West Coast EMT Block 3
A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The
LEAST likely cause of this seizure is:
a epilepsy
b a brain tumor
c intracraniular bleeding - (correct Answer) - a
A patient who is experiencing aphasia is:
a right hemisphere stroke
b unable to produce or understand speech.
c usually concoius with slurred speach - (correct Answer) - b
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he
or she:
a has bleeding within the brain.
b GSC score of less than 8
c has had a prior heart attack - (correct Answer) - a
A patient with an altered mental status
a typically alert but unaware of the proceeding events
b usually able to be aroused by painful stimuli
c not thinking clearly or is incapable of being aroused - (correct Answer) - c
Components of the Cincinnati Prehospital Stroke Scale include:
a air dift, memmory, facial droop
b facial droop, speech, and pupil size
c arm drift, speech, and facial droop. - (correct Answer) - c
Febrile seizures:Choose one answer.
A. are also referred to as petit mal seizures.
B. often result in permanent brain damage.
,C. occur when a child's fever progressively rises.
D. are usually benign but should be evaluated. - (correct Answer) - d
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary
to abnormalities in the:Select one:
a. brain.
b. kidneys.
c. pancreas.
d. liver. - (correct Answer) - d
muscle control and body coordination are controlled by the
a cerebellum
b cerebrum
c brain stem - (correct Answer) - a
Status epilepticus is characterized by:Choose one answer.
A. prolonged seizures without a return of consciousness.
B. an absence seizure that is not preceded by an aura.
C. profound tachycardia and total muscle flaccidity.
D. generalized seizures that last less than 5 minutes. - (correct Answer) - a
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled
by the:Choose one answer.'
A. cerebellum.
B. brain stem.
C. cerebral cortex.
D. cerebrum. - (correct Answer) - b
the MOST significant risk factor for a hemorrhagic stroke is:Select one:
A. severe stress.
B. heavy exertion.
C. hypertension.
D. diabetes mellitus. - (correct Answer) - c
, The spinal cord exits the cranium through the:
A. foramen magnum.
B. vertebral foramen.
C. foramen lamina.
D. cauda equina. - (correct Answer) - a
When assessing arm drift of a patient with a suspected stroke, you should:Choose one answer.
A. observe for approximately 5 minutes.
B. ask the patient to hold his or her arms up with the palms down.
C. expect to see one arm slowly drift down to the patient's side.
D. ask the patient to close his or her eyes during the assessment - (correct Answer) - d
When caring for a patient with documented hypoglycemia, you should be MOST alert for:Choose one
answer.
A. an acute stroke.
B. respiratory distress.
C. a seizure.
D. a febrile convulsion. - (correct Answer) - c
Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?
a confusion weakeness
b sudden severe headache
c bloody nasal discharge - (correct Answer) - b
Which of the following conditions would MOST likely affect the entire brain?Select one:
a. Respiratory failure or cardiopulmonary arrest
b. Reduced blood supply to the left hemisphere
c. Ruptured cerebral artery in the occipital lobe
d. Blocked cerebral artery in the frontal lobe - (correct Answer) - a
Which of the following findings should concern the EMT the MOST when assessing a patient who
complains of a headache?
a history of miagrines
A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The
LEAST likely cause of this seizure is:
a epilepsy
b a brain tumor
c intracraniular bleeding - (correct Answer) - a
A patient who is experiencing aphasia is:
a right hemisphere stroke
b unable to produce or understand speech.
c usually concoius with slurred speach - (correct Answer) - b
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he
or she:
a has bleeding within the brain.
b GSC score of less than 8
c has had a prior heart attack - (correct Answer) - a
A patient with an altered mental status
a typically alert but unaware of the proceeding events
b usually able to be aroused by painful stimuli
c not thinking clearly or is incapable of being aroused - (correct Answer) - c
Components of the Cincinnati Prehospital Stroke Scale include:
a air dift, memmory, facial droop
b facial droop, speech, and pupil size
c arm drift, speech, and facial droop. - (correct Answer) - c
Febrile seizures:Choose one answer.
A. are also referred to as petit mal seizures.
B. often result in permanent brain damage.
,C. occur when a child's fever progressively rises.
D. are usually benign but should be evaluated. - (correct Answer) - d
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary
to abnormalities in the:Select one:
a. brain.
b. kidneys.
c. pancreas.
d. liver. - (correct Answer) - d
muscle control and body coordination are controlled by the
a cerebellum
b cerebrum
c brain stem - (correct Answer) - a
Status epilepticus is characterized by:Choose one answer.
A. prolonged seizures without a return of consciousness.
B. an absence seizure that is not preceded by an aura.
C. profound tachycardia and total muscle flaccidity.
D. generalized seizures that last less than 5 minutes. - (correct Answer) - a
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled
by the:Choose one answer.'
A. cerebellum.
B. brain stem.
C. cerebral cortex.
D. cerebrum. - (correct Answer) - b
the MOST significant risk factor for a hemorrhagic stroke is:Select one:
A. severe stress.
B. heavy exertion.
C. hypertension.
D. diabetes mellitus. - (correct Answer) - c
, The spinal cord exits the cranium through the:
A. foramen magnum.
B. vertebral foramen.
C. foramen lamina.
D. cauda equina. - (correct Answer) - a
When assessing arm drift of a patient with a suspected stroke, you should:Choose one answer.
A. observe for approximately 5 minutes.
B. ask the patient to hold his or her arms up with the palms down.
C. expect to see one arm slowly drift down to the patient's side.
D. ask the patient to close his or her eyes during the assessment - (correct Answer) - d
When caring for a patient with documented hypoglycemia, you should be MOST alert for:Choose one
answer.
A. an acute stroke.
B. respiratory distress.
C. a seizure.
D. a febrile convulsion. - (correct Answer) - c
Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?
a confusion weakeness
b sudden severe headache
c bloody nasal discharge - (correct Answer) - b
Which of the following conditions would MOST likely affect the entire brain?Select one:
a. Respiratory failure or cardiopulmonary arrest
b. Reduced blood supply to the left hemisphere
c. Ruptured cerebral artery in the occipital lobe
d. Blocked cerebral artery in the frontal lobe - (correct Answer) - a
Which of the following findings should concern the EMT the MOST when assessing a patient who
complains of a headache?
a history of miagrines
