CVA
Objectives
1. Describe the vascular supply and
venous drainage of the CNS.
2. Describe the arterial supply of major
brain regions.
3. Understand the role of the blood
brain barrier in maintaining brain
homeostasis.
4. Understand the venous drainage of
the brain
5. Know the major cerebrovascular
disorders and the risk factors
associated with them.
6. Understand and demonstrate the
components of a neurological exam.
7. Understand the role of imaging and
neurological testing in localizing
stroke.
1. Define the different types of
cerebrovascular accident and their
major risk factors.
2. Describe the typical clinical signs
associated with cerebrovascular
accident in selected brain regions.
3. Understand the role of imaging in
stroke assessment.
4. Understand the pathophysiology of
stroke (ischemia, ischemic core,
penumbra etc.) and its associated
cellular pathology.
5. Know the role and contraindications
of rTPA in acute therapy.
6. Understand the role of modifiable
(hypertension, cholesterol, obesity,
anti-platelet therapy etc.)and nonmodifiable risk factors in
cerebrovascular accident.
7. Understand the role of
cerebrovascular accident as a risk
factor for neurological diseases.
1. Identify the vascular structures
associated with clinical signs of
stroke.
2. Document and report an encounter
with a cerebrovascular accident
patient.
Block
MSI
ICS
S & F II
MSII
D & T II
D & T III
MSIII
FM
IM
P/N
Competency
Assessment Method
IC1A1
MK1A1
MK1B1
MK1C1
MK1D1
MK1E1
MK1E2
MK1F2
MK1G1
PC1A1
PC1C3
PC1C4
PC1D1
PC1G1
PC1H1
PC1H2
PC1I1
PR1A1
Block Exams, Small Group,
assignments, quizzes
IC2A1
MK2A1
MK2B1
MK2C1
MK2D1
MK2E1
MK2E2
MK2E3
MK2G1
MK2H1
MK2H2
MK2H3
PC2A4
PC2B2
PC2D1
PC2F1
PC2F2
PC2F3
PC2G1
PC2H1
PR2A1
Block Exam, Small Group case
studies, assignments, quizzes
IC3A1
IC3A2
IC3A3
MK3A1
MK3B1
MK3C1
Subject Miniboards, Faculty
observation, Clerkship exams,
Patient logger
3. Understand the appropriate
diagnostic and radiological tests for
a cerebrovascular accident patient.
4. Know the role of rTPA in the
management of acute stroke while
understanding the utility of both
intravenous and intra-arterial
therapy
5. Design an appropriate acute and
long term therapeutic plan for a
cerebrovascular patient.
6. Recognize the risk factors for
cerebrovascular accident and
develop an appropriate treatment
protocol for these modifiable risk
factors.
1.
2.
3.
4.
MK3D2
MK3D3
MK3E2
MK3E3
MK3G1
MK3H1
MK3H2
MK3H3
PB3A1
PC3A1
PC3A3
PC3D1
PC3D2
PC3E1
PC3E2
PC3F1
PC3F2
PC3G1
PC3H3
PC3I2
PR3A1
SB3B5
MSIV (if participating in these rotations)
Demonstrate an understanding of
ER
IC4A1
the procedures involved in care of
IM Sub-I
IC4B1
an emergent cerebrovascular
FM Sub-I
MK4A1
accident patient.
MK4C1
Demonstrate an understanding of
MK4D1
how the patient’s economic and
MK4D3
family status can effect compliance
MK4E1
with therapeutic plans.
PC4E1
Demonstrate the ability to
PC4F1
communicate with and involve the
PC4F2
patient and their family members in
PC4G1
the therapeutic plan for
PC4G4
cerebrovascular accident.
PR4A1
Know the appropriate patient
SB4B1
orientated literature / resources for
cerebrovascular accident.
Internship and clerkship
exams, Faculty observation