Your patient is postictal from a seizure. He opens his eyes to painful stimulation, makes incomprehensible sounds, and reaches away from the midline when a sternal rub is applied. What is his Glasgow Coma Scale value? - ANSWERS8
An increase in intracranial pressure that results in increased bloo...
Your patient is postictal from a seizure. He opens his eyes to painful stimulation, makes
incomprehensible sounds, and reaches away from the midline when a sternal rub is applied. What is his
Glasgow Coma Scale value? - ANSWERS8
An increase in intracranial pressure that results in increased blood pressure, decreased pulse, and
irregular ventilations is known as what? - ANSWERSCushing's triad
Which of the following is not a typical cause of altered mental status? - ANSWERSTinnitus
How many pairs of spinal nerves exit the spinal cord? - ANSWERS31
Identify the correct statement regarding a stroke. - ANSWERSIt occurs when the normal blood flow to an
area of the brain is compromised due to partial or total blockage of a cerebral artery.
Epilepsy affects approximately how many Americans per year? - ANSWERS
If you believe that your unresponsive patient suffered a syncopal episode, but he didn't regain
consciousness within a few moments, then: - ANSWERSit is likely something more serious than a
syncopal episode.
You are called to the scene of a 68-year-old female patient. The family told your dispatcher that she was
"breathing but wouldn't wake up." On your arrival you find the patient lying in bed with sonorous
respirations and decorticate posturing. What is your initial concern? - ANSWERSAirway maintenance
Why do reflex movements lack the fine motor control of conscious movement? - ANSWERSReflex
impulses come from the spinal cord.
You are dispatched to the scene of a "belligerent man" who is ranting at passersby. As you approach, you
note that police have already arrived at the convenience store, and your victim, who appears to be in his
, 50s, is standing between them talking loudly, and appears to be confused. The store owner is telling the
officers that your patient frequently panhandles in front of the store and then purchases wine, but today
he just started "carrying on" in a loud voice. The police would like him transported to the ED, and one of
the officers has volunteered to accompany you. His vital signs are all within normal limits and your exam
is unremarkable except for yellowing of the conjunctiva. You initiate an IV and contact the ED while en
route. Of the following medications, which one might your protocol indicate administering given this
specific presentation? - ANSWERSThiamine
When dealing with the victim of a stroke, why is it imperative to establish the exact time of onset while
rapidly delivering the patient to the ED? - ANSWERSTo determine the patient's fibrinolytic candidacy
When responding to a patient with a known a degenerative nervous disorder, it is necessary for the
paramedic to: - ANSWERSconduct a primary assessment and patient history to determine the chief
complaint.
Which of the following nonstroke disorders could result in a "probability of ischemic stroke" according to
the Cincinnati Prehospital Stroke Scale? - ANSWERSBell's palsy
Which of the following is a disease process caused by a genetic defect specific to chromosome 4? -
ANSWERSHuntington's disease
Why is collection of a thorough history important when building a differential diagnosis on the victim of
a severe headache? - ANSWERSA severe, acute onset headache or a change in headache pattern
indicates the need for immediate attention
What approximate portion of patients who experience a TIA is likely to soon after experience a stroke? -
ANSWERSOne-third
When considering the etiology of most brain tumors, which of the following is correct? - ANSWERSThey
are often metastasized from elsewhere in the body.
What is an idiopathic syncopal episode usually caused by? - ANSWERSUndetermined cause
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