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“NEUROLOGIC EMERGENCES “ LATEST 2025
EXAM 1 UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
Neurologic Emergences - Multiple Choice
You are treating a patient who is exhibiting slurred speech, facial droop, and
an inability to move his left arm. Which neurologic examination emphasizes
these possible stroke signs?
-3-Item Stroke Severity Scale
-Glasgow Coma Scale
-Cincinnati Prehospital Stroke Scale
-Chicago Prehospital Stroke Scale
Cincinnati Prehospital Stroke Scale
What happens when blood flow to a particular part of the brain is cut off by a
blockage, resulting in tissue damage?
-Seizure
-Status epilepticus
-Hemorrhagic stroke
-Ischemic stroke
Ischemic Stroke
What is the name of the condition when the patient forgets about the injured
side after a stroke?
-Aphasia
-Neglect
-Ataxia
-Hemiparesis
Neglect
What criteria must be met for a patient to have status epilepticus?
-Multiple seizures with normal consciousness between each event
-A seizure occurring every few minutes or lasting more than 30 minutes
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-A seizure that was preceded by an aura
-The presence of incontinence during the seizure
A seizure occurring every few minutes or lasting more than 30 minutes
Which of the following is a metabolic cause for a seizure?
-High fever
-Head trauma
-Brain tumor
-Hypoglycemia
Hypoglycemia
Which of the following mimics a stroke and also causes a seizure?
-Meningitis
-Postictal state
-Hypoglycemia
-Migraine headache
Hypoglycemia
What is the difference between a stroke and a transient ischemic attack(TIA)?
-A TIA involves surges of electrical activity in the brain
-A TIA affects a limited portion of the brain
-A TIA has longer-lasting effects than a stoke
-A TIA resolves completely within 24 hours of onset
A TIA resolves completely within 24 hours of onset
You are dispatched to a home where you find a 70-year-old man. He is
exhibiting facial drooping and, when you ask him to tell you what day it is, he
says "January." Which part of the brain is most likely to have been affected?
-Cerebellum
-Right hemisphere
-Brain stem
-Left hemisphere
Left Hemisphere
You are examining a patient whose signs include lip smacking, jerking of the
left arm, and agitation. Based on these signs, what type of seizure is this
patient experiencing?
-Simple Partial
-Complex Partial
-Generalized
-Status Epilepticus
Complex Partial
You are performing a Glasgow Coma Scale on a patient who opens her eyes in
response to pain, is confused in her responses to questions, and has
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abnormal flexion. What is this patient's GCS score and corresponding state of
dysfunction?
-12 - mild dysfunction
-9 - moderate dysfunction
-3 - severe dysfunction
-6 - severe dysfunction
9 - moderate dysfunction
A 58-year-old male presents with confusion, right-sided weakness, and slurred
speech. His wife is present and is very upset. As your partner is applying
oxygen, it is MOST important for you to:
-List all of the patient's current medications
-Obtain a complete set of baseline vital signs
-Administer glucose to rule out hypoglycemia
-Ask his wife when she noticed the symptoms
Ask his wife when she noticed the symptoms
A generalized (tonic-clonic) seizure is characterized by:
-Severe twitching of all the body's muscles
-A blank stare and brief lapse of consciousness
-Unconsciousness for greater than 30 minutes
-A core body temperature of greater than 103°F (40°C)
Severe twitching of all the body's muscles
Which of the following conditions is NOT a common cause of seizures?
-Poisoning or overdose
-Hypotension
-Acute hypoglycemia
-Acute alcohol withdrawal
Hypotension
Which of the following findings should concern the EMT the MOST when
assessing a patient who complains of a headache?
-Sinus congestion
-Neck stiffness or pain
-History of migraines
-Slow onset of symptoms
Neck stiffness or pain
Components of the Cincinnati Prehospital Stroke Scale include:
-Speech, pupil reaction, and memory
-Arm drift, memory, and grip strength
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-Arm drift, speech, and facial droop
-Facial droop, speech, and pupil size
Arm drift, speech, and facial droop
You arrive at a grocery store shortly after a 35-year-old male stopped seizing.
Your assessment reveals that he is confused and incontinent of urine. The
patient's girlfriend tells you that he has a history of seizures and takes
topiramate (Topamax). When obtaining further medical history from the
girlfriend, it is MOST important to:
-Determine if the patient is a known alcohol abuser
-Obtain a description of how the seizure developed
-Determine when he was last seen by his physician
-Ask her how long the patient has been taking his medication
Obtain a description of how the seizure developed
Successful treatment of a stroke depends on whether:
-Surgical intervention is performed to remove obstructive clots
-Medications are given to restore the function of infarcted cells
-The stroke occurs within the left or right hemisphere of the brain
-Thrombolytic therapy is given within 3 hours of symptoms beginning
Thrombolytic therapy is given within 3 hours of symptoms beginning
Status epilepticus is characterized by:
-Generalized seizures that last fewer than 5 minutes
-An absence seizure that is not preceded by an aura
-Profound tachycardia and total muscle flaccidity
-Prolonged seizures without a return of consciousness
Prolonged seizures without a return of consciousness
Muscle control and body coordination are controlled by the:
-Cerebrum
-Cerebellum
-Brain stem
-Cerebral cortex
Cerebellum
A patient who is experiencing aphasia is:
-Not able to swallow without choking
-Experiencing a right hemispheric stroke
-Unable to produce or understand speech
-Usually conscious but has slurred speech
“NEUROLOGIC EMERGENCES “ LATEST 2025
EXAM 1 UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
Neurologic Emergences - Multiple Choice
You are treating a patient who is exhibiting slurred speech, facial droop, and
an inability to move his left arm. Which neurologic examination emphasizes
these possible stroke signs?
