AEMT Final exam
You are caring for a patient whom you suspect has had a stroke. She is having difficulty forming
words resulting in slurred speech making it difficult for you to understand her. Which of the
following would describe the condition of her speech?
A. Dysarthria
B. Hypophasia
c. Dysphagia
D. Ataxia -
✅Dysarthria
Of the following, which is the MOST important in caring for a possible stroke patient?
A. Administer oxygen to patients with a SpO, <94 percent.
B. Establish the time of onset of signs and symptoms.
C. Check the patient's blood glucose level.
D. Recognize signs and symptoms that may indicate stroke. -
✅Recognize signs and symptoms that may indicate stroke
Which of the following statements regarding blood glucose levels and stroke is TRUE?
A. Hyperglycemia is protective of brain cells.
B. Excessive glucose in cells causes cellular dehydration.
c. Hypoglycemia worsens neurological outcome.
D. Glucose requires insulin to enter brain cells. -
✅Hypoglycemia worsens neurological outcome
A problem with the eighth cranial nerve can lead to which of the following disorders involving a
sensation of movement when there is none?
A. Macrotia
B. Photophobia
c. Vertigo
D. Meningismus -
✅Vertigo
Your patient is a 68-year-old man who has apparently suffered a stroke. He is unable to hold himself
in an upright position on the stretcher and has begun to vomit. Which of the following actions
would be MOST appropriate?
A. Insert an oral airway and lower the head of the stretcher.
B. Begin ventilations with a bag-valve-mask.
C. Tighten the chest straps and begin suctioning.
D. Place him in the left lateral recumbent position. -
✅Play swim in the left lateral recumbent position
The AEMT is caring for an elderly male patient with a severe headache. During assessment of the
patient, the pulse ox reads 94%, the BGL level is found to be 48 mg/dL, and the vitals are within
1
,normal limits. The patient is responsive, has difficulty speaking, and is able to maintain their own
airway.
The patient also demonstrates right sided weakness to their arm and paralysis to their right leg. The
patient has a history of angina, diabetes and hypertension. What treatment option would be most
appropriate?
A. Contact medical direction regarding the administration of glucose
B. Administer one nitroglycerin sublingually prior to contacting the hospital
c. Administer high flow oxygen via NRB based on written protocol
D. Administer intranasal Narcan based on written protocol -
✅Contact medical direction regarding the administration of glucose
A generalized motor seizure that begins with a hypertonic state of the muscles is known as a(n):
A. complex partial seizure.
B. absence seizure.
c. tonic-clonic seizure.
D. hysterical seizure. -
✅Tonic clonic seizure
Of the following, which is the MOST common cause of a transient ischemic attack?
A. Atherosclerosis
B. Aneurism
C. Prinzmetal's angina
D. Illegal drug use -
✅Atherosclerosis
Your patient opens his eyes only when you pinch his shoulder. He has no verbal response and
withdraws from pain. His Glasgow Coma score total is:
A. two.
B. four.
C. three.
D. seven. -
✅Seven
What sign or symptom of a stroke is defined as a loss of coordination?
A. Hemiparesis
B. Ataxia
c. Dysarthria
D. Aphasia -
✅Ataxia
The prehospital stroke scoring system that assesses blood glucose levels, facial droop, grip strength,
and arm drift is the:
A. New York Prehospital Stroke Screen.
B. Los Angeles Prehospital Stroke Screen.
2
, c. North American Prehospital Stroke Scale.
D. Cincinnati Prehospital Stroke Scale. -
✅Los Angeles prehospital stroke screen
The term "status epilepticus" refers to:
A. a chronic seizure patient taking anticonvulsant medication regularly.
B. a generalized seizure lasting more than one minute.
c. a patient experiencing a seizure for the first time.
D. two or more seizures with no intervening periods of consciousness. -
✅Two or more seizures with no intervening periods of consciousness
You are having difficulty verbally communicating with your 55-year old female patient. Which of
the following would be the BEST way to next attempt to communicate with her?
A. Speak more loudly to her.
B. Attempt written communication.
C. Try to use sign language.
D. Have her nod her head. -
✅Attempt written, communication
You arrive on the scene of a seizure patient. In what state will you MOST often encounter the
seizure patient?
A. Tonic phase
B. Aura phase
c. Postictal phase
D. Clonic phase -
✅
Which of the following is the BEST way to differentiate between non-life-threatening and life-
threatening causes of headache?
A. Ask if the patient has allergies.
B. Find out if trauma was involved.
c. Gather a good history using OPQRST.
D. Evaluate the blood glucose level. -
✅Gather a good history using opqrst
You are caring for a 68-year-old woman displaying signs of stroke. She has right-sided weakness
and slurred speech. Her vitals are: pulse 118, respirations 22 with a SpO2 of 92 percent, and blood
pressure 188/98. Which of the following would be the LEAST appropriate care?
• A. Check her blood glucose level.
• B. Place her in the position of comfort.
c. Administer nitroglycerin for hypertension.
