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EMT Neurologic Emergencies Quiz

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gelliebeen's version from 2012-04-09 19:50

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Question Answer
Muscle control and body coordination are controlled by thecerebellum
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. As your partner is applying oxygen, it is MOST important for you toask his wife when she noticed the symptoms
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by thebrain stem
What Glasgow Coma Scale (GCS) score would you assign to a patient who responds to painful stimuli, uses inappropriate words, and flexes his or her arms in response to pain?8
A patient without a history of seizures experiences a sudden convulsion. The LEAST likely cause of this seizure isepilepsy
You are caring for a 70-year-old female with signs and symptoms of an acute stroke. She is conscious, has secretions in her mouth, and is breathing at a normal rate with adequate depth. You shouldsuction her oropharynx and apply 100% oxygen
The mental status of a patient who has experienced a typical seizureis likely to improve over a period of 5 to 30 minutes.
A transient ischemic attack (TIA) occurs whenthe normal body processes destroy a clot in a cerebral artery
You are transporting a semiconscious patient to the hospital. En route, you note that the patient's mental status is not improving, despite 100% supplemental oxygen. You should suspect that this patientis hypoglycemic
Which of the following MOST accurately describes the cause of an ischemic stroke? a) Acute atherosclerotic disease b) Narrowing of a carotid artery c) Rupture of a cerebral artery d) Blockage of a cerebral arteryd) Blockage of a cerebral artery
When transporting a stable stroke patient with unilateral hemiparalysis, it is best to place the patient in arecumbent position with the paralyzed side down
Which of the following is NOT an assessment parameter included in the Cincinnati Stroke Scale? a) Memory b) Arm drift c) Facial droop d) Speecha) Memory
A patient with an altered mental status isnot thinking clearly or is incapable of being aroused
The principle clinical difference between a stroke and hypoglycemia is that patients with hypoglycemiausually have an altered mental status or decreased level of consciousness
During the initial assessment of a semiconscious 70-year-old female, you shouldensure a patent airway and support ventilation as needed.
When caring for a child with documented hypoglycemia, you should be MOST alert fora seizure
A patient whose speech is slurred and difficult to understand is experiencingdysarthria
Successful treatment of a stroke depends on whether or notclot-buster therapy is given within 2 to 3 hours of symptom onset
Which of the following conditions is NOT a common cause of seizures? a) Acute alcohol withdrawal b) Severe hypovolemia c) Acute hypoglycemia d) Poisoning or overdoseb) Severe hypovolemia
You are dispatched to a residence for a 66-year-old male who, according to family members, has suffered a massive stroke. Your initial assessment reveals that the patient is pulseless and apneic. You shouldinitiate CPR and attach an AED as soon as possible.
You arrive at a grocery store shortly after a 35-year-old male stopped seizing. Your assessment reveals that he is confused and incontinent of urine. The patient's girlfriend tells you that he has a history of seizures and takes Tegretol. When obtaining further medical history from the girlfriend, it is MOST important toobtain a description of how the seizure developed
During the initial assessment of a semiconscious 70-year-old female, you shouldensure a patent airway and support ventilation as needed
Which of the following conditions would MOST likely affect the entire brain? a) Blocked cerebral artery in the frontal lobe b) Respiratory failure or cardiopulmonary arrest c) Reduced blood supply to the left hemisphere d) Ruptured cerebral artery in the occipital lobeb) Respiratory failure or cardiopulmonary arrest
You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You shouldtransport the child to the hospital and reassure the mother en route.
Which of the following MOST accurately describes the postictal state that follows a seizure? a) Rapidly improving level of consciousness b) Dazed, confused, or combative appearance c) Hyperventilation and hypersalivation d) Gradually decreasing level of consciousnessb) Dazed, confused, or combative appearance
An absence seizure is also referred to as apetite mal seizure
You are caring for a conscious, confused patient with left-sided hemiparalysis. His airway is patent and his respirations are 22 breaths/min with adequate tidal volume. Treatment for this patient should includeoxygen via nonrebreathing mask, left lateral recumbent position, and transport.
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or shehas bleeding within the brain
Which of the following conditions would MOST likely mimic the signs and symptoms of a stroke? a) Alcohol intoxication b) Acute poisoning c) Hypoglycemia d) High feverc) Hypoglycemia
An area of swelling or enlargement in a weakened arterial wall is calledaneurysm
You receive a call to a residence, where a neighbor has found the resident, a 40-year-old female, semiconscious on her living room floor. During your assessment, you discover a bottle of Dilantin on a nearby table. You should be MOST suspicious that this patientis postictal following a seizure.
Which of the following medications is NOT used to treat patients with a history of seizures? a) Tegretol b) Dilantin c) Dilaudid d) Phenobarbitalc) Dilaudid
Interruption of cerebral blood flow may result from all of the following, EXCEPT: a) a thrombus b) cerebral vasodilation c) an acute arterial rupture d) an embolismb) cerebral vasodilation
Which of the following MOST accurately describes a focal seizure? a) A seizure that begins in one extremity b) Generalized seizures without incontinence c) A seizure that is not preceded by an aura d) A blank stare without muscle contractionsa) A seizure that begins in one extremity
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in theliver
The spinal cord exits the cranium through theforamen magnum
A patient who is experiencing receptive aphasia isable to speak clearly but has difficulty understanding.
Which of the following patients would MOST likely demonstrate typical signs of infection or fever? (Needs options)A 17-year-old male with depression and anxiety
The three major parts of the brain are thecerebrum, cerebellum, and brain stem
Status epilepticus is characterized byprolonged seizures without a return of consciousness
The MOST significant risk factor for a hemorrhagic stroke ishypertension
Which of the following clinical signs would be MOST suggestive of a ruptured cerebral artery? a) Unilateral hemiparesis b) Nasal discharge of blood c) Confusion and weakness d) Sudden, severe headached) Sudden, severe headache
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? a) Postictal state b) Hypoglycemia c) Intracranial bleeding d) Hypovolemiad) Hypovolemia
The left cerebral hemisphere controlsthe right side of the body
When assessing arm movement of a patient with a suspected stroke, you shouldask the patient to close his or her eyes during the assessment.
A 35-year-old mildly obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain ischolecystitis
The MOST appropriate treatment for a patient with severe abdominal pain and signs of shock includestransporting the patient without delay
Febrile seizuresare usually benign but should be evaluated
A generalized seizure is characterized by:severe twitching of all the body's muscles
When obtaining medical history information from the family of a suspected stroke patient, it is MOST important to determine:when the patient last appeared normal.
Interruption of cerebral blood flow may result from all of the following, EXCEPT: a) a thrombus b) cerebral vasodilation c) an acute arterial rupture d) an embolismb) cerebral vasodilation
Which of the following is a metabolic cause of a seizure? a) Brain tumor b) Massive stroke c) Poisoning d) Head traumac) Poisoning
Which of the following patients would MOST likely demonstrate typical signs of infection or fever? a) An 88-year-old male with chronic renal problems b) A 17-year-old male with depression and anxiety c) A 3-month-old female who was born prematurely d) A 35-year-old female in the later stages of AIDSDon't know (Not d)
The anterior aspect of the cerebrum controls:emotion
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