44) Which of the following is the most critical piece of equipment to have immediately available
for the seizure patient who has just stopped convulsing?
A) Suction
B) Cervical collar
C) Glucometer
D) Bite block
Objective: 19.10
45) Treatment of someone with a seizure disorder includes all of the following except:
A) placing the patient on the floor or ground.
B) loosening restrictive clothing.
C) placing a bite block in the patient’s mouth so he does not bite his tongue.
D) removing objects that might harm the patient.
Objective: 19.10
20
46) Which of the following is the cause of most strokes?
A) A spasm in an artery supplying part of the brain
B) A ruptured cerebral artery due to an aneurysm
C) A ruptured cerebral artery due to hypertension
D) Blockage of an artery supplying part of the brain
Objective: 19.11
47) Which of the following is one of the most common characteristics of a stroke?
A) Weakness on one side of the body
B) Projectile vomiting
C) Sudden onset of bizarre behavior
D) Sudden, severe headache
Objective: 19.12
21
48) Your patient is a 70-year-old man whose wife called EMS because her husband began
exhibiting unusual behavior. Upon your arrival you introduce yourself to the patient, who
responds, “Not until nine o’clock.” This phenomenon is BEST described as:
A) receptive aphasia.
B) disorientation to time.
C) unresponsive to verbal stimuli.
D) expressive aphasia.
Objective: 19.12
49) You have arrived on the scene of a call for a possible stroke. On your arrival, the patient
denies signs and symptoms, is alert and oriented, and moves all extremities well. Her husband
states that before you arrived the patient could not move her right arm and the left side of her
face seemed to be “slack.” Which of the following has most likely occurred?
A) The patient suffered a stroke.
B) The patient is suffering from aphasia.
C) The patient has had a subarachnoid hemorrhage.
D) The patient suffered a transient ischemic attack.
Objective: 19.12
22
50) Which of the following is a standardized test to evaluate a conscious patient for possible
stroke?
A) Michigan TIA Assessment
B) The Numbness-Aphasia-Paralysis (NAP) Test
C) Cincinnati Prehospital Stroke Scale
D) The Functional Analysis Stroke Test
Objective: 19.12
51) When assessing a patient for a possible stroke, which of the following three functions should
be tested by the EMT?
A) Memory, ability to speak, and ability to track movement with the eyes
B) Ability to walk, control of facial muscles, and balance
C) Control of facial muscles, ability to speak, and ability to hold both arms in an extended
position for 10 seconds
D) Ability to walk, ability to hold both arms in an extended position for 10 seconds, and ability
to name common objects
Objective: 19.12
23
52) Which of the following is NOT a sign or symptom of stroke?
A) Chest pain
B) Vomiting
C) Sudden impairment of vision
D) Seizure
Objective: 19.12
53) Your patient is a 59-year-old female with a sudden onset of slurred speech and weakness on
her right side. Which of the following measures is appropriate?
A) Test the patient’s sensation with a series of pinpricks, beginning at the feet and working
upward.
B) Keep the patient in a supine position.
C) Immediately transport the patient to a hospital with specialized treatment for stroke patients.
D) Administer oral glucose and then assess the patient’s blood sugar.
Objective: 19.12
24
54) A patient who demonstrates any one of the three symptoms from the Cincinnati Prehospital
Stroke Scale has a(n) ________% chance of having an acute stroke.
A) 50
B) 60
C) 70
D) 80
Objective: 19.12
55) With advances in clot-busting (thrombolytic) drugs, the patient has a window of ________
hours to receive treatment.
A) 6
B) 4
C) 5
D) 3
Objective: 19.12
25
56) Which of the items below is NOT part of the Cincinnati Prehospital Stroke Scale?
A) Test for equal grip strength.
B) Ask the patient to smile.
C) Have the patient repeat a simple sentence.
D) Test the patient for arm droop or lack of movement.
Objective: 19.12
57) Many stroke patients are candidates for thrombolytic drugs. One of the most important things
that an EMT can do to optimize the care of a stroke patient who is a candidate for the drugs is:
A) determine the exact time of onset of symptoms.
B) transport the patient to a Level I Trauma Center.
C) do a thorough physical exam of the patient.
D) transport to the closest hospital since the patient must go to the operating room as soon as
possible.
Objective: 19.12
26
58) Many factors that cause dizziness and syncope are generally related to the:
A) kidneys.
B) lungs.
C) brain.
D) nervous system.
Objective: 19.13
59) Which is NOT one of the steps in managing a patient experiencing dizziness and syncope?
A) Administer oxygen.
B) Apply cold packs to the patient’s head.
C) Loosen any tight clothing around the neck.
D) Lay the patient flat.
Objective: 19.14
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