JPL Quiz 10 (Chapter 17)

Which of the following MOST actually describes a simple partial seizure? A. A seizure that begins in one extremity B. A seizure that causes the patient to C. A seizure that is not preceded by an aura D. A generalized seizure without incontinence

A. A seizure that begins in one extremity

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the: A. Brainstem B. Cerebrum C. Cerebellum D. Cerebral cortex

A. Brainstem

The spinal cord exits the cranium through the: A. Foreman magnum B. Vertebral foreman C. Foramen lamina D. Cauda equina

A. Foreman magnum

Headache, vomiting, altered mental status, and seizures are all considered early signs of: A. Increased intracranial pressure B. Decrease intracranial pressure C. Increase extracranial pressure D. Decrease extracranial pressure

A. Increased intracranial pressure

Which of the following is a metabolic causes of a seizure? A. Poisoning B. Head trauma C. Brain tumor D. Massive stroke

A. Poisoning

You are caring for 68-year-old man with sudden onset of left sided paralysis and slurred speech. His airway is patent, his respirations 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include: A. Recovery position and transport B. Ventilatory assistance and transport C. High flow oxygen and transpor D. Oral glucose gel and transport

A. Recovery position and transport

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, is breathing at a normal rate in adequate depth, and has an oxygen saturation of 96%. You should: A. Suction her oropharynx and transport immediately B. Initiate CPR and attach an AED as soon as possible C. Obtain a blood glucose sample to rule out hypoglycemia D. Perform CPR for 5 minutes before applying to AED

A. Suction her oropharynx and transport immediately

Patients with a subarachnoid hemorrhage typically complain of a sudden severe: A. Bout of dizziness B. Headache C. Altered mental status D. Thirst

B. Headache

You are dispatched to a residence for a 66 year old male, who according to family members, has suffered a massive stroke, Your primary assessment reveals that the patient is unresponsive, apneic, and puseless. You should: A. Assess the patient of a facial droop and hemisparesis B. Initiate CPR and attach an AED as soon as possible C. Obtain a blood glucose sample top rule out hypoglycemia D. Perform CPR for 5 minuets before applying the AED

B. Initiate CPR and attach an AED as soon as possible

You are called to a home and find a 56-year-old woman supine in her bed. She appeared alert, but has slurred speech. Her family tells you she has a history of TIA s and hypertension. You asked the patient, "what day is it today?" She replies, "butterfly. "Which area brain is likely affected? A. Occipital lobe B. Left hemisphere C. Cerebellum D. Right hemisphere

B. Left hemisphere

The principal difference between a patient who has had a stroke and a patient with hypoglycemia almost always has to do with the: A. Papillary response B. Mental status C. Blood pressure D. Capillary refill time

B. Mental status

When transporting a stable stroke patient with a paralyzed extremity, place the patient in a: A. A recumbent position with the paralyzed side up B. Recumbent position with the paralyze side down C. Sitting position with the head at a 45 to 90° angle D. Supine position with legs elevated 6 to 12 feet

B. Recumbent position with the paralyze side down

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 and nearly fall to her side. You should: A. Repeat the arm drift test and ensure that her palms are facing down B. Repeat the arm drift test, but move the patient's arms into position yourself C. Instruct patient to keep her eyes open and then repeat the arm drift test D. Defer this part of the test and assess her for facial droop and slurred speech

B. Repeat the arm drift test, but move the patient's arms into position yourself

You respond to the residence of a child who is having a seizure. Upon arrival the scene, 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 has been running a high fever and then experience a seizure that lasted approximately 3 minutes. You should: A. Cover the child with wet towels and give oxygen 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 aspirin

B. Transport the child to the hospital and reassure the mother en route

Your patient open his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow coma scale (GCS) score of: A. 6 B. 7 C. 8 D. 9

C. 8

Transient Ischemic Attack (TIA) occurs when: A. Medications are given to deserve a cerebral blood clot B. A small cerebral artery rupture's and causes minimum damage C. A small clot in a cerebral artery causes temporary symptoms D. Signs and symptoms resolve spontaneously within 48 hours

C. A small clot in a cerebral artery causes temporary symptoms

When blood flow to a particular part of the brain is cut off by blockage inside a blood vessel, the result is: A. A hemorrhage stroke B. Atherosclerosis C. An ischemic stroke D. A cerebral embolism

C. An ischemic stroke

Febrile seizures: A. Often result in permanent brain damage B. Are also referred to as absence seizures C. Are usually benign but should be evaluated D. Occur when a child's fever rises slowly

C. Are usually benign but should be evaluated

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

C. Is likely to improve over a period of 5 to 30 minutes

Individuals with chronic alcoholism are pre-disposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the: A. Brain B. Kidneys C. Liver D. Pancreas

C. Liver

You arrive at a local grocery store approximately 5 minutes after a 21-year-old female stop seizing. She's confused and disoriented; she keeps asking you what happened and tells you that she is thirsty. Her brother, who witnessed a seizure, tells you that she takes valproate (Depakote) for her seizures, but has not taken it in a few days. He also tells you that she has diabetes. In addition to a ministering oxygen, you should: A. Administer one tube of oral glucose and prepare for a media B. Place her in the recovery position and transport her with lights and sirens C. Monitor her airway and breathing status and assess her blood glucose level D. Give her small cups of water to drink and observe for further seizure activity

C. Monitor her airway and breathing status and assess her blood glucose level

The three major parts of the brain are the: A. Cerebellum, medulla, and the occiput B. Brain stem, midbrain, and spinal cords C. Midbrain, cerebellum, and spinal cord D. Cerebrum, cerebellum, and brainstem

D. Cerebrum, cerebellum, and brainstem

You arrive at the residence of a 33 old woman who is experiencing internalize (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: A. Place a bite block in between her teeth, applying high flow oxygen via non-rebreathing mask, and consider inserting a nasopharyngeal airway B. Wait for the seizure to stop, manually open her airways, insert an oropharyngeal airway, and assess her oxygen saturation with a pulse oximeter C. 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 D. Maintain her airway with a manual head positioning, suction her airway to to remove the vomitums, insert a nasopharyngeal airway, and administer high flow oxygen

D. Maintain her airway with a manual head positioning, suction her airway to to remove the vomitums, insert a nasopharyngeal airway, and administer high flow oxygen

Hypoglycemia can mimic conditions such as: A. Cystic fibrosis B. Myocardial infarction C. High fever D. Stroke

D. Stroke

Which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion? A. The headaches began suddenly B. There is associated neck stiffness C. There is numbness in the extremities D. The pain is worse when bending over

D. The pain is worse when bending over