic baseline
- C
Drive the person to the hospital yourself
- D
Give aspirin before medical assessment
A patient develops a sudden, extremely severe headache that reaches peak intensity quickly, followed by vomiting and reduced alertness. What dangerous stroke type must be considered?
A patient has right arm and facial weakness with difficulty producing words. Which brain hemisphere is most likely affected, and what syndrome does this suggest?
- A
Right hemisphere; a nondominant cortical syndrome
- B
Left hemisphere; a dominant-hemisphere cortical syndrome
- C
Brainstem; an isolated cranial nerve syndrome
- D
Cerebellum; a primary language syndrome
A patient suddenly develops severe vertigo, double vision, slurred speech, and difficulty walking, without obvious facial droop. Which findings support suspecting a posterior-circulation stroke? Select all that apply.
- A
Sudden severe vertigo
- B
Gradual isolated itching in one hand
- C
Double vision
- D
Slurred speech
- E
Difficulty walking
- F
A chronic, unchanged knee ache
True or false: Before imaging has excluded hemorrhage, aspirin should not be given as an unsupervised first-aid action for suspected stroke.
- A
True
- B
False
True or false: An awake patient with acute stroke symptoms should remain without food, drink, or oral medication until a trained clinician completes a swallow screen and determines oral intake is safe.
- A
True
- B
False
After aneurysmal subarachnoid hemorrhage, what important delayed complication is monitored for because of its association with cerebral vasospasm?
In the B.E. F.A.S.T. stroke-warning mnemonic, the final letter stands for .
For an eligible patient with a disabling ischemic stroke deficit in the standard 4.5-hour window, one intravenous thrombolytic endorsed by current guidance is .
A patient arrives with new one-sided weakness. Which actions or information are high priorities for the stroke team? Select all that apply.
- A
Assess and stabilize airway, breathing, and circulation
- B
Check blood glucose
- C
Wait to determine whether the weakness resolves before assessing the patient
- D
Establish the last-known-well time and perform a focused neurologic assessment while arranging urgent brain imaging
A noncontrast head CT shows no intracranial hemorrhage, but a patient still has disabling stroke symptoms. Does the scan by itself rule out ischemic stroke?
- A
Yes; a normal scan rules out both hemorrhage and early ischemia
- B
Yes; disabling symptoms cannot represent ischemic stroke if the scan is normal
- C
No; a normal early CT does not necessarily exclude ischemic stroke
- D
No; CT is never useful in the initial assessment of suspected stroke
A patient has a disabling neurologic deficit that began 90 minutes ago. Which urgent treatment pathways should the stroke team assess?
- A
Consider only observation because symptoms began recently
- B
Give aspirin before imaging and skip specialist assessment
- C
Assess eligibility for intravenous thrombolysis and evaluate for a large-vessel occlusion that may be treated with endovascular thrombectomy
- D
Exclude thrombectomy because it is considered only when symptoms are mild
When gathering relevant medication history for a patient with a suspected stroke, which medication use is specifically important to identify?
- A
Whether the patient has taken an antacid
- B
Whether the patient takes anticoagulants
- C
Whether the patient prefers tablets to capsules
- D
Whether the patient has recently changed brands of toothpaste
A patient suddenly develops severe vertigo, double vision, slurred speech, and difficulty walking, but has no obvious facial droop. Which response is most appropriate?
- A
No; facial droop must be present for stroke to be suspected.
- B
No; these symptoms are not consistent with stroke unless one-sided weakness is also present.
- C
Yes; this pattern can occur with a posterior-circulation stroke and needs emergency evaluation.
- D
Yes, but only if the symptoms last longer than an hour.
A patient has right arm and facial weakness with difficulty producing words. Which brain hemisphere is most likely affected?
A patient develops a sudden, extremely severe headache that reaches peak intensity quickly, followed by vomiting and reduced alertness. Which dangerous stroke type must be considered?
- A
Subarachnoid hemorrhage
- B
Transient ischemic attack
- C
A swallowing impairment
- D
A large-vessel blockage
Before brain imaging has excluded hemorrhage, what is the appropriate approach to aspirin for a person with suspected stroke?
- A
Give aspirin immediately because it treats all types of stroke.
- B
Give aspirin only if the patient is fully alert.
- C
Give aspirin while waiting for emergency services, then arrange imaging.
- D
Do not give aspirin as an unsupervised first-aid action; activate emergency care and let the treating team decide after assessment and imaging.
A patient has sudden one-sided weakness that completely resolves after 15 minutes. What condition may this transient episode represent?
A patient’s sudden one-sided weakness resolves before medical evaluation. Explain why the resolution does not make the episode safe to ignore, and identify the condition it may represent.
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