• D. Apply high-flow oxygen and titrate to effect. -
✅Administer nitroglycerin for Hypertension
3
You are caring for a patient whom you suspect has had a stroke. She is having difficulty forming
words resulting in slurred speech making it difficult for you to understand her. Which of the
following would describe the condition of her speech?
A. Dysarthria
B. Hypophasia
c. Dysphagia
D. Ataxia -
✅Dysarthria
Of the following, which is the MOST important in caring for a possible stroke patient?
A. Administer oxygen to patients with a SpO, <94 percent.
B. Establish the time of onset of signs and symptoms.
C. Check the patient's blood glucose level.
D. Recognize signs and symptoms that may indicate stroke. -
✅Recognize signs and symptoms that may indicate stroke
Which of the following statements regarding blood glucose levels and stroke is TRUE?
A. Hyperglycemia is protective of brain cells.
B. Excessive glucose in cells causes cellular dehydration.
c. Hypoglycemia worsens neurological outcome.
D. Glucose requires insulin to enter brain cells. -
✅Hypoglycemia worsens neurological outcome
A problem with the eighth cranial nerve can lead to which of the following disorders involving a
sensation of movement when there is none?
A. Macrotia
B. Photophobia
c. Vertigo
D. Meningismus -
✅Vertigo
Your patient is a 68-year-old man who has apparently suffered a stroke. He is unable to hold himself
in an upright position on the stretcher and has begun to vomit. Which of the following actions
would be MOST appropriate?
A. Insert an oral airway and lower the head of the stretcher.
B. Begin ventilations with a bag-valve-mask.
C. Tighten the chest straps and begin suctioning.
D. Place him in the left lateral recumbent position. -
✅Play swim in the left lateral recumbent position
The AEMT is caring for an elderly male patient with a severe headache. During assessment of the
patient, the pulse ox reads 94%, the BGL level is found to be 48 mg/dL, and the vitals are within
1
,normal limits. The patient is responsive, has difficulty speaking, and is able to maintain their own
airway.
The patient also demonstrates right sided weakness to their arm and paralysis to their right leg. The
patient has a history of angina, diabetes and hypertension. What treatment option would be most
appropriate?
A. Contact medical direction regarding the administration of glucose
B. Administer one nitroglycerin sublingually prior to contacting the hospital
c. Administer high flow oxygen via NRB based on written protocol
D. Administer intranasal Narcan based on written protocol -
✅Contact medical direction regarding the administration of glucose
A generalized motor seizure that begins with a hypertonic state of the muscles is known as a(n):
A. complex partial seizure.
B. absence seizure.
c. tonic-clonic seizure.
D. hysterical seizure. -
✅Tonic clonic seizure
Of the following, which is the MOST common cause of a transient ischemic attack?
A. Atherosclerosis
B. Aneurism
C. Prinzmetal's angina
D. Illegal drug use -
✅Atherosclerosis
Your patient opens his eyes only when you pinch his shoulder. He has no verbal response and
withdraws from pain. His Glasgow Coma score total is:
A. two.
B. four.
C. three.
D. seven. -
✅Seven
What sign or symptom of a stroke is defined as a loss of coordination?
A. Hemiparesis
B. Ataxia
c. Dysarthria
D. Aphasia -
✅Ataxia
The prehospital stroke scoring system that assesses blood glucose levels, facial droop, grip strength,
and arm drift is the:
A. New York Prehospital Stroke Screen.
B. Los Angeles Prehospital Stroke Screen.
2
, c. North American Prehospital Stroke Scale.
D. Cincinnati Prehospital Stroke Scale. -
✅Los Angeles prehospital stroke screen
The term "status epilepticus" refers to:
A. a chronic seizure patient taking anticonvulsant medication regularly.
B. a generalized seizure lasting more than one minute.
c. a patient experiencing a seizure for the first time.
D. two or more seizures with no intervening periods of consciousness. -
✅Two or more seizures with no intervening periods of consciousness
You are having difficulty verbally communicating with your 55-year old female patient. Which of
the following would be the BEST way to next attempt to communicate with her?
A. Speak more loudly to her.
B. Attempt written communication.
C. Try to use sign language.
D. Have her nod her head. -
✅Attempt written, communication
You arrive on the scene of a seizure patient. In what state will you MOST often encounter the
seizure patient?
A. Tonic phase
B. Aura phase
c. Postictal phase
D. Clonic phase -
✅
Which of the following is the BEST way to differentiate between non-life-threatening and life-
threatening causes of headache?
A. Ask if the patient has allergies.
B. Find out if trauma was involved.
c. Gather a good history using OPQRST.
D. Evaluate the blood glucose level. -
✅Gather a good history using opqrst
You are caring for a 68-year-old woman displaying signs of stroke. She has right-sided weakness
and slurred speech. Her vitals are: pulse 118, respirations 22 with a SpO2 of 92 percent, and blood
pressure 188/98. Which of the following would be the LEAST appropriate care?
• A. Check her blood glucose level.
• B. Place her in the position of comfort.
c. Administer nitroglycerin for hypertension.
• D. Apply high-flow oxygen and titrate to effect. -
✅Administer nitroglycerin for Hypertension
3
