1. A 40-year-old patient without a history of seizures experiences a
generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is:
Select one:
A. intracranial bleeding
B. epilepsy.
C. a brain tumor.
D. a serious infection.: B. epilepsy.
2. A patient who is experiencing aphasia is:
Select one:
A. not able to swallow without choking.
B. experiencing a right hemispheric stroke.
C. unable to produce or understand speech.
D. usually conscious but has slurred speech.: C. unable to produce or
understand speech.
3. A patient who is possibly experiencing a stroke is NOT eligible for
thrombolytic (fibrinolytic) therapy if he or she:
Select one:
A. is older than 60 years of age.
B. has had a prior heart attack.
C. has a GCS score that is less than 8.
D. has bleeding within the brain.: D. has bleeding within the brain.
4. A patient with an altered mental status is:
Select one:
A. completely unresponsive to all forms of stimuli.
B. typically alert but is confused as to preceding events.
C. not thinking clearly or is incapable of being aroused.
D. usually able to be aroused with a painful stimulus.: C. not thinking clearly or
is incapable of being aroused.
5. Components of the Cincinnati Prehospital Stroke Scale include:
Select one:
A. facial droop, speech, and pupil size.
B. speech, pupil reaction, and memory.
C. arm drift, memory, and grip strength.
, West Coast EMT Block 3 quiz
D. arm drift, speech, and facial droop.: D. arm drift, speech, and facial droop.
6. Febrile seizures:
Select one:
A. are usually benign but should be evaluated.
B. often result in permanent brain damage.
C. occur when a child's fever rises slowly.
D. are also referred to as absence seizures.: A. are usually benign but should
be
evaluated.
7. Individuals with chronic alcoholism are predisposed to intracranial
bleeding and hypoglycemia secondary to abnormalities in the:
Select one:
A. kidneys.
B. liver.
C. pancreas.
D. brain.: B. liver.
8. Muscle control and body coordination are controlled by the:
Select one:
A. cerebellum.
B. brain stem.
C. cerebral cortex.
D. cerebrum.: A. cerebellum.
9. Status epilepticus is characterized by:
Select one:
A. profound tachycardia and total muscle flaccidity.
B. an absence seizure that is not preceded by an aura.
C. generalized seizures that last less than 5 minutes.
D. prolonged seizures without a return of consciousness.: D. prolonged
seizures without a return of consciousness.
10. The most basic functions of the body, such as breathing, blood
pressure, and swallowing, are controlled by the:
Select one:
A. cerebrum.
, West Coast EMT Block 3 quiz
B. cerebellum.C. brain stem.
D. cerebral cortex.: C. brain stem.
11. The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. heavy exertion.
C. severe stress.
D. hypertension.: D. hypertension.
12. The spinal cord exits the cranium through the:
Select one:
A. cauda equina.
B. vertebral foramen.
C. foramen magnum.
D. foramen lamina.: C. foramen magnum.
13. The three major parts of the brain are the:
Select one:
A. cerebellum, medulla, and occiput.
B. brain stem, midbrain, and spinal cord.
C. midbrain, cerebellum, and spinal cord.
D. cerebrum, cerebellum, and brain stem.: D. cerebrum, cerebellum, and brain
stem.
14. When assessing for arm drift of a patient with a suspected stroke, you
should:
Select one:
A. expect to see one arm slowly drift down to the patient's side.
B. observe movement of the arms for approximately 2 minutes.
C. ask the patient to hold his or her arms up with the palms down.
D. ask the patient to close his or her eyes during the assessment.: D. ask the
patient to close his or her eyes during the assessment.
15. When caring for a patient with documented hypoglycemia, you should be
MOST alert for:
Select one:
A. a febrile convulsion.
, West Coast EMT Block 3 quiz
B. a seizure.
C. an acute stroke.
D. respiratory distress.: B. a seizure.
16. Which of the following clinical signs is MOST suggestive of a
ruptured aneurysm? Select one:
A. Sudden, severe headache
B. Confusion and weakness
C. Nasal discharge of blood
D. Unilateral hemiparesis: A. Sudden, severe headache
17. Which of the following conditions would MOST likely affect the
entire brain? Select one:
A. Blocked cerebral artery in the frontal lobe
B. Ruptured cerebral artery in the occipital lobe
C. Respiratory failure or cardiopulmonary arrest
D. Reduced blood supply to the left hemisphere: C. Respiratory failure or
cardiopulmonary arrest
18. Which of the following findings should concern the EMT the MOST when
assessing a patient who complains of a headache?
Select one:
A. Slow onset of symptoms
B. History of migraines
C. Neck stiffness or pain
D. Sinus congestion: C. Neck stiffness or pain
19. Which of the following is characteristic of a focal-onset aware seizure?
Select one:
A. Absence of breathing
B. Normal level of consciousness
C. Generalized twitching of all muscles
D. No change in vision, smell, or taste: B. Normal level of consciousness 20.
Which of the following MOST accurately describes the cause of an
ischemic stroke?
Select one:
A. Acute atherosclerotic disease