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25 Cards in this Set

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The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia:
usually have an altered mental status or decreased level of consciousness
The anterior aspect of the cerebrum controls:
emotion.
You are caring for a semiconscious man with left-sided paralysis. His airway is patent and his respirations are 14 breaths/min with adequate tidal volume. Treatment for this patient should include
oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seem to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min and adequate. In addition to high-flow oxygen, further treatment should include:
dimming the lights in the back of the ambulance and transporting without lights and siren.
The mental status of a patient who has experienced a typical seizure:
is likely to improve over a period of 5 to 30 minutes.
When transporting a stable stroke patient with unilateral paralysis, it is best to place the patient in a:
recumbent position with the paralyzed side down.
The three major parts of the brain are the:
cerebrum, cerebellum, and brain stem
A generalized seizure is characterized by
severe twitching of all the body's muscles.
Which of the following medications is NOT used to treat patients with a history of seizures?
hydromorphone (Dilaudid)
Which of the following conditions would MOST likely affect the entire brain?
respiratory failure or cardiopulmonary arrest
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
cerebral vasodilation
You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a 2-year-old male. The child is conscious and crying. According to the mother, the child had been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should:
transport the child to the hospital and reassure the mother en route
A patient with an altered mental status is:
not thinking clearly or is incapable of being aroused.
A transient ischemic attack (TIA) occurs when:
the normal body processes destroy a clot in a cerebral artery.
Muscle control and body coordination are controlled by the:
cerebellum.
An area of swelling or enlargement in a weakened arterial wall is called:
an aneurysm
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
a seizure.
Febrile seizures:
????????
Which of the following MOST accurately describes the cause of an ischemic stroke?
blockage of a cerebral artery
Successful treatment of a stroke depends on whether:
thrombolytic therapy is given within 3 hours after symptoms began
You arrive at a grocery store shortly after a 35-year-old male stopped seizing. Your assessment reveals that he is confused and incontinent of urine. The patient's girlfriend tells you that he has a history of seizures and takes carbamazepine (Tegretol). When obtaining further medical history from the girlfriend, it is MOST important to
obtain a description of how the seizure developed.
Which of the following is NOT an assessment parameter included in the Cincinnati Prehospital Stroke Scale?
memory
You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced:
a ruptured cerebral artery.
Which of the following clinical signs is MOST suggestive of a ruptured cerebral artery?
sudden, severe headache
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:
has bleeding within the brain.