1.
A 39-year-old man presents with slow, irregular breathing, hypotension, and pupillary dilation. Which part of the brain, when in dysfunction, would cause these signs?
A.
The cerebrum
B.
The brainstem
C.
The cerebellum
D.
The foramen magnum
2.
An ischemic stroke occurs when there is:
A.
bleeding inside the brain.
B.
bleeding inside the myocardium.
C.
decreased blood flow to the brain.
D.
a blockage of blood flow to a part of the brain.
3.
Why is it most critical to transport the suspected stroke patient to the hospital within 2 - 3 hours of the onset of symptoms?
A.
So they can receive medications to reverse the stroke
B.
So they can rule out a transient ischemic attack
C.
Because the patient will need close blood pressure monitoring
D.
So the clot in the coronary artery can be dissolved
4.
The largest part of the brain is the:
A.
brain stem.
B.
cerebellum.
C.
cerevrum
D.
pons.
5.
Interruption of cerebral blood flow may result from clotting of the cerebral arteries, known as:
A.
embolism.
B.
thrombosis.
C.
arterial rupture.
D.
contusion.
6.
A type of stroke that results from bleeding inside the brain is called:
A.
hemorrhagic stroke.
B.
ischemic stroke.
C.
mini-stroke.
D.
anginal stroke.
7.
You are transporting an elderly man whose wife called EMS because her husband suddenly experienced mental confusion and weakness to the left side of his body. As you reassess the patient en route, you note that he is more alert and oriented and is complaining of only minor weakness to his left arm and leg. Which of the following do you suspect?
A.
A cerebrovascular accident
B.
An acute myocardial infarction
C.
A transient ischemic attack
D.
A stable anginal episode
8.
Seizures that occur in children and are often associated with high fevers are called:
A.
petit mal seizures.
B.
pediatric seizures.
C.
convulsive seizures.
D.
febrile seizures.
9.
After experiencing a seizure that lasted approximately 5 minutes, a 16-year-old boy is difficult to arouse and not fully responsive. This episode is referred to as:
A.
post-stroke coma.
B.
the postictal phase
C.
the post-seizure aura.
D.
status epilepticus.
10.
A type of seizure that is characterized by severe twitching of all the body's muscles and lasts several minutes or longer is known as a:
A.
petit mal seizure.
B.
absence seizure.
C.
gross seizure.
D.
grand mal seizure.
11.
A 30-year-old man called EMS because he experienced a severe, sudden headache that he described as the worst headache of his life. Shortly into your assessment, the patient becomes unresponsive. You notice that he is wearing a medical alert bracelet that states he has hypertension. Which of the following is this patient most likely suffering from?
A.
An acute ischemic stroke
B.
A severe migraine headache
C.
A hemorrhagic stroke
D.
A transient ischemic attack
12.
Usually, during a postictal state, the patient will be:
A.
alert and responsive.
B.
disoriented.
C.
unconscious and unresponsive.
D.
hallucinating.
13.
Hemiparesis resulting from a seizure differs from that caused by a stroke in that:
A.
the hemiparesis is permanent.
B.
it is usually resolved by itself.
C.
it is corrected with steroids.
D.
quick surgical intervention is needed.
14.
Which of the following is among the least common causes of an altered mental status?
A.
Hypoglycemia
B.
Acute hypoxemia
C.
Brain tumor
D.
Alcohol intoxication
15.
A common diagnostic tool that is used in the hospital for stroke patients to detect a bleed is a(n):
A.
x-ray.
B.
CAT scan.
C.
complete blood count.
D.
doppler.
16.
When doing your initial assessment on a possible stroke patient, it is important to try to find out when the patient last appeared normal. This is important because:
A.
it allows doctors to determine whether certain treatments can be initiated.
B.
irreversible damage occurs 4 to 6 minutes after stroke onset.
C.
the patient might be experiencing a generalized illness only.
D.
care should not be started on a patient after 3 hours of onset.
17.
A patient with a suspected stroke presents with slurred speech that is difficult for you to understand. This is referred to as:
A.
dysphagia.
B.
aphasia.
C.
dysarthria.
D.
dysphasia.
18.
Which of the following conditions is ann example of a seizure that has a metabolic cause?
A.
Brain tumor
B.
High fever
C.
Brain abscess
D.
Drug overdose
19.
Your most important concern in managing a patient who has just had a seizure is:
A.
whether or not the patient is incontinent.
B.
hypoxia that occurred during the seizure.
C.
long bone fractures as a result of the muscle twitching.
D.
whether or not the patient has a history of seizures.
20.
Facial droop, arm drift, and speech test are done on patients who might be having:
A.
insulin shock.
B.
seizures.
C.
stroke.
D.
head injury.
21.
An important principle to remember when managing a young child who experienced a febrile seizure is that:
A.
febrile seizures are frequently life-threatening.
B.
the parents will often be very frightened.
C.
you must rapidly cool the patient with ice.
D.
the child should be transported to the hospital.
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