EMS Chap 18 Quiz

Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the: Select one: A.brain. B.kidneys. C.liver. D.pancreas. Feedback

Ahead: Altered Mental Status Complexity: Easy Feedback: See Altered Mental Status Objective: 18-11 Define altered mental status; include possible causes and the patient assessment considerations that apply to each. Subject: Chapter 18, Page 737 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: liver.

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 seems 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. Treatment should include: Select one: A.dimming the lights in the back of the ambulance and transporting without lights and siren. B.assisting him with his migraine medication and transporting without lights and siren. C.applying warm compresses to the back of his neck and transporting with lights and siren. D.placing him in a supine position and transporting with lights and siren to a stroke center.

Ahead: Emergency Medical Care Complexity: Difficult Feedback: See Emergency Medical Care Objective: 18-20 Explain the care, treatment, and transport of patients who are experiencing headaches, stroke, seizure, and altered mental status. Subject: Chapter 18, Page 747 Taxonomy: Application Title: Neurologic Emergencies The correct answer is: dimming the lights in the back of the ambulance and transporting without lights and siren.

A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she: Select one: A.has a GCS score that is less than 8. B.has bleeding within the brain. C.has had a prior heart attack. D.is older than 60 years of age.

Ahead: Emergency Medical Care Complexity: Easy Feedback: See Emergency Medical Care Objective: 18-20 Explain the care, treatment, and transport of patients who are experiencing headaches, stroke, seizure, and altered mental status. Subject: Chapter 18, Page 748 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: has bleeding within the brain.

During the primary assessment of a semiconscious 70-year-old female, you should: Select one: A.immediately determine the patient's blood glucose level. B.ensure a patent airway and support ventilation as needed. C.ask family members if the patient has a history of stroke. D.insert a nasopharyngeal airway and assist ventilations.

Ahead: Patient Assessment Complexity: Difficult Feedback: See Patient Assessment Objective: 18-14 Explain the primary assessment of a patient who is experiencing a neurologic emergency and the necessary interventions that may be required to address all life threats. Subject: Chapter 18, Page 738 Taxonomy: Application Title: Neurologic Emergencies The correct answer is: ensure a patent airway and support ventilation as needed.

You arrive at the residence of a 33-year-old woman who is experiencing a generalized (tonic-clonic) seizure. She has a small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should: Select one: A.maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high-flow oxygen. B.restrain her extremities to prevent her from injuring herself, suction her airway to remove the vomitus, and assist her ventilations with a bag-mask device. C.wait for the seizure to stop, manually open her airway, insert an oropharyngeal airway, and assess her oxygen saturation with the pulse oximeter. D.place a bite block in between her teeth, apply high-flow oxygen via a nonrebreathing mask, and consider inserting a nasopharyngeal airway.

Ahead: Patient Assessment Complexity: Difficult Feedback: See Patient Assessment Objective: 18-14 Explain the primary assessment of a patient who is experiencing a neurologic emergency and the necessary interventions that may be required to address all life threats. Subject: Chapter 18, Page 738 Taxonomy: Application Title: Neurologic Emergencies The correct answer is: maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high-flow oxygen.

The mental status of a patient who has experienced a generalized seizure: Select one: A.progressively worsens over a period of a few hours. B.typically does not improve, even after several minutes. C.is likely to improve over a period of 5 to 30 minutes. D.is easily differentiated from that of acute hypoglycemia.

Ahead: Seizures Complexity: Easy Feedback: See Seizures Objective: 18-7 Define a general seizure, focal-onset seizure, and status epilepticus; include how they differ from each other and their effects on patients. Subject: Chapter 18, Page 732 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: is likely to improve over a period of 5 to 30 minutes.

Status epilepticus is characterized by: Select one: A.profound tachycardia and total muscle flaccidity. B.an absence seizure that is not preceded by an aura. C.prolonged seizures without a return of consciousness. D.generalized seizures that last less than 5 minutes.

Ahead: Seizures Complexity: Easy Feedback: See Seizures Objective: 18-7 Define a general seizure, focal-onset seizure, and status epilepticus; include how they differ from each other and their effects on patients. Subject: Chapter 18, Page 733 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: prolonged seizures without a return of consciousness.

Which of the following conditions is NOT a common cause of seizures? Select one: A.Poisoning or overdose B.Acute hypoglycemia C.Hypotension D.Acute alcohol withdrawal

Ahead: Seizures Complexity: Moderate Feedback: See Seizures Objective: 18-7 Define a general seizure, focal-onset seizure, and status epilepticus; include how they differ from each other and their effects on patients. Subject: Chapter 18, Page 733 Taxonomy: Analysis Title: Neurologic Emergencies The correct answer is: Hypotension

Which of the following medications would indicate that a patient has a history of seizures? Select one: A.Metformin (Glucophage) B.Hydromorphone (Dilaudid) C.Enalapril (Vasotec) D.Levetiracetam (Keppra)

Ahead: Seizures Complexity: Moderate Feedback: See Seizures Objective: 18-9 Discuss the importance for EMTs to recognize when a seizure is occurring or whether one has already occurred in a patient. Subject: Chapter 18, Page 733 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: Levetiracetam (Keppra)

The MOST significant risk factor for a hemorrhagic stroke is: Select one: A.heavy exertion. B.severe stress. C.hypertension. D.diabetes mellitus.

Ahead: Stroke Complexity: Easy Feedback: See Stroke Objective: 18-4 Discuss the causes, similarities, and differences of an ischemic stroke, hemorrhagic stroke, and transient ischemic attack. Subject: Chapter 18, Page 729 Taxonomy: Recall Title: Neurologic Emergencies The correct answer is: hypertension.