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A series of multiple-choice questions and answers related to the assessment and management of neurological emergencies, specifically focusing on stroke and seizures. It covers key aspects such as recognizing stroke symptoms, understanding blood glucose levels' impact on stroke outcomes, and differentiating between various types of seizures. The material is designed to test and reinforce knowledge critical for advanced emts in emergency medical situations. It includes questions on patient assessment, appropriate interventions, and the importance of rapid response in neurological emergencies. This resource is valuable for emts preparing for certification exams or seeking to enhance their understanding of neurological emergency protocols. It provides a concise review of essential concepts and best practices in prehospital care for stroke and seizure patients.
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You are caring for a patient whom you suspect has had a stroke. She is having difficulty forming words resulting in slurred speech making it difficult for you to understand her. Which of the following would describe the condition of her speech? A. Dysarthria B. Hypophasia c. Dysphagia D. Ataxia Dysarthria Of the following, which is the MOST important in caring for a possible stroke patient? A. Administer oxygen to patients with a SpO, <94 percent. B. Establish the time of onset of signs and symptoms. C. Check the patient's blood glucose level. D. Recognize signs and symptoms that may indicate stroke.
Recognize signs and symptoms that may indicate stroke Which of the following statements regarding blood glucose levels and stroke is TRUE? A. Hyperglycemia is protective of brain cells. B. Excessive glucose in cells causes cellular dehydration. c. Hypoglycemia worsens neurological outcome. D. Glucose requires insulin to enter brain cells. Hypoglycemia worsens neurological outcome A problem with the eighth cranial nerve can lead to which of the following disorders involving a sensation of movement when there is none? A. Macrotia B. Photophobia c. Vertigo D. Meningismus
A. Contact medical direction regarding the administration of glucose B. Administer one nitroglycerin sublingually prior to contacting the hospital c. Administer high flow oxygen via NRB based on written protocol D. Administer intranasal Narcan based on written protocol Contact medical direction regarding the administration of glucose A generalized motor seizure that begins with a hypertonic state of the muscles is known as a(n): A. complex partial seizure. B. absence seizure. c. tonic-clonic seizure. D. hysterical seizure. Tonic clonic seizure Of the following, which is the MOST common cause of a transient ischemic attack? A. Atherosclerosis
B. Aneurism C. Prinzmetal's angina D. Illegal drug use Atherosclerosis Your patient opens his eyes only when you pinch his shoulder. He has no verbal response and withdraws from pain. His Glasgow Coma score total is: A. two. B. four. C. three. D. seven. Seven What sign or symptom of a stroke is defined as a loss of coordination? A. Hemiparesis B. Ataxia c. Dysarthria
You are having difficulty verbally communicating with your 55-year old female patient. Which of the following would be the BEST way to next attempt to communicate with her? A. Speak more loudly to her. B. Attempt written communication. C. Try to use sign language. D. Have her nod her head. Attempt written, communication You arrive on the scene of a seizure patient. In what state will you MOST often encounter the seizure patient? A. Tonic phase B. Aura phase c. Postictal phase D. Clonic phase
Which of the following is the BEST way to differentiate between non- life-threatening and life-threatening causes of headache? A. Ask if the patient has allergies. B. Find out if trauma was involved. c. Gather a good history using OPQRST. D. Evaluate the blood glucose level. Gather a good history using opqrst You are caring for a 68-year-old woman displaying signs of stroke. She has right-sided weakness and slurred speech. Her vitals are: pulse 118, respirations 22 with a SpO2 of 92 percent, and blood pressure 188/98. Which of the following would be the LEAST appropriate care?
A. Alcohol B. Abnormal speech c. Arm drift D. Anaphylaxis Alcohol You are called for a person having a seizure. When you arrive, you note that the patient is postical and a bystander is providing care for the patient. Which of the following would be considered appropriate care by the bystander? A. Sweeping the patient's mouth to remove vomit B. Placing a bite block between the patient's teeth C. Giving the patient small sips of water D. Placing the patient in the recovery position Placing the patient in the recovery position The postictal patient with no suspected spinal injury should be placed in which position?
A. Fowler's B. Lateral recumbent c. Semi-Fowler's D. Supine Lateral recumbent Symptoms from a transient ischemic attack (TIA) generally resolve within: A. 24 hours. B. 48 hours c. 6 hours. D. 12 hours. 24 hours Which of the following statements regarding a transient ischemic attack is TRUE? A. If not promptly treated, a TIA will progress to a stroke.
c. assess for any neurological deficits. D. administer thrombolytic therapy. Establish & maintain patient airway Which of the following is associated with cocaine and methamphetamine use, as well as the use of other drugs? A. Photophobia B. Dementia c. Meningismus D. Excited delirium Excited delirium The Cincinnati Prehospital Stroke Scale evaluates possible stroke patients on what three parameters? A. Arm drift, blood glucose levels, history of seizures B. Age, duration of symptoms, abnormal speech c. Facial droop, arm drift, abnormal speech D. Headache, arm drift, onset of symptoms Facial droop, arm drift, abnormal speech
Consider a hemorrhagic stroke if the patient describes it as: A. lasting for more than 18-24 hours. B. dull or achy pain with a feeling of forceful pressure. C. being accompanied by nausea and photosensitivity. D. sudden in onset and "the worst headache of my life. Sudden in onset and "the worst headache of my life" Which of the following neurological conditions is caused by Vitamin B deficiency? A. Myasthenia gravis B. Multiple sclerosis C. Wernicke-Korsakoff syndrome D. Bell's palsy Wernicke-korsakoff syndrome
arrived the patient could not move her right arm and the left side of her face seemed to be "slack." Which of the following has MOST likely occurred? A. The patient suffered a transient ischemic attack. B. The patient suffered a cerebral vascular accident. C. The patient is suffering from aphasia. D. The patient has had a subarachnoid hemorrhage. The patient experienced a tia Which of the following cardiac dysrhythmias can lead to the formation of blood clots which increases the risk for stroke? A. Ventricular tachycardia B. Sinus arrhythmia c. Atrial fibrillation D. Asystole Atrial fibrillation When assessing a patient with a possible stroke, what is the priority of care?
A. Recognizing the signs and symptoms of stroke. B. Identifying the risk factors for stroke. C. Determining what type of stroke has occurred. D. Determining if there is a family history of stroke. Recognizing signs and symptoms of a stroke Assessment reveals a drooling 57-year-old man with slurred speech and right arm paralysis. Which of the following should be your FIRST priority? A. Closely monitor his blood pressure. B. Protect the right arm. c. Suction the airway. D. Determine his risk factors for stroke. Suction the airway You are called for a patient who passed out with no apparent cause. Bystanders report that she was only out for a few seconds. The patient has a cardiac history and diabetes. The patient reports she was reading
Which of the following mnemonics is used to help determine the cause of a patient's altered mental status? A. SAMPLE B. OPQRST c. AVPU D. AEIOU-TIPS AEIOU-TIPS Which of the following is a risk factor for hemorrhagic stroke? A. Spinal injury B. Hypertension c. Atrial fibrillation D. Hypoglycemia Hypertension You suspect your patient is suffering from a stroke. What information is crucial to obtain from family and bystanders that will aid in proper treatment?
A. When was the last meal consumed? B. Is the patient oriented to the current time? C. Does the patient seem more agitated than usual? D. What was the time of onset of the symptoms? What was the time of onset of the symptoms Which of the following patients would be the BEST candidate for fibrinolytic treatment? A. An 84-year-old man who awoke in the morning with symptoms after sleeping eight hours B. A 48-year-old man whose symptoms started while watching the 6 P.M. news and 911 was called at 6:10 P.M. C. A 64-year-old woman whose symptoms began at 8 A.M. and resolved 20 minutes later D. A 37-year-old woman diagnosed in the ED with a hemorrhagic stroke two hours after onset of symptoms A 48 yo man whose symptoms started while watching the 6pm news and 911 was called at 6:10 pm