Module test - CHSS eLearning

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This is the module test for 'Reducing the risk of stroke'. It is strongly recommended that you work though the learning materials of the module prior to commencing this test. By going straight to the test you may miss out on valuable learning contained within the module. The answers to all the test questions are contained within the module. This information may have been provided in the 'Additional Information' boxes on some of the pages.

There are 20 questions and you must answer all of these correctly to obtain a certificate of completion.

You should allow approximately 20 minutes to complete this test.

Reducing the risk of stroke: Module test – Part 1. Q. Heavy alcohol intake can increase your risk of stroke by: (Select all that apply)*
- Select All
- A. Causing a rise in blood pressure
- B. Causing changes to blood platelets and clotting factors
- C. Causing epileptic seizures
- D. Increasing the risk of developing atrial fibrillation

Part 1. Answer.

Unfortunately, you have answered part 1 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 1. Answer.

Well done, answers A, B and D are correct.

Reducing the risk of stroke: Module test – Part 2. Q. The purpose of the routine blood tests taken in a TIA/stroke patients is to: (Select all that apply)*
- Select All
- A. Screen for unrecognised diabetes mellitus?
- B. Distinguish haemorrhagic from ischemic stroke?
- C. Provide a baseline to assess the effects of lipid lowering medications?
- D. Measure cholesterol level?
- E. Exclude a cardiac source of embolism?

Part 2. Answer.

Unfortunately, you have answered part 2 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 2. Answer.

Well done, A, C and D are correct.

Reducing the risk of stroke: Module test – Part 3. Q. Which of the following might alert one to a rare cause of stroke: (Select all that apply)*
- Select All
- A. Age over 55 yrs?
- B. Age under 55 yrs?
- C. A new heart murmur?
- D. An irregular pulse?
- E. Loss of weight and fever

Part 3. Answer.

Unfortunately, you have answered part 3 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 3. Answer.

Well done, B, C and E are correct.

Reducing the risk of stroke: Module test – Part 4. Q. Which of the following may be included in a ‘Brief intervention’ (Select all that apply)*
- Select All
- A. Health education and advice
- B. Setting goals for patients
- C. Provision of self-help information
- D. Referral to specialist services
- E. Assessment of what stage an individual is at (Stages of Change model)

Part 4. Answer.

Unfortunately, you have answered part 4 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 4. Answer.

Well done, A, C, D and E are correct.

Reducing the risk of stroke: Module test – Part 5. Q. Which of the following 5 statements about risk of stroke after TIA/minor stroke are true: (Select all that apply)*
- Select All
- A. The absolute risk of stroke is about 10% in the first week after the TIA
- B. The absolute daily risk of stroke increases over time after a TIA
- C. Secondary prevention medication will be more effective if started early after a TIA
- D. Atrial fibrillation increases the risk of stroke five times means the relative risk is 5
- E. If one halves the risk of stroke this is a 5% relative risk reduction

Part 5. Answer.

Unfortunately, you have answered part 5 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 5. Answer.

Well done, A, C and D are correct.

Reducing the risk of stroke: Module test – Part 6. Q. For optimal diabetes management, which of the following targets is not correct:*
- A. Total cholesterol – 4mmol
- B. Alcohol units for a man – maximum 28 units/day
- C. Blood pressure 130/80
- D. Blood sugar – 4 mmols/before meal and 10 mmols/ after a meal
- E. Waist circumference for woman – less than 80cms

Part 6. Answer.

Unfortunately, you have answered part 6 incorrectly. Revise the learning materials for Reducing the risk of stroke.
Part 6. Answer.

Well done, B, Alcohol units for a man – the maximum 28 units/day, is not correct.

Reducing the risk of stroke: Module test – Part 7. Q. Which of the following factors will influence the medication a patient with TIA is given to reduce their risk of stroke: (Select all that apply)*
- Select All
- A. Cardiac rhythm (sinus rhythm or atrial fibrillation)
- B. Stroke pathology (ischaemic or haemorrhagic)
- C. Their exercise history
- D. Their blood pressure
- E. Cholesterol level

Part 7. Answer.

