chapter 17

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

A. 8.

Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? Select one: A. Hypovolemia B. Hypoglycemia C. Intracranial bleeding D. A postictal state

A. Hypovolemia

When caring for a patient with documented hypoglycemia, you should be MOST alert for: Select one: A. a seizure. B. an acute stroke. C. respiratory distress. D. a febrile convulsion.

A. a seizure.

ou 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: Select one: A. transport the child to the hospital and reassure the mother en route. B. cover the child with wet towels and give oxygen via nasal cannula. 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.

A. transport the child to the hospital and reassure the mother en route.

Interruption of cerebral blood flow may result from all of the following, EXCEPT: Select one: A. an embolism. B. cerebral vasodilation. C. an acute arterial rupture. D. a thrombus.

B. cerebral vasodilation.

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.

B. has bleeding within the brain.

A transient ischemic attack (TIA) occurs when: Select one: A. a small cerebral artery ruptures and causes minimal damage. B. a small clot in a cerebral artery causes temporary symptoms. C. signs and symptoms resolve spontaneously within 48 hours. D. medications are given to dissolve a cerebral blood clot.

B. a small clot in a cerebral artery causes temporary symptoms.

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

D. Poisoning

The spinal cord exits the cranium through the: Select one: A. vertebral foramen. B. foramen lamina. C. foramen magnum. D. cauda equina.

C. . foramen magnum

The three major parts of the brain are the: Select one: A. midbrain, cerebellum, and spinal cord. B. cerebellum, medulla, and occiput. C. cerebrum, cerebellum, and brain stem. D. brain stem, midbrain, and spinal cord.

C. cerebrum, cerebellum, and brain stem.

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: Select one: A. oral glucose gel and transport. B. high-flow oxygen and transport. C. recovery position and transport. D. ventilatory assistance and transport.

C. recovery position and transport.

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

D. are usually benign but should be evaluated.

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the: Select one: A. cerebral cortex. B. cerebrum. C. cerebellum. D. brain stem.

D. brain stem.

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 pulseless. You should: Select one: A. perform CPR for 5 minutes before applying the AED. B. obtain a blood glucose sample to rule out hypoglycemia. C. assess the patient for a facial droop and hemiparesis. D. initiate CPR and attach an AED as soon as possible.

D. initiate CPR and attach an AED as soon as possible.

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

D. is likely to improve over a period of 5 to 30 minutes.

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

D. liver.

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

D. recumbent position with the paralyzed side down.

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 with adequate depth, and has an oxygen saturation of 96%. You should: Select one: A. assist her ventilations with a bag-valve mask. B. insert an oral airway, apply oxygen, and transport. C. administer one tube of oral glucose and transport. D. suction her oropharynx and transport immediately.

D. suction her oropharynx and transport immediately.

When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: Select one: A. the patient's overall medication compliance. B. if there is a family history of a stroke. C. if the patient has been hospitalized before. D. when the patient last appeared normal.

D. when the patient last appeared normal.

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

Select one: A. A seizure that begins in one extremity