Chapter 17 ebook Quiz

Your patient answers your questions appropriately, although her eyes remain closed the entire time. She moves each extremity on command, although her left side is weaker than the right. You should assign a Glasgow Coma Scale (GCS) score of:

12

Which of the following conditions is NOT a common cause of seizures?

Hypotension

Which of the following medications would indicate that a patient has a history of seizures?

Levetiracetam (keppra)

Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache?

Neck stiffness or pain

Which of the following patients would MOST likely demonstrate typical signs of infection, such as a fever?

a 17-year-old male with anxiety

Components of the Cincinnati Prehospital Stroke Scale include:

arm drift, speech, and facial droop

A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His wife is present and is very upset. As your partner is applying oxygen, it is MOST important for you to:

ask his wife when she noticed the symptoms.

Which of the following MOST accurately describes the cause of an ischemic stroke?

blockage of a cerebral artery

Muscle control and body coordination are controlled by the:

cerebellum

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 seem 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:

dimming the lights in the back of the ambulance and transporting without lights and siren.

The anterior aspect of the cerebrum controls:

emotion

You arrive at a grocery store shortly after a 35-year-old male stopped seizing. Your assessment reveals that he is confused and incontinent of urine. The patient's girlfriend tells you that he has a history of seizures and takes topiramate (Topamax). When obtaining further medical history from the girlfriend, it is MOST important to:

obtain a description of how the seizure developed

Status epilepticus is characterized by:

prolonged seizures without a return on consciousness

A generalized (tonic-clonic) seizure is characterized by:

severe twitching of all the body's muscles

A patient who is experiencing aphasia is:

the inability to understand and/or produce speech

Successful treatment of a stroke depends on whether:

thrombolytic therapy is given within 3 hours of symptoms beginning.

Law enforcement has summoned you to a nightclub, where a 22-year-old female was found unconscious in an adjacent alley. Your primary assessment reveals that her respirations are rapid and shallow and her pulse is rapid and weak. She is wearing a medical alert bracelet that identifies her as an epileptic. There is an empty bottle of vodka next to the patient. You should:

assist ventilations, perform a rapid exam, and prepare for immediate transport.

A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is:

epilepsy

Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?

sudden, severe headache

The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:

usually have an altered mental status or decreased level or consciousness