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2026 | Comprehensive Study Guide & Verified
Answer
THIS EXAM CONTAINS:
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,EMT Block 3 Test Bank
Neurological Emergencies & Stroke
1. A 40-year-old patient without a history of seizures experiences a
generalized (tonic-clonic) seizure. The LEAST likely cause of this
seizure is:
A. intracranial bleeding
B. epilepsy
C. a brain tumor
D. a serious infection
Answer: B. epilepsy
2. A patient who is experiencing aphasia is:
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
Answer: C. unable to produce or understand speech
3. A patient who is possibly experiencing a stroke is NOT eligible for
thrombolytic (fibrinolytic) therapy if he or she:
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
Answer: D. has bleeding within the brain
4. A patient with an altered mental status is:
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
Answer: C. not thinking clearly or is incapable of being aroused
5. Components of the Cincinnati Prehospital Stroke Scale include:
A. facial droop, speech, and pupil size
B. speech, pupil reaction, and memory
Answer: A. facial droop, speech, and pupil size (Note: Standard
components are facial droop, arm drift, speech)
6. Febrile seizures:
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
Answer: A. are usually benign but should be evaluated
7. Individuals with chronic alcoholism are predisposed to intracranial
bleeding and hypoglycemia secondary to abnormalities in the:
A. kidneys
B. liver
C. pancreas
D. brain
Answer: B. liver
8. Muscle control and body coordination are controlled by the:
A. cerebellum
B. brain stem
C. cerebral cortex
D. cerebrum
Answer: A. cerebellum
9. Status epilepticus is characterized by:
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
Answer: D. prolonged seizures without a return of consciousness
10. The most basic functions of the body, such as breathing, blood
pressure, and swallowing, are controlled by the:
A. cerebrum
Answer: brain stem
11. The MOST significant risk factor for a hemorrhagic stroke is:
A. diabetes mellitus
B. heavy exertion
C. severe stress
D. hypertension
Answer: D. hypertension
12. The spinal cord exits the cranium through the:
A. cauda equina
B. vertebral foramen
C. foramen magnum
D. foramen lamina
Answer: C. foramen magnum
13. The three major parts of the brain are the:
A. cerebellum, medulla, and occiput
B. brain stem, midbrain, and spinal cord
C. midbrain, cerebellum, and spinal cord
D. cerebrum, cerebellum, and brain stem
Answer: D. cerebrum, cerebellum, and brain stem
14. When assessing for arm drift of a patient with a suspected stroke,
you should: