Chapter 17
When you are obtaining a medical history from the family of a suspected stroke patient it is MOST important to determine When the patient last appeared normal if there is a family history of stroke if the patient has been hospitalized before the patients overall medication compliance
a
Which of the following MOST accurately describes a simple partial seizure? a seizure that begins in one extremity a seizure that causes the patient to stare blankly a seizure that is not preceded by an aura a generalized seizure without incontinence
a
You are caring for a 68 year old man with sudden onset of left sided paralysis and slurred speech. His airway is patent his respirations are 14 breaths/min with adequate depth and his oxygen saturation is 98% Treatment for this patient should include: recovery position and transport ventilatory assistance and transport high flow oxygen and transport oral glucose gel and transport
a
when caring for a patient with documented hypoglycemia you should be MOST alert for a seizure an acute stroke respiratory distress a febrile convulsion
a
A 30 year old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. the patient is conscious is answering you questions appropriately and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport he has experienced seizures since he was 20 He is currently not prescribed any medications His wife states that his was his "usual" seizure His GCS score is 15
b
The MOST significant risk factor for a hemorrhagic stroke is severe stress hypertension heavy exertion diabetes mellitus
b
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: a. cover the child with wet towels and give O2 via nasal cannula b. transport the child to the hospital and reassure the mother en route c. advise the mother to take her child to the doctor the following day d. call medical control and request permission to give the child asprin
b
a patient whose speeh is slurred and difficult to understand is experiencing aphasia dysarthria dysphagia paraplegia
b
which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? hypoglycemia hypovolemia a postictal state intracranial bleeding
b
When assessing the arm drift of a patient with a suspected stroke you should observe movement of the arms for approximately 2 min expect to see one are slowly drift down to their side ask the patent to tholes their eyes during the assessment ask the patient to hold his or her are up with palms down
c
Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure hyperventilation and hyper salivation a rapidly improving level of consciousness confusion and fatigue a gradually decreasing LOC
c
interruption of the cerebral blood flow may result from all of the following EXCEPT: a thrombus an embolism cerebral vasodilation an acute aerial rupture
c
the left cerebral hemisphere controls the right side of the face hear rate and pupil reaction the right side of the body breathing and blood pressure
c
your patient opens his eyes moans and pulls away from you when you pinch his trapezious muscle you should assign a Glasgow coma scale score of 6 7 8 9
c
A patient with an altered mental status is: completely unresponsive to all forms of stimuli typically alert but is confused as to preceding events usually able to be aroused with painful stimuli not thinking clearly or is capable of being aroused
d
The three major parts of the brain are the cerebellum medulla and occiput brain stem midbrain and spinal cord midbrain cerebellum and spinal cord cerebrum cerebellum and the brainstem
d
a Patient who is possibly experiencing a stroke is NOT eligible for the Thrombolytic therapy if they: has had a prior heart attack is older than 60 years of age has a GCS score that is less than 8 has bleeding within the brain
d
during the primary assessment of a semiconscious 70 year old female you should insert a nasopharyngeal airway and assist ventilation immediately determine the patients blood glucose level ask family members if the patient has a history of stroke ensure a patent airway and support ventilation as needed
d
which of the following conditions would MOST likely affect the entire brain blocked cerebral artery in the frontal lobe reduced blood supply to the left hemisphere ruptured cerebral artery in the occipital lobe respiratory failure or cardiopulmonary arrest
d
which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion? the headache began suddenly there is associated neck stiffness there is a numbness in the extremities the pain is worse when bending over
d