Question 1

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? Select one: A. His Glasgow Coma Scale (GCS) score is 15 B. He is currently not prescribed any medications C. His wife states that this was his “usual” seizure D. He has experienced seizures since he was 20

Accepted Answer

B. He is currently not prescribed any medications

Question 2

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

Accepted Answer

B. has bleeding within the brain.

Question 3

A patient whose speech is slurred and difficult to understand is experiencing: Select one: A. dysphagia. B. paraplegia. C. dysarthria. D. aphasia.

Accepted Answer

C. dysarthria.

Question 4

A patient with an altered mental status is: Select one: A. usually able to be aroused with a painful stimulus. B. not thinking clearly or is incapable of being aroused. C. typically alert but is confused as to preceding events. D. completely unresponsive to all forms of stimuli.

Accepted Answer

B. not thinking clearly or is incapable of being aroused.

Question 5

During the primary assessment of a semiconscious 70-year-old female, you should: Select one: A. ask family members if the patient has a history of stroke. B. insert a nasopharyngeal airway and assist ventilations. C. immediately determine the patient's blood glucose level. D. ensure a patent airway and support ventilation as needed.

Accepted Answer

D. ensure a patent airway and support ventilation as needed.

Question 6

Interruption of cerebral blood flow may result from all of the following, EXCEPT: Select one: A. a thrombus. B. an embolism. C. cerebral vasodilation. D. an acute arterial rupture.

Accepted Answer

C. cerebral vasodilation.

Question 7

The left cerebral hemisphere controls: Select one: A. the right side of the face. B. the right side of the body. C. breathing and blood pressure. D. heart rate and pupil reaction.

Accepted Answer

B. the right side of the body.

Question 8

The MOST significant risk factor contributing to hemorrhagic stroke is: Select one: A. severe stress. B. hypertension. C. diabetes mellitus. D. heavy exertion.

Accepted Answer

B. hypertension.

Question 9

The three major parts of the brain are the: Select one: A. cerebellum, medulla, and occiput. B. midbrain, cerebellum, and spinal cord. C. brain stem, midbrain, and spinal cord. D. cerebrum, cerebellum, and brain stem.

Accepted Answer

D. cerebrum, cerebellum, and brain stem.

Question 10

When assessing for arm drift of a patient with a suspected stroke, you should: Select one: A. ask the patient to hold his or her arms up with the palms down. B. expect to see one arm slowly drift down to the patient's side. C. observe movement of the arms for approximately 2 minutes. D. ask the patient to close his or her eyes during the assessment.

Accepted Answer

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

Question 11

When caring for a patient with documented hypoglycemia, you should be MOST alert for: Select one: A. a seizure. B. respiratory distress. C. a febrile convulsion. D. an acute stroke.

Accepted Answer

A. a seizure.

Question 12

When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: Select one: A. when the patient last appeared normal. B. the patient's overall medication compliance. C. if the patient has been hospitalized before. D. if there is a family history of a stroke.

Accepted Answer

A. when the patient last appeared normal.

Question 13

Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke? Select one: A. Hypovolemia B. Hypoglycemia C. A postictal state D. Intracranial bleeding

Accepted Answer

A. Hypovolemia

Question 14

Which of the following conditions would MOST likely affect the entire brain? Select one: A. Ruptured cerebral artery in the occipital lobe B. Reduced blood supply to the left hemisphere C. Respiratory failure or cardiopulmonary arrest D. Blocked cerebral artery in the frontal lobe

Accepted Answer

C. Respiratory failure or cardiopulmonary arrest

Question 15

Which of the following MOST accurately describes a simple partial seizure? Select one: A. A seizure that causes the patient to stare blankly B. A seizure that begins in one extremity C. A generalized seizure without incontinence D. A seizure that is not preceded by an aura

Accepted Answer

B. A seizure that begins in one extremity

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Chapter 18 - Neurologic Disorders Flashcards

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