SCRN Exam Review (Latest Update 2025 / 2026) Questions and Answers | Grade A | 100% Correct
Question:
When and for how long should nimodipine be started on a SAH patient?
Answer:
Day 1-21
Question:
What is the usual dose of nimodipine to prevent Vasospasm?
Answer:
60mg q4hr for 21 days (may do 30mg q2hr if patient becomes hypotension)
Question:
What does nimodopine do?
Answer:
Decreases Incidence/prevents Vasospasm, DOES NOT TREAT IT 1 / 4
Question:
Besides testing for Vasospasm, what does TCD help identify?
Answer:
Lets us know if a stroke was cardioembolic (from heart) or thrombotic (from cranial arteries)
Question:
What is the gold standard for recognizing cavernous malformations?
Answer:
MRI/MRA with gradient echo
Question:
When should LP be considered for SAH diagnosis?
Answer:
Only when SAH cannot be diagnosed with CT
Question:
What does a patient need to 'have' to qualify for an Acute In-Patient Rehab?
Answer:
Tolerate 3hrs of therapy 5 days a week, need two or more disciplines (OT/ST/PT), be medically stable 2 / 4
Question:
What is constraint-induced movement therapy (CIMT)?
Answer:
Restraining the 'good' arm of the patient to 'force them' to use the affected (weaker) side.
ONLY USE WITH ARMS - IF USED IN LOWER EXTREMITIES, CAN
CAUSE FALLS.
Question:
When is the peak incidence of Vasospasm after SAH?
Answer:
Day 7-10 are peak incidence (but lasts up to 21 days)
Question:
What is Moyamoya disease?
Answer:
A chronic, vaso-occlusive disease that leads to narrowing and eventual occlusion of the internal carotids and branching vessels. It is very prominent in YOUNG ASIAN WOMEN.
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Question:
How is Moyamoya disease treated?
Answer:
Generally supportive treatment, such as anticoagulation/anti-platelet, surgical revascularization procedures if needed.
Question:
What is central venous thrombosis CVT? How is it treated?
Answer:
CVT is a rare type of stroke in which a clot forms in the Dúrcal sinuses or the cerebral veins.
It is treated with acute anticoagulation, start with hep drip, then oral for a few months; closely monitored.
Question:
What is the standard treatment for arterial dissections?
Answer:
Anticoagulation, consider stenting.
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