EMT Chapter 17 Quiz
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Questions and Answers

Which of the following MOST accurately describes the cause of an ischemic stroke?

  • Acute atherosclerotic disease
  • Narrowing of a carotid artery
  • Rupture of a cerebral artery
  • Blockage of a cerebral artery (correct)
  • In the scenario presented, you should:

  • Apply oxygen via nonrebreathing mask and transport her for a blood-alcohol test.
  • Apply oxygen via a nonrebreathing mask, place her on her left side, and transport.
  • Assist ventilations, perform a rapid exam, and prepare for immediate transport. (correct)
  • Place a bite block in her mouth in case she has a seizure and transport at once.
  • Components of the Cincinnati Prehospital Stroke Scale include:

  • Speech, pupil reaction, and memory.
  • Arm drift, memory, and grip strength.
  • Arm drift, speech, and facial droop. (correct)
  • Facial droop, speech, and pupil size.
  • Which of the following conditions is NOT a common cause of seizures?

    <p>Hypotension</p> Signup and view all the answers

    You should assign a Glasgow Coma Scale (GCS) score of:

    <p>12</p> Signup and view all the answers

    Muscle control and body coordination are controlled by the:

    <p>Cerebellum</p> Signup and view all the answers

    Which of the following medications would indicate that a patient has a history of seizures?

    <p>Levetiracetam (Keppra)</p> Signup and view all the answers

    Successful treatment of a stroke depends on whether:

    <p>Thrombolytic therapy is given within 3 hours of symptoms beginning.</p> Signup and view all the answers

    When obtaining further medical history from the girlfriend, it is MOST important to:

    <p>Obtain a description of how the seizure developed.</p> Signup and view all the answers

    A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is:

    <p>Epilepsy</p> Signup and view all the answers

    A generalized (tonic-clonic) seizure is characterized by:

    <p>Severe twitching of all the body's muscles.</p> Signup and view all the answers

    A patient who is experiencing aphasia is:

    <p>Unable to produce or understand speech.</p> Signup and view all the answers

    Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?

    <p>Sudden, severe headache</p> Signup and view all the answers

    A severe headache and nausea that has gradually worsened over the past 12 hours indicates treatment should include:

    <p>Dimming the lights in the back of the ambulance and transporting without lights and siren.</p> Signup and view all the answers

    The anterior aspect of the cerebrum controls:

    <p>Emotion</p> Signup and view all the answers

    Which of the following patients would MOST likely demonstrate typical signs of infection, such as a fever?

    <p>A 3-month-old female who was born prematurely</p> Signup and view all the answers

    Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache?

    <p>Neck stiffness or pain</p> Signup and view all the answers

    The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:

    <p>Usually have an altered mental status or decreased level of consciousness.</p> Signup and view all the answers

    A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. It is MOST important for you to:

    <p>Ask his wife when she noticed the symptoms.</p> Signup and view all the answers

    Status epilepticus is characterized by:

    <p>Prolonged seizures without a return of consciousness.</p> Signup and view all the answers

    Study Notes

    Ischemic Stroke

    • Ischemic stroke is primarily caused by blockage of a cerebral artery.

    Patient Assessment in Seizures

    • In a case of a 22-year-old female found unconscious with rapid shallow respirations, administer ventilation assistance and perform a rapid exam before transport.
    • Understanding seizure history is essential; focus on how the seizure developed during evaluations.

    Cincinnati Prehospital Stroke Scale

    • Consists of three components: arm drift, speech, and facial droop for effective assessment of potential strokes.

    Seizures Causes

    • Common causes of seizures include poisoning, hypoglycemia, and alcohol withdrawal, but hypotension is not typically recognized as a common cause.

    Glasgow Coma Scale (GCS)

    • A patient who responds appropriately but exhibits left side weakness scores 12 on the GCS.

    Cerebellum Function

    • The cerebellum is responsible for muscle control and body coordination.

    History of Seizures Medications

    • Levetiracetam (Keppra) is a medication indicating a patient's history of seizures.

    Stroke Treatment Timing

    • Successful treatment hinges on administering thrombolytic therapy within three hours of the onset of symptoms.

    Post-Seizure Patient Care

    • For a patient recovering from a seizure, obtaining a detailed history of the seizure development is critical for proper assessment.

    Tonic-Clonic Seizures

    • Generalized (tonic-clonic) seizures are marked by severe muscle twitching throughout the body, not merely a lapse in consciousness.

    Aphasia

    • A patient with aphasia cannot produce or understand speech, indicating potential neurological issues.

    Ruptured Aneurysm Symptoms

    • Sudden, severe headache is a hallmark sign that suggests a ruptured aneurysm.

    Headache Management

    • For patients with severe headaches, dimming lights in transport can enhance comfort and minimize exacerbation of symptoms.

    Cerebrum Function

    • The anterior aspect of the cerebrum plays a crucial role in emotional regulation.

    Infection Indicators

    • A 17-year-old male with anxiety may demonstrate typical signs of infection, such as fever, making this demographic significant for observation.

    Headache Assessment Concerns

    • Neck stiffness or pain during headache assessment is more concerning, indicating potential serious conditions.

    Differentiating Stroke from Hypoglycemia

    • Patients with hypoglycemia typically exhibit altered mental status or decreased consciousness, differentiating them from stroke victims who may retain some alertness.

    Priority Actions in Stroke Cases

    • When dealing with stroke symptoms, it is vital to ascertain when the symptoms began to inform treatment strategies.

    Status Epilepticus

    • This condition is characterized by prolonged seizures without a return to consciousness, necessitating immediate medical intervention.

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    Description

    Test your knowledge on EMT principles based on Chapter 17. This quiz covers key concepts such as ischemic strokes and emergency assessments. Challenge yourself and reinforce your learning with these flashcards.

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