HEMISPHERE IV-RAPID STROKE RESPONSE EXAM
- (60 QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Candidate Name: ____________________________
Candidate ID: ________________________________
Date: _______________________________________
Examination Centre: __________________________
Time Allowed: 90 Minutes
Total Questions: 60
Instructions: Answer all questions. Select the best possible answer for each
scenario.
_This assessment evaluates the candidate’s ability to rapidly recognize, assess,
and manage acute stroke presentations in prehospital and clinical
environments. The exam emphasizes time-critical decision-making, neurological
assessment accuracy, thrombolytic eligibility, and interprofessional
coordination. Candidates are expected to demonstrate advanced understanding
of stroke pathophysiology, imaging interpretation, and evidence-based response
protocols in high-pressure scenarios._
_Candidates must carefully read each question and select the most appropriate
response. This examination consists of 60 multiple-choice questions. Allocate
approximately 1.5 minutes per question. No external materials are permitted.
Clinical judgment, prioritization, and adherence to stroke response timelines
are essential._
Core Competency Domains:
• Rapid Stroke Identification & Screening Tools
• Neurovascular Pathophysiology
, • Emergency Stroke Management Protocols
• Imaging & Diagnostic Interpretation
• Thrombolytic & Endovascular Therapy Criteria
• Prehospital and In-Hospital Coordination
Disclaimer: This is a professionally developed simulation exam inspired by
typical rapid stroke response certification formats. It is intended solely for
educational and preparation purposes.
Q1. A 68-year-old patient presents with sudden right-sided weakness and
aphasia. Last known well time is 50 minutes ago. Which is the MOST
appropriate initial action in a stroke-ready facility?
A. Administer aspirin immediately
B. Perform rapid blood glucose assessment
C. Initiate MRI brain scan
D. Delay evaluation until neurologist arrives
Correct Answer: B. Perform rapid blood glucose assessment
Explanation: Hypoglycemia can mimic stroke symptoms; therefore, blood
glucose must be checked immediately. Aspirin should not be given before
hemorrhage is ruled out. MRI is not first-line in acute settings where CT is
faster. Delaying evaluation wastes critical time.
Q2. A patient arrives within 2 hours of symptom onset with NIHSS score of 12.
CT scan shows no hemorrhage. Which intervention is most appropriate?
A. Start heparin infusion
B. Administer IV alteplase
,C. Observe for 24 hours
D. Begin dual antiplatelet therapy
Correct Answer: B. Administer IV alteplase
Explanation: Alteplase is indicated within the therapeutic window for
ischemic stroke. Heparin is not first-line. Observation delays treatment. Dual
antiplatelet therapy is not appropriate in acute thrombolysis phase.
Q3. A paramedic uses the FAST scale. Which symptom is NOT assessed?
A. Facial droop
B. Arm weakness
C. Speech difficulty
D. Gait instability
Correct Answer: D. Gait instability
Explanation: FAST includes face, arm, speech, and time. Gait is assessed in
extended tools like BE-FAST. The others are core FAST components.
Q4. A patient presents with sudden vision loss and neglect. Which cerebral
artery is most likely involved?
A. Middle cerebral artery
B. Posterior cerebral artery
C. Anterior cerebral artery
D. Basilar artery
Correct Answer: B. Posterior cerebral artery
Explanation: PCA strokes affect vision and occipital lobe function. MCA
, affects motor/speech. ACA affects lower limb weakness. Basilar artery affects
brainstem.
Q5. Which condition is an ABSOLUTE contraindication to thrombolytic
therapy?
A. Blood pressure 170/95
B. Platelet count 50,000
C. Age above 80
D. Mild headache
Correct Answer: B. Platelet count 50,000
Explanation: Low platelets increase bleeding risk significantly. BP can be
controlled. Age alone is not absolute. Headache is nonspecific.
Q6. A “last known well” time is critical because it determines:
A. Stroke severity
B. Imaging modality
C. Eligibility for reperfusion therapy
D. Blood pressure goals
Correct Answer: C. Eligibility for reperfusion therapy
Explanation: Time determines whether thrombolysis or thrombectomy is
viable. Severity is measured by NIHSS. Imaging choice is protocol-based.
