EMS 202 EXAM 6– 50 Q&A
2022/20223
Which of the following is caused by unilateral paralysis of cranial
nerve VII? - -Bell's palsy.
-Your patient is a 55-year-old male with a history of seizures,
who is on the floor and experiencing tonic-clonic motor activity.
His jaw is clenched, he has peripheral cyanosis, and there are
frothy secretions in his airway. HR = 130, RR = 4 and shallow,
SaO2 = 88%. Which of the following is most appropriate? - -
Suctioning the airway, inserting a nasopharyngeal airway,
assisting respirations by bag-valve-mask device with 100 percent
oxygen.
-Your patient is a 45-year-old female type I diabetic with a
history of a nonhealing foot ulcer. On examination, you find that
her pedal pulse is present, but she lacks sensation in her foot.
This is most likely due to: - -peripheral neuropathy.
-Your patient is a 48-year-old female who is alert and oriented
after a possible seizure. Her friends state they witnessed her
slump to the floor and "shake" for about 15 seconds. She awoke
in less than 1 minute and was "a bit groggy" for a few minutes.
She does not believe she had a seizure but thinks she may have
fainted. Which of the following questions is LEAST important
when differentiating seizure and syncope? - -"Are you allergic to
any medications?"
-You have been called for a 46-year-old female complaining of a
headache. Which of the following statements made by the patient
should you find most concerning? - -"I have never had a
headache this bad."
-Your patient is a 76-year-old female, who was initially lethargic,
but responded to verbal stimuli. According to family members,
the patient experienced a sudden decrease in responsiveness.
She had a left-sided facial droop, aphasia, a dilated and
, nonreactive right pupil, and a flaccid left arm. Lung sounds are
decreased bilaterally. HR = 58, BP = 172/102, RR = 6 and
shallow, SaO2 = 88%. As you start to treat her, the patient has a
generalized seizure lasting about 30 seconds. She is now
unresponsive. Which of the following is most appropriate? - -
Intubation, IV of normal saline at a keep open rate, cardiac
monitor, blood glucose determination, transport without delay.
-Your patient is a 32-year-old female who is alert, but in
significant distress, complaining of a migraine. She has a history
of migraines, describes a gradual onset of headache this
morning, and is now experiencing nausea and intense throbbing
pain behind her temples. She is lying on a couch in a dim room
and keeps her eyes closed while talking to you in a low voice. HR
= 100, BP = 148/100, RR = 12, SaO2 = 99%. Which of the
following is most appropriate in the prehospital management of
this patient? - -A calm, quiet environment and dim lights.
-Your patient is a 62-year-old female, who is alert and oriented
and sitting at her kitchen table. Her husband describes an
episode of slurred speech and facial drooping that lasted about
10 minutes and resolved just before your arrival. Physical
examination is unremarkable. She has no significant medical
history and takes no medications. HR = 78, BP = 134/78, RR =
12, SaO2 = 99%. Which of the following is most likely? - -
Transient ischemic attack.
-A series of two or more generalized motor seizures without an
intervening period of consciousness is known as: - -status
epilepticus.
-Which of the following infectious childhood diseases would most
likely result in paralysis? - -Poliomyelitis.
-The most common cause of dementia is: - -Alzheimer's disease.
-A seizure that begins as an electrical discharge in a small area
of the brain but spreads to include the entire cerebral cortex is a
________ seizure. - -generalized
2022/20223
Which of the following is caused by unilateral paralysis of cranial
nerve VII? - -Bell's palsy.
-Your patient is a 55-year-old male with a history of seizures,
who is on the floor and experiencing tonic-clonic motor activity.
His jaw is clenched, he has peripheral cyanosis, and there are
frothy secretions in his airway. HR = 130, RR = 4 and shallow,
SaO2 = 88%. Which of the following is most appropriate? - -
Suctioning the airway, inserting a nasopharyngeal airway,
assisting respirations by bag-valve-mask device with 100 percent
oxygen.
-Your patient is a 45-year-old female type I diabetic with a
history of a nonhealing foot ulcer. On examination, you find that
her pedal pulse is present, but she lacks sensation in her foot.
This is most likely due to: - -peripheral neuropathy.
-Your patient is a 48-year-old female who is alert and oriented
after a possible seizure. Her friends state they witnessed her
slump to the floor and "shake" for about 15 seconds. She awoke
in less than 1 minute and was "a bit groggy" for a few minutes.
She does not believe she had a seizure but thinks she may have
fainted. Which of the following questions is LEAST important
when differentiating seizure and syncope? - -"Are you allergic to
any medications?"
-You have been called for a 46-year-old female complaining of a
headache. Which of the following statements made by the patient
should you find most concerning? - -"I have never had a
headache this bad."
-Your patient is a 76-year-old female, who was initially lethargic,
but responded to verbal stimuli. According to family members,
the patient experienced a sudden decrease in responsiveness.
She had a left-sided facial droop, aphasia, a dilated and
, nonreactive right pupil, and a flaccid left arm. Lung sounds are
decreased bilaterally. HR = 58, BP = 172/102, RR = 6 and
shallow, SaO2 = 88%. As you start to treat her, the patient has a
generalized seizure lasting about 30 seconds. She is now
unresponsive. Which of the following is most appropriate? - -
Intubation, IV of normal saline at a keep open rate, cardiac
monitor, blood glucose determination, transport without delay.
-Your patient is a 32-year-old female who is alert, but in
significant distress, complaining of a migraine. She has a history
of migraines, describes a gradual onset of headache this
morning, and is now experiencing nausea and intense throbbing
pain behind her temples. She is lying on a couch in a dim room
and keeps her eyes closed while talking to you in a low voice. HR
= 100, BP = 148/100, RR = 12, SaO2 = 99%. Which of the
following is most appropriate in the prehospital management of
this patient? - -A calm, quiet environment and dim lights.
-Your patient is a 62-year-old female, who is alert and oriented
and sitting at her kitchen table. Her husband describes an
episode of slurred speech and facial drooping that lasted about
10 minutes and resolved just before your arrival. Physical
examination is unremarkable. She has no significant medical
history and takes no medications. HR = 78, BP = 134/78, RR =
12, SaO2 = 99%. Which of the following is most likely? - -
Transient ischemic attack.
-A series of two or more generalized motor seizures without an
intervening period of consciousness is known as: - -status
epilepticus.
-Which of the following infectious childhood diseases would most
likely result in paralysis? - -Poliomyelitis.
-The most common cause of dementia is: - -Alzheimer's disease.
-A seizure that begins as an electrical discharge in a small area
of the brain but spreads to include the entire cerebral cortex is a
________ seizure. - -generalized
