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EMT Neurologic Emergencies Quiz

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jlg536's version from 2012-08-03 17:47

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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
memorize
Which of the following MOST accurately describes the cause of an ischemic stroke? Blockage of a cerebral artery
Question Answer
When transporting a stable stroke patient with unilateral hemiparalysis, it is best to place the patient in arecumbent position with the paralyzed side down
memorize
Which of the following is NOT an assessment parameter included in the Cincinnati Stroke Scale? Memory
Question Answer
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
memorize
Which of the following conditions is NOT a common cause of seizures? Severe hypovolemia
Question Answer
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
memorize
Which of the following conditions would MOST likely affect the entire brain? Respiratory failure or cardiopulmonary arrest
Question Answer
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.
memorize
Which of the following MOST accurately describes the postictal state that follows a seizure? Dazed, confused, or combative appearance
Question Answer
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
memorize
Which of the following conditions would MOST likely mimic the signs and symptoms of a stroke? Hypoglycemia
Question Answer
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.
memorize
Which of the following medications is NOT used to treat patients with a history of seizures? Dilaudid
Interruption of cerebral blood flow may result from all of the following, EXCEPT: cerebral vasodilation
Which of the following MOST accurately describes a focal seizure? A seizure that begins in one extremity
Question Answer
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
memorize
Which of the following clinical signs would be MOST suggestive of a ruptured cerebral artery? Sudden, severe headache
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? hypovolemia
Question Answer
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.
memorize
Interruption of cerebral blood flow may result from all of the following, EXCEPT: cerebral vasodilation
Which of the following is a metabolic cause of a seizure? Poisoning
Question Answer
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)
memorize
The anterior aspect of the cerebrum controls: emotion
When transporting a stable stroke patient with unilateral paralysis, it is best to place the patient in a:
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
Successful treatment of a stroke depends on whether: thrombolytic therapy is given within 3 hours after symptoms began.
A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seem to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min and adequate. In addition to high-flow oxygen, further treatment should include: dimming the lights in the back of the ambulance and transporting without lights and siren.You are assessing the arm drift component of the Cincinnati Prehospital Stroke Scale on a 60-year-old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her sides. You should: repeat the arm drift test, but move the patient's arms into position yourself.
Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure? confusion and fatigue
A patient who is experiencing aphasia is: unable to produce or understand speech.
You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced: a ruptured cerebral artery.
Which of the following MOST accurately describes a simple partial seizure? a seizure that begins in one extremity

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