JBL Chapter 17 Quiz

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

A. Poisoning

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

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

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

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

You arrive at a local grocery store approximately 5 minutes after a 21-year-old female stopped seizing. She is confused and disoriented; she keeps asking you what happened and tells you that she is thirsty. Her brother, who witnessed the 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 administering oxygen, you should: A. monitor her airway and breathing status and assess her blood glucose level. B. administer one tube of oral glucose and prepare for immediate transport. C. place her in the recovery position and transport her with lights and siren. D. give her small cups of water to drink and observe for further seizure activity.

A. monitor her airway and breathing status and assess her blood glucose level.

Patients with a subarachnoid hemorrhage typically complain of a sudden severe: A. bout of dizziness. B. headache. C. thirst. D. altered mental status.

B. headache.

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

B. liver.

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

B. are usually benign but should be evaluated.

Match each of the items in the left column to the appropriate definition A. Hemiparesis B. Aneurysm C. Aura D. Aphasia E. Postictal state ___ An inability to produce or understand speech ___ Weakness of one side of the body ___ A period following a seizure that typically includes labored respirations and altered mental status ___ A sense of warning experienced prior to an even ___ A swelling or enlargement of part of an artery resulting from weakness of the arterial wall

D. An inability to produce or understand speech A. Weakness of one side of the body E. A period following a seizure that typically includes labored respirations and altered mental status C. A sense of warning experienced prior to an even B. A swelling or enlargement of part of an artery resulting from weakness of the arterial wall

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

D. Left hemisphere

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

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

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

D. an ischemic stroke.

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

C. brain stem

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

C. increased intracranial pressure

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: A. administer one tube of oral glucose and transport. B. assist her ventilations with a bag-valve mask. C. suction her oropharynx and transport immediately. D. insert an oral airway, apply oxygen, and transport.

C. suction her oropharynx and transport immediately

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

D. foramen magnum.

Hypoglycemia can mimic conditions such as: A. myocardial infarction. B. high fever. C. cystic fibrosis. D. stroke.

D. stroke.