-3-Item Stroke Severity Scale
-Glasgow Coma Scale
-Cincinnati Prehospital Stroke Scale
-Chicago Prehospital Stroke Scale
Cincinnati Prehospital Stroke Scale
What happens when blood flow to a particular part of the brain is cut off by a
blockage, resulting in tissue damage?
-Seizure
-Status epilepticus
-Hemorrhagic stroke
-Ischemic stroke
Ischemic Stroke
What is the name of the condition when the patient forgets about the injured
side after a stroke?
-Aphasia
-Neglect
-Ataxia
-Hemiparesis
Neglect
What criteria must be met for a patient to have status epilepticus?
-Multiple seizures with normal consciousness between each event
-A seizure occurring every few minutes or lasting more than 30 minutes
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-A seizure that was preceded by an aura
-The presence of incontinence during the seizure
A seizure occurring every few minutes or lasting more than 30 minutes
Which of the following is a metabolic cause for a seizure?
-High fever
-Head trauma
-Brain tumor
-Hypoglycemia
Hypoglycemia
Which of the following mimics a stroke and also causes a seizure?
-Meningitis
-Postictal state
-Hypoglycemia
-Migraine headache
Hypoglycemia
What is the difference between a stroke and a transient ischemic attack(TIA)?
-A TIA involves surges of electrical activity in the brain
-A TIA affects a limited portion of the brain
-A TIA has longer-lasting effects than a stoke
-A TIA resolves completely within 24 hours of onset
A TIA resolves completely within 24 hours of onset
You are dispatched to a home where you find a 70-year-old man. He is
exhibiting facial drooping and, when you ask him to tell you what day it is, he
says "January." Which part of the brain is most likely to have been affected?
-Cerebellum
-Right hemisphere
-Brain stem
-Left hemisphere
Left Hemisphere
You are examining a patient whose signs include lip smacking, jerking of the
left arm, and agitation. Based on these signs, what type of seizure is this
patient experiencing?
-Simple Partial
-Complex Partial
-Generalized
-Status Epilepticus
Complex Partial
You are performing a Glasgow Coma Scale on a patient who opens her eyes in
response to pain, is confused in her responses to questions, and has
, Page 3 of 87
abnormal flexion. What is this patient's GCS score and corresponding state of
dysfunction?
-12 - mild dysfunction
-9 - moderate dysfunction
-3 - severe dysfunction
-6 - severe dysfunction
9 - moderate dysfunction
A 58-year-old male presents with confusion, right-sided weakness, and slurred
speech. His wife is present and is very upset. As your partner is applying
oxygen, it is MOST important for you to:
-List all of the patient's current medications
-Obtain a complete set of baseline vital signs
-Administer glucose to rule out hypoglycemia
-Ask his wife when she noticed the symptoms
Ask his wife when she noticed the symptoms
A generalized (tonic-clonic) seizure is characterized by:
-Severe twitching of all the body's muscles
-A blank stare and brief lapse of consciousness
-Unconsciousness for greater than 30 minutes
-A core body temperature of greater than 103°F (40°C)
Severe twitching of all the body's muscles
Which of the following conditions is NOT a common cause of seizures?
-Poisoning or overdose
-Hypotension
-Acute hypoglycemia
-Acute alcohol withdrawal
Hypotension
Which of the following findings should concern the EMT the MOST when
assessing a patient who complains of a headache?
-Sinus congestion
-Neck stiffness or pain
-History of migraines
-Slow onset of symptoms
Neck stiffness or pain
Components of the Cincinnati Prehospital Stroke Scale include:
-Speech, pupil reaction, and memory
-Arm drift, memory, and grip strength
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-Arm drift, speech, and facial droop
-Facial droop, speech, and pupil size
Arm drift, speech, and facial droop
You arrive at a grocery store shortly after a 35-year-old male stopped seizing.
Your assessment reveals that he is confused and incontinent of urine. The
patient's girlfriend tells you that he has a history of seizures and takes
topiramate (Topamax). When obtaining further medical history from the
girlfriend, it is MOST important to:
-Determine if the patient is a known alcohol abuser
-Obtain a description of how the seizure developed
-Determine when he was last seen by his physician
-Ask her how long the patient has been taking his medication
Obtain a description of how the seizure developed
Successful treatment of a stroke depends on whether:
-Surgical intervention is performed to remove obstructive clots
-Medications are given to restore the function of infarcted cells
-The stroke occurs within the left or right hemisphere of the brain
-Thrombolytic therapy is given within 3 hours of symptoms beginning
Thrombolytic therapy is given within 3 hours of symptoms beginning
Status epilepticus is characterized by:
-Generalized seizures that last fewer than 5 minutes
-An absence seizure that is not preceded by an aura
-Profound tachycardia and total muscle flaccidity
-Prolonged seizures without a return of consciousness
Prolonged seizures without a return of consciousness
Muscle control and body coordination are controlled by the:
-Cerebrum
-Cerebellum
-Brain stem
-Cerebral cortex
Cerebellum
A patient who is experiencing aphasia is:
-Not able to swallow without choking
-Experiencing a right hemispheric stroke
-Unable to produce or understand speech
-Usually conscious but has slurred speech
