EMT - Chapter 17: Neurologic Emergencies -
Questions (MFD) UPDATED Exam
Questions and CORRECT Answers
What Glasgow Coma Scale (GCS) score would you assign to a patient who responds to painful
stimuli, uses inappropriate words, and maintains his or her arms in a flexed position?
a) 6
b) 8
c) 9
d) 10 - CORRECT ANSWER -8
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?
Select one:
A. He has experienced seizures since he was 20
B. His wife states that this was his "usual" seizure
C. His Glasgow Coma Scale (GCS) score is 15
D. He is currently not prescribed any medications - CORRECT ANSWER - He is currently
not prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic)
therapy if he or she:
Select one:
A. is older than 60 years of age.
B. has bleeding within the brain.
C. has a GCS score that is less than 8.
D. has had a prior heart attack. - CORRECT ANSWER - has bleeding within the brain.
, A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. aphasia.
D. dysarthria. - CORRECT ANSWER - dysarthria
A patient with an altered mental status is:
Select one:
A. typically alert but is confused as to preceding events.
B. completely unresponsive to all forms of stimuli.
C. not thinking clearly or is incapable of being aroused.
D. usually able to be aroused with a painful stimulus. - CORRECT ANSWER - not
thinking clearly or is incapable of being aroused.
During the primary assessment of a semiconscious 70-year-old female, you should:
Select one:
A. insert a nasopharyngeal airway and assist ventilations.
B. immediately determine the patient's blood glucose level.
C. ensure a patent airway and support ventilation as needed.
D. ask family members if the patient has a history of stroke. - CORRECT ANSWER -
ensure a patent airway and support ventilation as needed.
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
Select one:
A. cerebral vasodilation.
B. an acute arterial rupture.
C. an embolism.
D. a thrombus. - CORRECT ANSWER - cerebral vasodilation.
Questions (MFD) UPDATED Exam
Questions and CORRECT Answers
What Glasgow Coma Scale (GCS) score would you assign to a patient who responds to painful
stimuli, uses inappropriate words, and maintains his or her arms in a flexed position?
a) 6
b) 8
c) 9
d) 10 - CORRECT ANSWER -8
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?
Select one:
A. He has experienced seizures since he was 20
B. His wife states that this was his "usual" seizure
C. His Glasgow Coma Scale (GCS) score is 15
D. He is currently not prescribed any medications - CORRECT ANSWER - He is currently
not prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic)
therapy if he or she:
Select one:
A. is older than 60 years of age.
B. has bleeding within the brain.
C. has a GCS score that is less than 8.
D. has had a prior heart attack. - CORRECT ANSWER - has bleeding within the brain.
, A patient whose speech is slurred and difficult to understand is experiencing:
Select one:
A. paraplegia.
B. dysphagia.
C. aphasia.
D. dysarthria. - CORRECT ANSWER - dysarthria
A patient with an altered mental status is:
Select one:
A. typically alert but is confused as to preceding events.
B. completely unresponsive to all forms of stimuli.
C. not thinking clearly or is incapable of being aroused.
D. usually able to be aroused with a painful stimulus. - CORRECT ANSWER - not
thinking clearly or is incapable of being aroused.
During the primary assessment of a semiconscious 70-year-old female, you should:
Select one:
A. insert a nasopharyngeal airway and assist ventilations.
B. immediately determine the patient's blood glucose level.
C. ensure a patent airway and support ventilation as needed.
D. ask family members if the patient has a history of stroke. - CORRECT ANSWER -
ensure a patent airway and support ventilation as needed.
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
Select one:
A. cerebral vasodilation.
B. an acute arterial rupture.
C. an embolism.
D. a thrombus. - CORRECT ANSWER - cerebral vasodilation.
