EMT- Chapter 17 – Flashcards
Unlock all answers in this set
Unlock answersquestion
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 your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport?
answer
He is currently not prescribed any medications
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
A patient whose speech is slurred and difficult to understand is experiencing:
answer
dysarthria
question
A patient with an altered mental status is:
answer
not thinking clearly or is incapable of being aroused
question
During the primary assessment of a semiconscious 70-year-old female, you should:
answer
ensure a patent airway and support ventilation as needed
question
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
answer
cerebral vasodilation
question
The left cerebral hemisphere controls:
answer
the right side of the body
question
The MOST significant risk factor for a hemorrhagic stroke is:
answer
hypertension
question
The three major parts of the brain are the:
answer
cerebrum, cerebellum, and brain stem
question
When assessing for arm drift of a patient with a suspected stroke, you should:
answer
ask the patient to close his or her eyes during the assessment
question
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
answer
a seizure
question
When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine:
answer
when the patient last appeared normal
question
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?
answer
hypovolemia
question
Which of the following conditions would MOST likely affect the entire brain?
answer
Respiratory failure or cardiopulmonary arrest
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
Which of the following symptoms would lead the EMT to believe that a patient's headache is caused by sinus congestion?
answer
The pain is worse when bending over
question
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:
answer
recovery position and transport
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
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:
answer
8
