EMSTA BLOCK TEST 3 SCORED A+
Stroke Secondary Assessment Answer - Slow pulse
Erratic Respiration
High BP
Unequal pupil size and reactivity (significant bleeding in brain)
Check blood glucose
Can the patient say "the sky is blue in cincinnati"?
Can the patient smile?
Close eyes and hold both arms out with palms up
FAST
Facial droop
Arm drift
Speech
Time (when last seen normal)
3 Parts of Brain and Functions Answer - Brain stem: Basic functions of body
- Breathing, blood pressure, swallowing, pupil constriction
Cerebellum: Coordinating complex tasks that involve many muscles
- balance, walking, writing
Cerebrum: Front controls emotion and thought, middle controls sensation and
movement, back processes sight
-Speech is Left middle
,Foramen magnum Answer - Opening at base of skull through which nerves join
the spinal cord and exit the brain
Brain is most sensitive to changes in: Answer - oxygen, temperature, and
glucose
Tension headache Answer - Caused by muscle contractions in the head and
neck
Attributed to stress
Squeezing, dull, or ache
Migraine headaches Answer - Caused by changes in blood vessel size in the
base of the brain
Pounding, throbbing, or pulsating
Associated with nausea and vomiting
Sinus Headaches Answer - Caused by pressure that is the result of fluid
accumulation in the sinus cavities
Cold-like signs and symptoms of nasal congestion, cough, and fever if have
sinus infection
Increased pain when they bend over or when head moved forward
Serious neurological conditions that include headache Answer - Hemorrhagic
stroke, brain tumor, meningitis
(sudden onset, severe headache with associated symptoms like fever, stiff neck,
seizures, altered mental status)
Headache Red Flags Answer - sudden onset
Explosive/thunderclap pain
, Altered mental status
> 50 years old
Depressed immune system
Neurological deficits
Neck stiffness/pain
Fever
Change in vision
One sided paralysis/weakness
Early signs of increased intracranial pressure Answer - Headache
Vomiting
Altered mental status
Seizures
Increased intracranial pressure causes Answer - Hemorrhagic stroke
Tumor
Head trauma
Bacterial Meningitis Answer - Inflammation of meninges from bacterial
infection
CNS infection causing headache, stiff neck, fever, light sensitivity
Cerebrovascular Accident (CVA) Answer - Aka stroke
interruption of blood flow to an area within the brain --> loss of brain function
-Brain cells stop functioning and begin to die within minutes
Stroke Secondary Assessment Answer - Slow pulse
Erratic Respiration
High BP
Unequal pupil size and reactivity (significant bleeding in brain)
Check blood glucose
Can the patient say "the sky is blue in cincinnati"?
Can the patient smile?
Close eyes and hold both arms out with palms up
FAST
Facial droop
Arm drift
Speech
Time (when last seen normal)
3 Parts of Brain and Functions Answer - Brain stem: Basic functions of body
- Breathing, blood pressure, swallowing, pupil constriction
Cerebellum: Coordinating complex tasks that involve many muscles
- balance, walking, writing
Cerebrum: Front controls emotion and thought, middle controls sensation and
movement, back processes sight
-Speech is Left middle
,Foramen magnum Answer - Opening at base of skull through which nerves join
the spinal cord and exit the brain
Brain is most sensitive to changes in: Answer - oxygen, temperature, and
glucose
Tension headache Answer - Caused by muscle contractions in the head and
neck
Attributed to stress
Squeezing, dull, or ache
Migraine headaches Answer - Caused by changes in blood vessel size in the
base of the brain
Pounding, throbbing, or pulsating
Associated with nausea and vomiting
Sinus Headaches Answer - Caused by pressure that is the result of fluid
accumulation in the sinus cavities
Cold-like signs and symptoms of nasal congestion, cough, and fever if have
sinus infection
Increased pain when they bend over or when head moved forward
Serious neurological conditions that include headache Answer - Hemorrhagic
stroke, brain tumor, meningitis
(sudden onset, severe headache with associated symptoms like fever, stiff neck,
seizures, altered mental status)
Headache Red Flags Answer - sudden onset
Explosive/thunderclap pain
, Altered mental status
> 50 years old
Depressed immune system
Neurological deficits
Neck stiffness/pain
Fever
Change in vision
One sided paralysis/weakness
Early signs of increased intracranial pressure Answer - Headache
Vomiting
Altered mental status
Seizures
Increased intracranial pressure causes Answer - Hemorrhagic stroke
Tumor
Head trauma
Bacterial Meningitis Answer - Inflammation of meninges from bacterial
infection
CNS infection causing headache, stiff neck, fever, light sensitivity
Cerebrovascular Accident (CVA) Answer - Aka stroke
interruption of blood flow to an area within the brain --> loss of brain function
-Brain cells stop functioning and begin to die within minutes
