EMT Chapter 17

Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? a. a poetical state b. hypoglycemia c. hypovolemia d. intracranial bleeding

hypovolemia

When assessing for arm drift of a patient with a suspected stroke, you should: a. expect to see one arm slowly drift down to the patients side b. observe movement of the arms for approximately 2 minutes c. ask the patient to hold his or her arms up with the palms down d. ask the patient to close his or her eyes during the assessment

ask the patient to close his or her eyes during the assessment

Interruption of cerebral blood flow may result from all of the following except a. a thrombus b. an acute arterial rupture c. an embolism d. cerebral vasodilation

cerebral vasodilation

The three major parts of the brain are the a. cerebellum, medulla, occiput b. brain stem, midbrain, spinal cord c. midbrain, cerebellum, spinal cord d. cerebrum, cerebellum, brain stem

cerebrum, cerebellum, brain stem

Which of the following MOST accurately describes what the patient will experience during the poetical state that follows a seizure? a. confusion and fatigue b. a gradually decreasing level of consciousness c. hyperventilation and hyper salivation d. a rapidly improving level of consciousness

confusion and fatigue

Your patient opens his eyes, moans and pulls away from you when you pinch his trapezius muscle. You should assign a GCS score of: a. 7 b. 8 c. 9 d. 6

8

When caring for a patient with documented hypoglycemia, you should be Most alert for a. respiratory distress b. a febrile convulsion c. a seizure d. an acute stroke

a seizure

Which of the following MOST accurately describes a simple partial seizure? a. a seizure that is not preceded by an aura b. a seizure that begins in one extremity c. a generalized seizure without incontinence d. a seizure that cause the patient to stare blankly

a seizure that begins in one extremity

A patient whose speech os slurred and difficult to understand is experiencing: a. paraplegia b. dysphagia c. dysarthria d. aphasia

dysarthria

During the primary assessment of a semiconscious 70 year old female you should a. ensure a patients airway and support ventilation as needed b. immediately determine the patients blood glucose level c. insert a nasopharyngeal airway and assist ventilation d. ask family members if the patient has a history of stroke

ensure a patient airway and support ventilation as needed

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

has bleeding within the brain

A 30 year old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering you questions appropriately and refuses EMS transport. Which of the following would be the most compelling reason to disagree with his refusal of transport? a. his GCS score is 15 b. his wife states that this was his "usual" seizure c. he is currently not prescribed any medications d. he has experienced seizures since he was 20

he is currently not prescribed any medications

The MOST significant risk factor for a hemorrhagic stroke is a. severe stress b. heavy exertion c. hypertension d. diabetes mellitus

hypertension

A patient with a altered mental status is a. completely unresponsive to all forms of stimuli b. not thinking clearly or is incapable of being aroused c. usually able to be aroused with a painful stimulus d. typically alert but is confused as to preceding events

not thinking clearly or is incapable of being aroused

You are caring for a 68 year old man with sudden onset of left sided paralysis and slurred speech. His airway is patent (open an unobstructed), his respiration are 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include a. recovery position and transport b. oral glucose gel and transport c. ventilatory assistance and transport d. high flow oxygen and transport

recovery position and transport

Which of the following conditions would MOST likely affect the entire brain? a. reduced blood supply to the left hemisphere b. blocked cerebral artery in the frontal lobe c. ruptured cerebral artery in the occipital lobe d. respiratory failure or cardiopulmonary arrest

respiratory failure or cardiopulmonary arrest

Which of the following symptoms would lead the EMT to believe that a patients headache is caused by sinus congestion? a. there is associated neck stiffness b. the headache began suddenly c. there is numbness in the extremities d. the pain is worse when bending over

the pain is worse when bending over

A left cerebral hemisphere controls a. the right side of the face b. the right side of the body c. heart rate and pupil reaction d. breathing and blood pressure

the right side to the body

You 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 chid is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approx. 3 mins. You should a. advise the mother to take her child to the doctor the following day d. cover the child with wet towels and give oxygen via nasal cannula c. call medical control and request permission to give the child aspirin d. transport the child to the hospital and reassure the mother en route

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

When you are obtaining medical history from the family of a suspected stroke patient, it is most important to determine: a. if the patient has been hospitalized before b. if there is a family history of a stroke c. the patient's overall medication compliance d. when the patient last appeared normal

when the patient last appeared normal