Ch6 | Test Bank Docx – Epidemiology Of Stroke (Cerebral - Test Bank | Epidemiology of Chronic Disease 2e by Harris by Randall E. Harris. DOCX document preview.

Ch6 | Test Bank Docx – Epidemiology Of Stroke (Cerebral

Chapter 6. Epidemiology of Stroke (Cerebral Infarction)

TEST BANK

True/False Questions

1. Strokes are classified as either ischemic or hemorrhagic, which constitute about 85% and 15% of cases respectively.

  1. Each year, approximately 17 million people suffer strokes in the world population.
  2. The global case fatality rate of stroke is more than 33%.
  3. National per capita income is a significant predictor of stroke mortality and DALY loss even after adjustment for cerebrovascular disease risk factors.
  4. In the USA, Caucasian Americans have the highest rate of stroke of any ethnic group.
  5. In the INTERSTROKE Study, the strongest risk factor for stroke was hypertension.
  6. In the INTERSTROKE Study, ten risk factors accounted for 90% of strokes in the population.
  7. In the INTERSALT Study, restriction of dietary salt to less than 6 grams per day was found to significantly reduce the risk of stroke.
  8. Evidence from epidemiologic investigations suggests that light alcohol consumption significantly increases the risk of stroke whereas heavier drinking may offer slight protection.
  9. Results from randomized clinical trials provide strong evidence that aggressive treatment of elevated blood pressure using anti-hypertensive medications significantly reduces the risk of acute stroke.

Multiple Choice Questions

  1. What percentage of strokes are hemorrhagic?
    1. 10%
    2. 15%
    3. 20%
    4. 25%
  2. What percentage of strokes are ischemic?
    1. 55%
    2. 65%
    3. 75%
    4. 85%
  3. The global case fatality of stroke is approximately:

a. 30%.

b. 35%.

c. 40%.

d. 45%.

  1. The strongest predictor of stroke mortality among nations is the:
    1. smoking rate.
    2. prevalence of hypertension.
    3. prevalence of hypercholesterolemia.
    4. per capita income.
  2. What biomarker of inflammation has recently proven to be an effective predictor of impending stroke/TIA?
    1. Apo B / Apo A1 ratio
    2. C Reactive Protein
    3. HDL cholesterol
    4. LDL cholesterol
  3. The mortality from stroke in the USA shows considerable overlap with mortality from which of the following diseases?
    1. Breast Cancer
    2. Colon Cancer
    3. Prostate Cancer
    4. Lung Cancer
  4. Which of the following is not a proven risk factor for stroke?
    1. Apo B / Apo A1 ratio
    2. Chronic smoking
    3. Alcohol abuse
    4. High HDL cholesterol
  5. What type of heart arrhythmia increases the risk of stroke more than fivefold?
    1. Atrial fibrillation
    2. Ventricular fibrillation
    3. Asystole
    4. Tachycardia
  6. Which ethnic group has the highest incidence of stroke?
    1. African Americans
    2. Hispanic Americans
    3. Non-Hispanic Caucasian Americans
    4. The incidence rates for all ethnicities are similar.
  7. Statins reduce the risk of stroke by blocking which enzyme in the mevalonate synthetic pathway of cholesterol?
    1. COX-1
    2. COX-2
    3. HMG Co-A Reductase
    4. a-reductase

Essay Questions

  1. Describe ischemic and hemorrhagic stroke.

  1. Describe the global burden of stroke.

  1. Discuss key findings of the INTERSTROKE Study.

  1. Discuss key findings of the INTERSALT Study that are relevant to the risk of stroke.

  1. Describe the Stroke Belt in the USA and the web of causation.

  1. Discuss the association of alcohol consumption and stroke.

  1. Discuss the association of atrial fibrillation and stroke.

  1. Discuss strategies for the prevention of stroke.

Document Information

Document Type:
DOCX
Chapter Number:
6
Created Date:
Aug 21, 2025
Chapter Name:
Chapter 6 Epidemiology Of Stroke (Cerebral Infarction)
Author:
Randall E. Harris

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