WEST COAST EMT BLOCK 3 QUIZ EXAM
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1. A 40-year-old patient without a history of seizures experiences a
generalized (tonicclonic) seizure. The LEAST likely cause of this seizure
is:
a) epilepsy
b) a brain tumor
c) intracranial bleeding
Answer a) epilepsy
Rationale: Epilepsy is defined as recurrent, unprovoked seizures. In a
patient with no prior seizure history, a new-onset seizure is far more
likely to be caused by an acute structural problem, such as a brain
tumor or intracranial bleeding.
2. A patient who is experiencing aphasia is:
a) having a right hemisphere stroke
,b) unable to produce or understand speech
c) usually conscious with slurred speech
Answer b) unable to produce or understand speech
Rationale: Aphasia is a language deficit caused by damage to the
brain's speech centers, resulting in difficulty speaking, understanding,
reading, or writing. Slurred speech is called dysarthria, and right
hemisphere strokes typically cause neglect, not aphasia.
3. A patient who is possibly experiencing a stroke is NOT eligible for
thrombolytic (fibrinolytic) therapy if he or she:
a) has bleeding within the brain
b) has a GCS score of less than 8
c) has had a prior heart attack
Answer a) has bleeding within the brain
Rationale: Thrombolytics work by breaking down blood clots. If the
patient has a hemorrhagic stroke (bleeding in the brain), administering
these drugs would worsen the bleeding and is a strict contraindication.
4. A patient with an altered mental status is:
a) typically alert but unaware of the preceding events
,b) usually able to be aroused by painful stimuli
c) not thinking clearly or is incapable of being aroused
Answer c) not thinking clearly or is incapable of being aroused
Rationale: Altered mental status is a broad term that encompasses any
change in a patient's level of consciousness or cognition, ranging from
confusion and disorientation to a completely unresponsive state.
5. Components of the Cincinnati Prehospital Stroke Scale include:
a) arm drift, memory, and facial droop
b) facial droop, speech, and pupil size
c) arm drift, speech, and facial droop
Answer c) arm drift, speech, and facial droop
Rationale: The Cincinnati Prehospital Stroke Scale is a rapid
assessment tool that looks for three specific findings: facial droop, arm
drift (weakness), and abnormal speech.
6. Febrile seizures:
a) are also referred to as petit mal seizures
b) often result in permanent brain damage
c) occur when a child's fever progressively rises
, d) are usually benign but should be evaluated
Answer d) are usually benign but should be evaluated
Rationale: Febrile seizures are caused by a rapid spike in body
temperature, are generally harmless, and do not cause brain damage.
However, they require medical evaluation to rule out serious underlying
infections like meningitis.
7. Individuals with chronic alcoholism are predisposed to intracranial
bleeding and hypoglycemia secondary to abnormalities in the:
a) brain
b) kidneys
c) pancreas
d) liver
Answer d) liver
Rationale: Chronic alcoholism damages the liver. The liver produces
clotting factors (deficiency leads to bleeding) and stores glycogen
(used to maintain blood glucose levels). Liver dysfunction from
alcoholism thus causes both bleeding tendencies and hypoglycemia.
8. Muscle control and body coordination are controlled by the:
Actual Questions and Verified Answers A+
Grade 100% Guarantee Verified by
Experts
1. A 40-year-old patient without a history of seizures experiences a
generalized (tonicclonic) seizure. The LEAST likely cause of this seizure
is:
a) epilepsy
b) a brain tumor
c) intracranial bleeding
Answer a) epilepsy
Rationale: Epilepsy is defined as recurrent, unprovoked seizures. In a
patient with no prior seizure history, a new-onset seizure is far more
likely to be caused by an acute structural problem, such as a brain
tumor or intracranial bleeding.
2. A patient who is experiencing aphasia is:
a) having a right hemisphere stroke
,b) unable to produce or understand speech
c) usually conscious with slurred speech
Answer b) unable to produce or understand speech
Rationale: Aphasia is a language deficit caused by damage to the
brain's speech centers, resulting in difficulty speaking, understanding,
reading, or writing. Slurred speech is called dysarthria, and right
hemisphere strokes typically cause neglect, not aphasia.
3. A patient who is possibly experiencing a stroke is NOT eligible for
thrombolytic (fibrinolytic) therapy if he or she:
a) has bleeding within the brain
b) has a GCS score of less than 8
c) has had a prior heart attack
Answer a) has bleeding within the brain
Rationale: Thrombolytics work by breaking down blood clots. If the
patient has a hemorrhagic stroke (bleeding in the brain), administering
these drugs would worsen the bleeding and is a strict contraindication.
4. A patient with an altered mental status is:
a) typically alert but unaware of the preceding events
,b) usually able to be aroused by painful stimuli
c) not thinking clearly or is incapable of being aroused
Answer c) not thinking clearly or is incapable of being aroused
Rationale: Altered mental status is a broad term that encompasses any
change in a patient's level of consciousness or cognition, ranging from
confusion and disorientation to a completely unresponsive state.
5. Components of the Cincinnati Prehospital Stroke Scale include:
a) arm drift, memory, and facial droop
b) facial droop, speech, and pupil size
c) arm drift, speech, and facial droop
Answer c) arm drift, speech, and facial droop
Rationale: The Cincinnati Prehospital Stroke Scale is a rapid
assessment tool that looks for three specific findings: facial droop, arm
drift (weakness), and abnormal speech.
6. Febrile seizures:
a) are also referred to as petit mal seizures
b) often result in permanent brain damage
c) occur when a child's fever progressively rises
, d) are usually benign but should be evaluated
Answer d) are usually benign but should be evaluated
Rationale: Febrile seizures are caused by a rapid spike in body
temperature, are generally harmless, and do not cause brain damage.
However, they require medical evaluation to rule out serious underlying
infections like meningitis.
7. Individuals with chronic alcoholism are predisposed to intracranial
bleeding and hypoglycemia secondary to abnormalities in the:
a) brain
b) kidneys
c) pancreas
d) liver
Answer d) liver
Rationale: Chronic alcoholism damages the liver. The liver produces
clotting factors (deficiency leads to bleeding) and stores glycogen
(used to maintain blood glucose levels). Liver dysfunction from
alcoholism thus causes both bleeding tendencies and hypoglycemia.
8. Muscle control and body coordination are controlled by the:
