Post-Stroke Complications Management Flashcards
7 cards from real ASC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Post-Stroke Complications Management flashcards as text
Post-stroke depression occurs in approximately what percentage of stroke survivors within the first year?
Answer: 30–40%
Post-stroke depression affects roughly one-third of survivors and is independently associated with increased mortality and worse functional outcomes.
A stroke patient develops urinary incontinence. Which initial management strategy is MOST appropriate?
Answer: Timed voiding schedule and bladder training
Behavioral interventions (timed voiding, prompted voiding) are the first-line approach and minimize catheter-associated infection risk.
Which finding on post-stroke EEG is MOST indicative of non-convulsive status epilepticus (NCSE)?
Answer: Continuous rhythmic epileptiform discharges without clinical convulsions
NCSE in stroke patients presents as continuous or near-continuous rhythmic epileptiform discharges on EEG with altered consciousness but no overt motor activity.
Shoulder subluxation after stroke is BEST prevented by which intervention?
Answer: Proper arm positioning and use of arm slings during transfers
Subluxation results from flaccid paralysis and gravity; supported positioning and slings during mobilization prevent inferior displacement of the humeral head.
A post-stroke patient has a serum sodium of 126 mEq/L on day 5 with euvolemia. What is the MOST likely diagnosis?
Answer: Syndrome of inappropriate antidiuretic hormone (SIADH)
SIADH is the most common cause of hyponatremia after stroke, characterized by low serum osmolality, concentrated urine, and euvolemia.
Which antidepressant class is PREFERRED for post-stroke depression due to its favorable safety profile and evidence base?
Answer: Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are first-line for post-stroke depression due to their tolerability, low anticholinergic burden, and evidence from multiple randomized controlled trials.
Post-stroke fatigue differs from pre-stroke fatigue in that it is CHARACTERISTICALLY:
Answer: Disproportionate to activity level and not relieved by rest
Post-stroke fatigue is a distinct neurological symptom that occurs out of proportion to exertion and persists despite adequate rest, differentiating it from simple tiredness.