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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. - (answers)B. epilepsy.
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. - (answers)C. unable to produce or understand speech.
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. - (answers)D. has bleeding within the brain.
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. - (answers)C. not thinking clearly or is incapable of
being aroused.
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.
D. arm drift, speech, and facial droop. - (answers)D. arm drift, speech, and facial droop.
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. - (answers)A. are usually benign but should be evaluated.
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. - (answers)B. liver.
Muscle control and body coordination are controlled by the:
Select one:
A. cerebellum.
B. brain stem.
C. cerebral cortex.
D. cerebrum. - (answers)A. cerebellum.
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. - (answers)D. prolonged seizures without a
return of consciousness.
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled
by the:
Select one:
A. cerebrum.
B. cerebellum.
C. brain stem.
D. cerebral cortex. - (answers)C. brain stem.
, The MOST significant risk factor for a hemorrhagic stroke is:
Select one:
A. diabetes mellitus.
B. heavy exertion.
C. severe stress.
D. hypertension. - (answers)D. hypertension.
The spinal cord exits the cranium through the:
Select one:
A. cauda equina.
B. vertebral foramen.
C. foramen magnum.
D. foramen lamina. - (answers)C. foramen magnum.
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. - (answers)D. cerebrum, cerebellum, and brain stem.
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.