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Stroke etiology 01

Topic: Adult

Created on Monday, June 16 2008 by jdmiles

Last modified on Monday, June 16 2008.

Which of the following statements about stroke etiology is most accurate?

 
        A) Strokes should be managed in the same manner regardless of etiology
 
        B) Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with large artery stenosis
 
        C) Risk of stroke recurrence is independent of stroke etiology
 
        D) Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with cardioembolic strokes
 
        E) Mortality after 1 month is lower in patients with cardioembolic strokes than in patients with other stroke etiologies
 

 


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This question was created on June 16, 2008 by jdmiles.
This question was last modified on June 16, 2008.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Strokes should be managed in the same manner regardless of etiology

This answer is incorrect.


Choices for stroke management depend on stroke etiology.  (See References)

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B) Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with large artery stenosis

This answer is correct.


Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with large artery stenosis.  (See References)

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C) Risk of stroke recurrence is independent of stroke etiology

This answer is incorrect.


Risk of stroke recurrence differs depending on stroke etiology. Recurrent strokes are more likely in patients with cardioembolic strokes.  (See References)

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D) Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with cardioembolic strokes

This answer is incorrect.


Carotid endarterectomy is of proven usefulness in preventing recurrent stroke in patients with large artery stenosis.  (See References)

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E) Mortality after 1 month is lower in patients with cardioembolic strokes than in patients with other stroke etiologies

This answer is incorrect.


Mortality after 1 month is higher in patients with cardioembolic strokes than in patients with other stroke etiologies.  (See References)

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References:

1. Gordon, D.L., Bendixen, B.H., Adams, H.P., Clarke, W., Kappelle, L.J., and Woolson, R.F. (1993). "Interphysician agreement in the diagnosis of subtypes of acute ischemic stroke: implications for clinical trials. The TOAST Investigators." Neurology, 43(5) 1021-7. (PMID:8492920)
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adult
Stroke etiology 01
Question ID: 061608057
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 06/16/2008
Modified: 06/16/2008
Estimated Permutations: 1800

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