Chapter 19- Neurologic Emergencies
UPDATED ACTUAL Exam Questions and
CORRECT Answers
In most people, speech is controlled by the:
A) Left hemisphere
B) Right Hemisphere
C) Occipital lobe
D) Frontal lobe - CORRECT ANSWER - left hemisphere.
________________ is a disorder of the brain in which blood flow to a portion of the brain is
suddenly disrupted, resulting in brain cell death.
A) Cerebral ischemia
B) Cerebral injury
C) Cerebral infarction
D) Cerebral hypoxia - CORRECT ANSWER - Cerebral infarction
The largest part of the brain is the:
A) cerebellum.
B) occiput.
C) brain stem.
D) cerebrum. - CORRECT ANSWER - cerebrum.
To minimize the amount of brain-cell damage that occurs following an ischemic stroke,
fibrinolytic therapy must be administered within:
, A) is experiencing an intracranial hemorrhage.
B) has a history of coronary artery disease.
C) has a history of well-controlled hypertension.
D) is treated greater than 1 hour after the stroke. - CORRECT ANSWER - 3 hours after the
onset of symptoms.
With regard to potential treatment in the hospital, which of the following questions is MOST
important to ask the spouse of a 66-year-old female who presents with signs and symptoms of an
acute ischemic stroke?
A) "Does your wife have high blood pressure?"
B) "Did your wife pass out or have a seizure?"
C) "When did you first notice the symptoms?"
D) "When was the last time that your wife ate?" - CORRECT ANSWER - "When did you
first notice the symptoms?"
You are assessing a 45-year-old male who experienced a syncopal episode. He is conscious and
alert, and complains only of slight weakness. He denies any medical problems or drug allergies.
His blood pressure is 140/90 mm Hg, pulse is 40 beats/min, and respirations are 22 breaths/min.
What is the MOST likely cause of this patient's syncopal episode?
A) Severe dehydration
B) An acute infection
C) Acute bradycardia
D) Hypertensive crisis - CORRECT ANSWER - Acute bradycardia
You are assessing a 59-year-old male with an altered mental status. You should suspect an acute
ischemic stroke versus hypoglycemia if the patient:
A) attempts to communicate with you.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
In most people, speech is controlled by the:
A) Left hemisphere
B) Right Hemisphere
C) Occipital lobe
D) Frontal lobe - CORRECT ANSWER - left hemisphere.
________________ is a disorder of the brain in which blood flow to a portion of the brain is
suddenly disrupted, resulting in brain cell death.
A) Cerebral ischemia
B) Cerebral injury
C) Cerebral infarction
D) Cerebral hypoxia - CORRECT ANSWER - Cerebral infarction
The largest part of the brain is the:
A) cerebellum.
B) occiput.
C) brain stem.
D) cerebrum. - CORRECT ANSWER - cerebrum.
To minimize the amount of brain-cell damage that occurs following an ischemic stroke,
fibrinolytic therapy must be administered within:
, A) is experiencing an intracranial hemorrhage.
B) has a history of coronary artery disease.
C) has a history of well-controlled hypertension.
D) is treated greater than 1 hour after the stroke. - CORRECT ANSWER - 3 hours after the
onset of symptoms.
With regard to potential treatment in the hospital, which of the following questions is MOST
important to ask the spouse of a 66-year-old female who presents with signs and symptoms of an
acute ischemic stroke?
A) "Does your wife have high blood pressure?"
B) "Did your wife pass out or have a seizure?"
C) "When did you first notice the symptoms?"
D) "When was the last time that your wife ate?" - CORRECT ANSWER - "When did you
first notice the symptoms?"
You are assessing a 45-year-old male who experienced a syncopal episode. He is conscious and
alert, and complains only of slight weakness. He denies any medical problems or drug allergies.
His blood pressure is 140/90 mm Hg, pulse is 40 beats/min, and respirations are 22 breaths/min.
What is the MOST likely cause of this patient's syncopal episode?
A) Severe dehydration
B) An acute infection
C) Acute bradycardia
D) Hypertensive crisis - CORRECT ANSWER - Acute bradycardia
You are assessing a 59-year-old male with an altered mental status. You should suspect an acute
ischemic stroke versus hypoglycemia if the patient:
A) attempts to communicate with you.
