Ch. 18 Flashcards
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
-Intracranial bleeding
-A serious infection
-A brain tumor
Epilepsy
A patient who is experiencing aphasia is:
-Experiencing a right hemispheric stroke
-Usually conscious but has slurred speech
-Not able to swallow without choking
-Unable to produce or understand speech
Unable to produce or understand speech
A patient is alerted mental status is :
-Usually unable to be aroused with a painful stimulus
-Not thinking clearly or is incapable pf being aroused
-Typically alert but is confused as to preceding events
-Completely unresponsive to all forms of stimuli
Not thinking clearly or is incapable pf being aroused
Components of the Cincinnati Prehospital Stroke Scale include:
-Speech, pupil, reaction, and memory
-Facial droop, speech, and pupil size
-Arm drift, speech, and facial droop
-Arm drift, memory, and grip strength
Arm drift, speech, and facial droop
Febrile seizures:
-Often result in permanent brain damage
-Are usually benign but should be evaluated
-Occur when a child’s fever rises slowly
-Are also referred to as absence seizures
Are usually benign but should be evaluated
Status epileptics is characterized by:
-An absence seizure that is not preceded by an aura
-Profound tachycardia and total muscle flaccidity
-Prolonged seizures without a return of consciousness
-Generalized seizures that last less than 5 minutes
Prolonged seizures without a return of consciousness
The spinal cord exits the cranium through the:
-Foramen lamina
-Vertebral foramen
-Cauda equina
-Foramen magnum
Foramen magnum
When assessing for arm drift of a patient with a suspected stroke, you should:
-Ask the patient to hold his or her arms up with the palms down
-Expect to see one arm slowly drift down to the patient’s side
-Observe movement of the arms of approximately 2 minutes
-Ask the patient to close his or her eyes during the assessment
Ask the patient to close his or her eyes during the assessment
When caring for a patient with documented hypoglycemia, you should be most alert for:
-An acute stroke
-A febrile convulsion
-A seizure
-Respiratory distress
A seizure
Which of the following conditions would MOST likely affect the entire brain?
-Ruptured cerebral artery in the occipital lobe
-Reduced blood supply to the left hemisphere
-Blocked cerebral artery in the frontal lobe
-Respiratory failure or cardiopulmonary arrest
Respiratory failure or cardiopulmonary arrest
A 41-year-old man presents with slow, irregular breathing; hypotension; and dilated pupils. These signs must likely indicate dysfunction of the:
-Brain stem
-Hypothalamus
-Cerebrum
-Cerebellum
Brain stem
An acute ischemic stroke is caused by:
-A ruptured cerebral artery
-Increased intracranial pressure
-An acute rise in a person’s blood pressure
-A blocked cerebral artery
A blocked cerebral artery
A 56-year-old man experienced a sudden, severe headache and then became unresponsive. He has a history of high blood pressure. He has a history of high blood pressure. The most likely cause of his condition is a(n):
-Hemorrhagic stroke
-Acute ischemic stroke
-Severe migraine headache
-Transient ischemic attack
Hemorrhagic stroke
Unlike an ischemic stroke, a transient ischemic attack is characterized by all of the following, except:
-Symptoms that resolve within 24 hours
-Symptoms that persist for longer than 24 hours
-Weakness or paralysis to one side of the body
-An acute onset of confusion and slurred speech
Symptoms that persist for longer than 24 hours
A type of seizure that is characterized by severe twitching of all the body’s muscles and lasts for several minutes or longer is called a(n):
-Partial seizure
-Absence seizure
-Tonic-clonic seizure
-Generalized seizure
Generalizedseizure
The most important reason for promptly transporting a stroke patient to the hospital is:
-A transient ischemic attack can be ruled out
-Medications may be given to reverse the stroke
-The clot in the coronary artery may be dissolved
-He or she needs close blood pressure monitoring
Medications may be given to reverse the stroke
Which of the following are components of the Cincinnati Prehospital Stroke Scale?
-Arm drift, blood pressure, speech
-Speech, pupil response, arm drift
-Facial symmetry, speech, arm drift
-Pupil response, facial droop, speech
Facial symmetry, speech, arm drift
If a patient complains of a severe migraine, how should she be transported?
-In a brightly lit ambulance so she can see while her vision is impaired
-With loud sirens so she can get to the hospital as soon as possible
-Without lights and sirens
-This patient should not be transported
Without lights and sirens
