Chapter 18 Neurological Emergencies
REVISED Exam Questions and CORRECT
Answers
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you
arrived at the scene. The patient is conscious, is answering your questions appropriately, and
refuses EMS transport. Which of the following would be the MOST compelling reason to
disagree with his refusal of transport?
A.He has experienced seizures since he was 20.
B.He is currently not prescribed any medications.
C.His wife states that this was his "usual" seizure.
D.His Glasgow Coma Scale (GCS) score is 15. - CORRECT ANSWER - B. He is
currently not prescribed any medications.
Chapter 18, Page 748
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His
airway is patent, and his breathing is adequate. His wife is present and is very upset. Which of
the following has the MOST immediately priority?
A.Documenting all of his current medications
B.Obtaining a complete set of baseline vital signs
C.Administering glucose to rule out hypoglycemia
D.Asking his wife when she noticed the symptoms - CORRECT ANSWER - D. Asking his
wife when she noticed the symptoms
Chapter 18, Page 740
A generalized (tonic-clonic) seizure is characterized by:
,A.severe twitching of all the body's muscles.
B.a blank stare and brief lapse of consciousness.
C.unconsciousness for greater than 30 minutes.
D.a core body temperature of greater than 103°F (40°C). - CORRECT ANSWER -
Chapter 18, Page 732
Components of the Cincinnati Prehospital Stroke Scale include:
A.speech, pupil reaction, and memory.
B.arm drift, memory, and grip strength.
C.arm drift, speech, and facial droop.
D.facial droop, speech, and pupil size. - CORRECT ANSWER - Chapter 18, Page 742
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia
secondary to abnormalities in the:
A.brain.
B.kidneys.
C.liver.
D.pancreas. - CORRECT ANSWER - C. liver
Chapter 18, Page 737
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
A.a thrombus.
B.an embolism.
C.cerebral vasodilation.
, D.an acute arterial rupture. - CORRECT ANSWER - C. cerebral vasodilation.
Chapter 18, Page 727
Muscle control and body coordination are controlled by the:
A.cerebrum.
B.cerebellum.
C.brain stem.
D.cerebral cortex. - CORRECT ANSWER - B. cerebellum.
Chapter 18, Page 725
The MOST significant risk factor for a hemorrhagic stroke is:
A.severe stress.
B.hypertension.
C.heavy exertion.
D.diabetes mellitus. - CORRECT ANSWER - B. hypertension.
Chapter 18, Page 729
Successful treatment of a stroke depends on whether:
A.surgical intervention is performed to remove obstructive clots.
B.medications are given to restore the function of infarcted cells.
C.the stroke occurs within the left or right hemisphere of the brain.
REVISED Exam Questions and CORRECT
Answers
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you
arrived at the scene. The patient is conscious, is answering your questions appropriately, and
refuses EMS transport. Which of the following would be the MOST compelling reason to
disagree with his refusal of transport?
A.He has experienced seizures since he was 20.
B.He is currently not prescribed any medications.
C.His wife states that this was his "usual" seizure.
D.His Glasgow Coma Scale (GCS) score is 15. - CORRECT ANSWER - B. He is
currently not prescribed any medications.
Chapter 18, Page 748
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His
airway is patent, and his breathing is adequate. His wife is present and is very upset. Which of
the following has the MOST immediately priority?
A.Documenting all of his current medications
B.Obtaining a complete set of baseline vital signs
C.Administering glucose to rule out hypoglycemia
D.Asking his wife when she noticed the symptoms - CORRECT ANSWER - D. Asking his
wife when she noticed the symptoms
Chapter 18, Page 740
A generalized (tonic-clonic) seizure is characterized by:
,A.severe twitching of all the body's muscles.
B.a blank stare and brief lapse of consciousness.
C.unconsciousness for greater than 30 minutes.
D.a core body temperature of greater than 103°F (40°C). - CORRECT ANSWER -
Chapter 18, Page 732
Components of the Cincinnati Prehospital Stroke Scale include:
A.speech, pupil reaction, and memory.
B.arm drift, memory, and grip strength.
C.arm drift, speech, and facial droop.
D.facial droop, speech, and pupil size. - CORRECT ANSWER - Chapter 18, Page 742
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia
secondary to abnormalities in the:
A.brain.
B.kidneys.
C.liver.
D.pancreas. - CORRECT ANSWER - C. liver
Chapter 18, Page 737
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
A.a thrombus.
B.an embolism.
C.cerebral vasodilation.
, D.an acute arterial rupture. - CORRECT ANSWER - C. cerebral vasodilation.
Chapter 18, Page 727
Muscle control and body coordination are controlled by the:
A.cerebrum.
B.cerebellum.
C.brain stem.
D.cerebral cortex. - CORRECT ANSWER - B. cerebellum.
Chapter 18, Page 725
The MOST significant risk factor for a hemorrhagic stroke is:
A.severe stress.
B.hypertension.
C.heavy exertion.
D.diabetes mellitus. - CORRECT ANSWER - B. hypertension.
Chapter 18, Page 729
Successful treatment of a stroke depends on whether:
A.surgical intervention is performed to remove obstructive clots.
B.medications are given to restore the function of infarcted cells.
C.the stroke occurs within the left or right hemisphere of the brain.
