EMT Neurologic Emergencies Quiz

Section

Question	Answer
Muscle control and body coordination are controlled by the	cerebellum
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 to	ask his wife when she noticed the symptoms
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the	brain 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 is	epilepsy
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 should	suction her oropharynx and apply 100% oxygen
The mental status of a patient who has experienced a typical seizure	is likely to improve over a period of 5 to 30 minutes.
A transient ischemic attack (TIA) occurs when	the normal body processes destroy a clot in a cerebral a
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 patient	is hypoglycemic
	memorize

 

Question	Answer
When transporting a stable stroke patient with unilateral hemiparalysis, it is best to place the patient in a	recumbent 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 is	not thinking clearly or is incapable of being aroused
The principle clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia	usually have an altered mental status or decreased level of consciousness
During the initial assessment of a semiconscious 70-year-old female, you should	ensure a patent airway and support ventilation as needed.
When caring for a child with documented hypoglycemia, you should be MOST alert for	a seizure
A patient whose speech is slurred and difficult to understand is experiencing	dysarthria
Successful treatment of a stroke depends on whether or not	clot-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 should	initiate 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 to	obtain a description of how the seizure developed
During the initial assessment of a semiconscious 70-year-old female, you should	ensure 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 should	transport 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 a	petite 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 include	oxygen 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 she	has 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 called	aneurysm
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 patient	is 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 the	liver
The spinal cord exits the cranium through the	foramen magnum
A patient who is experiencing receptive aphasia is	able 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 the	cerebrum, cerebellum, and brain stem
Status epilepticus is characterized by	prolonged seizures without a return of consciousness
The MOST significant risk factor for a hemorrhagic stroke is	hypertension
	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 controls	the right side of the body
When assessing arm movement of a patient with a suspected stroke, you should	ask 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 is	cholecystitis
The MOST appropriate treatment for a patient with severe abdominal pain and signs of shock includes	transporting the patient without delay
Febrile seizures	are 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 AIDS	B 17 yr old female
	memorize

 

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