Unfortunately, you have answered part 7 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 7. Answer.

Well done, A, B, D and E are correct.

Reducing the risk of stroke: Module test – Part 8. Q. SMART goals are:*
- A. Sensible, Manageable, Achievable, Right, Timely
- B. Straightforward, Meaningful, Attainable, Regulated, Timely
- C. Specific, Measurable, Achievable, Realistic, Timely
- D. Specific, Manageable, Attainable, Realistic, Targeted

Part 8. Answer.

Unfortunately, you have answered part 8 incorrectly. Revise the learning materials for Reducing the risk of stroke.
Part 8. Answer.

Well done, SMART goals are Specific, Measurable, Achievable, Realistic, Timely. (C)

Reducing the risk of stroke: Module test – Part 9. Q. Which of the following factors would make carotid endarterectomy a suitable method of reducing the risk after a TIA causing right arm weakness: (Select all that apply)*
- Select All
- A. Patient has a left hemisphere ischaemic stroke in the last week
- B. Symptoms included double vision, vertigo and slurred speech
- C. Carotid duplex shows a 70% stenosis on the left side
- D. MRI scan shows an acute infarct in the left brainstem
- E. Patient willing to accept a 5% risk of stroke in the perioperative period

Part 9. Answer.

Unfortunately, you have answered part 9 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 9. Answer.

Well done, A, C and E are correct.

Reducing the risk of stroke: Module test – Part 10. Q. If an individual has decided to attend smoking cessation classes, where are they on the Stages of Change model:*
- A. Pre-contemplation
- B. Contemplation
- C. Preparation
- D. Action
- E. Relapse

Part 10. Answer.

Unfortunately, you have answered part 10 incorrectly. Revise the learning materials for Reducing the risk of stroke.
Part 10. Answer.

Well done, If an individual has decided to attend smoking cessation classes, they are on the ‘Action’ stage on the Stages of Change model.

Reducing the risk of stroke: Module test – Part 11. Q. Which of the following treatments are appropriate to reduce the risk after a stroke due to an unusual cause: (Select all that apply)*
- Select All
- A. High dose steroids in a patient with giant cell arteritis
- B. Cardiac surgery in a patient with an atrial myxoma
- C. Cardiac surgery in a patient with a patent foramen ovale (PFO)
- D. Antibiotics for a patient with bacterial endocarditis
- E. Antabuse for a patient with a stroke associated with Cocaine use – F

Part 11. Answer.

Unfortunately, you have answered part 11 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 11. Answer.

Well done, A, B and D are correct.

Reducing the risk of stroke: Module test – Part 12. Q. How do you carry out a ‘Brief intervention’:*
- A. Ask, Assess, Advise, Assist
- B. Ask, Assess, Arrange, Administer
- C. Enquire, Engage, Encourage, Establish
- D. Enquire, Examine, Encourage, Effect
- E. None of the above

Part 12. Answer.

Unfortunately, you have answered part 12 incorrectly. Revise the learning materials for Reducing the risk of stroke.
Part 12. Answer.

Well done, to carry out a ‘Brief intervention’ you would (A) Ask, Assess, Advise, Assist.

Reducing the risk of stroke: Module test – Part 13. Q. Which of the following lifestyle changes would help reduce a TIA patient’s risk of future stroke: (Select all that apply)*
- Select All
- A. Increase their intake of salt
- B. Decrease their intake of saturated fats
- C. Diet to reduce their body mass index (BMI) to within normal range
- D. Regular exercise
- E. Take it easy and avoid stress

Part 13. Answer.

Unfortunately, you have answered part 13 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 13. Answer.

Well done, B, C and D are correct.

