question

A patient who is experiencing aphasia is:

answer

unable to produce or understand speech.

question

The spinal cord exits the cranium through the:

answer

foramen magnum

question

The three major parts of the brain are the

answer

cerebrum, cerebellum, and brain stem.

question

A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:

answer

has bleeding within the brain.

question

Which of the following medications is NOT used to treat patients with a history of

answer

hydromorphone (Dilaudid)

question

Muscle control and body coordination are controlled by the:

answer

cerebellum.

question

When assessing arm movement of a patient with a suspected stroke, you should:

answer

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

question

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 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:

answer

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

question

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

answer

a 17-year-old male with no past medical history

question

A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. Your initial impression is that the patient is having a stroke. The patient's wife is present and she is very upset. As your partner is applying oxygen, which of the following has a direct impact on how this patient will be treated once he is taken to the ER?

answer

determine how long this has been happening

question

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 immediately fall to her sides. You should:

answer

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

question

Which of the following MOST accurately describes a simple partial seizure?

answer

a seizure that begins in one extremity

question

Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure?

answer

confusion and fatigue

question

A patient without a history of seizures experiences a sudden convulsion. The LEAST likely cause of this seizure is

answer

epilepsy.

question

The MOST significant risk factor for a hemorrhagic stroke is:

answer

hypertension.

question

You are caring for a semiconscious man with left-sided paralysis. His airway is patent and his respirations are 14 breaths/min with adequate tidal volume. Treatment for this patient should include:

answer

oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.

question

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:

answer

nitiate cardiopulmonary resuscitation (CPR) and attach an automated external defibrillator (AED) as soon as possible.

question

for:When caring for a patient with documented hypoglycemia, you should be MOST alert for?

answer

a seizure

question

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 and adequate. In addition to high-flow oxygen, further treatment should include:

answer

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

question

Status epilepticus is characterized by:

answer

prolonged seizures without a return of consciousness.

question

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, and is breathing at a normal rate with adequate depth. You should:

answer

suction her oropharynx and apply 100% oxygen.

question

A patient with an altered mental status is:

answer

not thinking clearly or is incapable of being aroused.

question

You arrive at the residence of a 33-year-old woman who is experiencing a generalized seizure. She has a small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should:

answer

maintain her airway with manual head positioning, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high- flow oxygen.

question

A patient without a history of seizures experiences a sudden convulsion. The LEAST likely cause of this seizure is:

answer

epilepsy.

question

An absence seizure is also referred to as a

answer

petit mal seizure.

question

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 carbamazepine (Tegretol). When obtaining further medical history from the girlfriend, it is MOST important to:

answer

obtain a description of how the seizure developed

question

Which of the following is NOT an assessment parameter included in the Cincinnati Prehospital Stroke Scale?

answer

memory

question

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

answer

usually have an altered mental status or decreased level of consciousness.

question

A generalized seizure is characterized by

answer

severe twitching of all the body's muscles.

question

The left cerebral hemisphere controls

answer

he right side of the body.

question

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 immediately fall to her sides. You should

answer

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

question

The mental status of a patient who has experienced a typical seizure:

answer

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

question

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

answer

blockage of a cerebral artery

question

ou 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 carbamazepine (Tegretol). When obtaining further medical history from the girlfriend, it is MOST important to:

answer

obtain a description of how the seizure developed.

question

Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the:

answer

liver.

question

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

answer

severe hypovolemia

question

Which of the following conditions would MOST likely affect the entire brain?

answer

respiratory failure or cardiopulmonary arrest

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