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EMT Neurologic Emergencies Flashcards | StudBud
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EMT Neurologic Emergencies
EMT Neurologic Emergencies
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1
The three major parts of the brain are?
cerebellum, medulla, occiput
midbrain, cerebellum, spinal cord
cerebrum, cerebellum, brain stem
brain stem, midbrain, spinal cord
2
When obtaining a medical history for a suspected stroke patient it is most important to determine
current medications
history of strokes
time last known well
patient allergies
3
When assessing a patient for an arm drift you should:
ask them to close their eyes during the assessment
observe the appendages for at least 1 minute
have the patient hold something in their hands during the assessment
have the patient hold both arms out to their sides at an equal height
4
Your patient opens her eyes, moans, and pulls away from you when you pinch her trapezius. Her GCS score would be:
6
7
8
9
5
For a patient with slurred speech you would document
dysarthria
dysphagia
aphasia
ataxia
6
A postictal state is the period of gradual loss of consciousness prior to a seizure.
False
True
7
Which of the following conditions would be LEAST likely to mimic the signs and symptoms of a stroke?
hypoglycemia
a postictal state
hypovolemia
a ruptured cerebral aneurysm
8
Which of the following most accurately describes a simple partial seizure?
A generalized seizure without incontinence
A seizure that begins in one extremity
A seizure that is not preceeded by an aura
A seizure that causes a patient to stare blankly
9
INterruption of cerebral blood flow may result from all ofthe following EXCEPT
an emolism
cerebral vasodilation
an acute arterial rupture
a thrombus
10
You should inform the hospital of a possible stroke because treatments are limited ___ hours after the onset of symptoms
1
2
4
3
11
Which of the following types of headache is considered life threatening?
tension
thunderclap
sinus
migraine
12
When caring for a patient with hypoglycemia you should be MOST concerned for the dvelopment of
seizures
cardiac chest pain
respiratory distress
a stroke
13
A patient with an altered mental status is
unresponsive to all forms of stimuli
not thinking clearly or is unable to be aroused
alert but noth thinking clearly
usually able to be arounsed with pain stimuli
14
A 30 year old is A&Ox4 after a seizure and wishes to refuse EMS care. For what reason do you disagree with his refusal?
he has had seizures since he was 20
he has a GCS score of 15
he is not currently prescribed any medications
his wife reports this was his "usual" seizure activity
15
AEIOUTIPS is an acronym used to determine cause of altered mental status
True
False
16
When performing a stroke assessment using the Cincinnati Stroke Scale, you would assess
facial droop
arm drift
speech
balance
17
A febrile two year old male is conscious and crying after experiencing a 3 minute seizure. You should:
transport the child to the hospital and reassure parent en route
advise the parent to take the child to the doctor the next day
cover the child with wet towels and give oxygen via nasal cannual
call medical control and request administration of 325 mg aspirin
18
Patients experiencing hypertensive emergencies are at a high risk for ischemic strokes.
False
True
19
Strokes of the left hemisphere will cause symptoms of the right side of the body.
False
True
20
You should assess a blood glucose level on all suspected stroke patients
False
True