Reducing the risk of stroke: Module test – Part 14. Q. What might prevent patients from taking their medicines as prescribed: (Select all that apply)*
- Select All
- A. Mental illness
- B. Poor hand dexterity
- C. Confusing medicines with similar sounding names
- D. Unhealthy diet
- E. Having multiple medicines to take

Part 14. Answer.

Unfortunately, you have answered part 14 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 14. Answer.

Well done, A, B, C and E are correct.

Reducing the risk of stroke: Module test – Part 15. Q. In which of the following scenarios should the patient be taking anticoagulants (e.g. warfarin or direct thrombin inhibitor) to reduce their risk of future stroke: (Select all that apply)*
- Select All
- A. Minor stroke was due to a small basal ganglia haemorrhage
- B. Patient has atrial fibrillation
- C. Patient has bacterial endocarditis
- D. Patient is in sinus rhythm
- E. Patient has carotid stenosis

Part 15. Answer.

Unfortunately, you have answered part 15 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 15. Answer.

Well done, B is correct.

Reducing the risk of stroke: Module test – Part 16. Q. Increasing physical activity will: (Select all that apply)*
- Select All
- A. Improve endothelial function
- B. Reduce cholesterol levels
- C. Improve blood pressure control
- D. Thicken the blood

Part 16. Answer.

Unfortunately, you have answered part 16 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 16. Answer.

Well done, A, B and C are correct.

Reducing the risk of stroke: Module test – Part 17. Q. Which of the following statement about anti-platelet drugs are true? (Select all that apply)*
- Select All
- A. Dipyridamole may cause headaches, diarrhoea, muscle pains or dizziness
- B. The combination of Aspirin and Dipyridamole reduces the risk of stroke compared with either alone
- C. Clopidogrel is a reasonable alternative to aspirin if the patient cannot take aspirin
- D. The combination of aspirin and clopidogrel is a useful long term treatment to reduce the risk of stroke
- The combination of aspirin and clopidogrel can be used in short term for patients with minor stroke

Part 17. Answer.

Unfortunately, you have answered part 17 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 17. Answer.

Well done, A, B, C & E are correct.

Reducing the risk of stroke: Module test – Part 18. Q. Making sustainable lifestyle changes depends on: (Select all that apply)*
- Select All
- A. Understanding it is never too late to make a change
- B. Having a high salary
- C. Family support
- D. Setting realistic goals
- E. Living near a gym

Part 18. Answer.

Unfortunately, you have answered part 18 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 18. Answer.

Well done, A, C and D are correct.

Reducing the risk of stroke: Module test – Part 19. Q. Which of the following interventions would be expected to help lower blood pressure? (Select all that apply)*
- Select All
- A. A reduced salt diet
- B. 1/2 bottle of red wine daily
- C. A thiazide diuretic
- D. Weight reduction
- E. An ACE inhibitor

Part 19. Answer.

Unfortunately, you have answered part 19 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 19. Answer.

Well done, A, C, D and E are correct.

Reducing the risk of stroke: Module test – Part 20. Q. Which of the following statement regarding cholesterol reduction are true? (Select all that apply)*
- Select All
- A. Is recommended after a haemorrhagic stroke
- B. Statins have been shown to reduce the cholesterol and the risk of future stroke
- C. Statins may rarely causes myositis and more commonly myalgia
- D. Is most effectively achieved with dietary modification
- E. Statins should only be used if the total cholesterol is > 5.0mmol/l

Part 20. Answer.

Unfortunately, you have answered part 20 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Reducing the risk of stroke.
Part 20. Answer.

Well done, B and C are correct.

Stroke Training and Awareness Resources (STARs)

Part 1. Answer.

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Part 9. Answer.

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Part 10. Answer.

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Part 11. Answer.

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Part 12. Answer.

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Part 13. Answer.

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Part 14. Answer.

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Part 15. Answer.

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Part 16. Answer.

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Part 18. Answer.

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Part 19. Answer.

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Part 20. Answer.

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