ASC Post-Stroke Complications Management 3

Question 1

Post-stroke depression occurs in approximately what percentage of stroke survivors within the first year?

Accepted Answer

30–40%

Answer

Post-stroke depression affects roughly one-third of survivors and is independently associated with increased mortality and worse functional outcomes.

Question 2

A stroke patient develops urinary incontinence. Which initial management strategy is MOST appropriate?

Accepted Answer

Timed voiding schedule and bladder training

Answer

Behavioral interventions (timed voiding, prompted voiding) are the first-line approach and minimize catheter-associated infection risk.

Question 3

Which finding on post-stroke EEG is MOST indicative of non-convulsive status epilepticus (NCSE)?

Accepted Answer

Continuous rhythmic epileptiform discharges without clinical convulsions

Answer

NCSE in stroke patients presents as continuous or near-continuous rhythmic epileptiform discharges on EEG with altered consciousness but no overt motor activity.

Question 4

Shoulder subluxation after stroke is BEST prevented by which intervention?

Accepted Answer

Proper arm positioning and use of arm slings during transfers

Answer

Subluxation results from flaccid paralysis and gravity; supported positioning and slings during mobilization prevent inferior displacement of the humeral head.

Question 5

A post-stroke patient has a serum sodium of 126 mEq/L on day 5 with euvolemia. What is the MOST likely diagnosis?

Accepted Answer

Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer

SIADH is the most common cause of hyponatremia after stroke, characterized by low serum osmolality, concentrated urine, and euvolemia.

(ASC) Advanced Stroke Coordinator Certification Practice Test

(ASC) Advanced Stroke Coordinator Certification Practice Test

ASC Post-Stroke Complications Management 3