- (60 QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Candidate Name: ____________________________
Candidate ID: ________________________________
Date: _______________________________________
Examination Centre: __________________________
Time Allowed: 90 Minutes
Total Questions: 60
Instructions: Answer all questions. Select the best possible answer for each
scenario.
_This assessment evaluates the candidate’s ability to rapidly recognize, assess,
and manage acute stroke presentations in prehospital and clinical
environments. The exam emphasizes time-critical decision-making, neurological
assessment accuracy, thrombolytic eligibility, and interprofessional
coordination. Candidates are expected to demonstrate advanced understanding
of stroke pathophysiology, imaging interpretation, and evidence-based response
protocols in high-pressure scenarios._
_Candidates must carefully read each question and select the most appropriate
response. This examination consists of 60 multiple-choice questions. Allocate
approximately 1.5 minutes per question. No external materials are permitted.
Clinical judgment, prioritization, and adherence to stroke response timelines
are essential._
Core Competency Domains:
• Rapid Stroke Identification & Screening Tools
• Neurovascular Pathophysiology
, • Emergency Stroke Management Protocols
• Imaging & Diagnostic Interpretation
• Thrombolytic & Endovascular Therapy Criteria
• Prehospital and In-Hospital Coordination
Disclaimer: This is a professionally developed simulation exam inspired by
typical rapid stroke response certification formats. It is intended solely for
educational and preparation purposes.
Q1. A 68-year-old patient presents with sudden right-sided weakness and
aphasia. Last known well time is 50 minutes ago. Which is the MOST
appropriate initial action in a stroke-ready facility?
A. Administer aspirin immediately
B. Perform rapid blood glucose assessment
C. Initiate MRI brain scan
D. Delay evaluation until neurologist arrives
Correct Answer: B. Perform rapid blood glucose assessment
Explanation: Hypoglycemia can mimic stroke symptoms; therefore, blood
glucose must be checked immediately. Aspirin should not be given before
hemorrhage is ruled out. MRI is not first-line in acute settings where CT is
faster. Delaying evaluation wastes critical time.
Q2. A patient arrives within 2 hours of symptom onset with NIHSS score of 12.
CT scan shows no hemorrhage. Which intervention is most appropriate?
A. Start heparin infusion
B. Administer IV alteplase
,C. Observe for 24 hours
D. Begin dual antiplatelet therapy
Correct Answer: B. Administer IV alteplase
Explanation: Alteplase is indicated within the therapeutic window for
ischemic stroke. Heparin is not first-line. Observation delays treatment. Dual
antiplatelet therapy is not appropriate in acute thrombolysis phase.
Q3. A paramedic uses the FAST scale. Which symptom is NOT assessed?
A. Facial droop
B. Arm weakness
C. Speech difficulty
D. Gait instability
Correct Answer: D. Gait instability
Explanation: FAST includes face, arm, speech, and time. Gait is assessed in
extended tools like BE-FAST. The others are core FAST components.
Q4. A patient presents with sudden vision loss and neglect. Which cerebral
artery is most likely involved?
A. Middle cerebral artery
B. Posterior cerebral artery
C. Anterior cerebral artery
D. Basilar artery
Correct Answer: B. Posterior cerebral artery
Explanation: PCA strokes affect vision and occipital lobe function. MCA
, affects motor/speech. ACA affects lower limb weakness. Basilar artery affects
brainstem.
Q5. Which condition is an ABSOLUTE contraindication to thrombolytic
therapy?
A. Blood pressure 170/95
B. Platelet count 50,000
C. Age above 80
D. Mild headache
Correct Answer: B. Platelet count 50,000
Explanation: Low platelets increase bleeding risk significantly. BP can be
controlled. Age alone is not absolute. Headache is nonspecific.
Q6. A “last known well” time is critical because it determines:
A. Stroke severity
B. Imaging modality
C. Eligibility for reperfusion therapy
D. Blood pressure goals
Correct Answer: C. Eligibility for reperfusion therapy
Explanation: Time determines whether thrombolysis or thrombectomy is
viable. Severity is measured by NIHSS. Imaging choice is protocol-based.
