Question 1

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:

Accepted Answer

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.E) B) and D)
F) B) and C) A

Question 2

As an EMT,you will be called on frequently to treat diabetic emergencies.Diabetic emergencies are usually caused by:

Accepted Answer

A)   poor management of the patient's diabetes.
B)   falls.
C)   hypoxia.
D)   pancreatitis.E) A) and B)
F) None of the above A

Question 3

Which of the following is the LEAST important question in obtaining the history of a seizure patient in the prehospital setting?

Accepted Answer

A)   How did the patient behave during the seizure?
B)   Did the patient lose control of his bladder?
C)   Does the patient have a family history of seizures?
D)   What was the patient doing before the seizure?E) None of the above
F) All of the above

Question 4

Which of the following is LEAST important for the patient who has stopped seizing before the EMT's arrival at the scene?

Accepted Answer

A)   Checking for mechanism of injury
B)   Requesting advanced life support
C)   Suctioning
D)   Administering oxygenE) All of the above
F) B) and D)

Question 5

Which of the following is the most common cause of seizures in adults?

Accepted Answer

A)   Failure to take prescribed medication
B)   Withdrawal from alcohol
C)   Fever
D)   Head traumaE) B) and D)
F) C) and D)

Question 6

Your patient is waking up from a seizure; it was the patient's first seizure ever.When you ask what happened,the patient tells you she had the smell of fresh mown grass just before she seized.This sensation is known as a(n) :

Accepted Answer

A)   tonic phase.
B)   postictal phase.
C)   clonic phase.
D)   aura.E) A) and B)
F) None of the above

Question 7

Which of the following is NOT a sign of a hypoglycemic diabetic emergency?

Accepted Answer

A)   Combativeness
B)   Slow heart rate
C)   Anxiety
D)   Cold, clammy skinE) All of the above
F) B) and C)

Question 8

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.

Accepted Answer

A)   50
B)   60
C)   70
D)   80E) C) and D)
F) A) and C)

Question 9

Treatment of someone with a seizure disorder includes all of the following except:

Accepted Answer

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.E) B) and D)
F) A) and C)

Question 10

The most common medical emergency for the diabetic is hypoglycemia,or low blood sugar.Which one of the factors below is NOT a cause of hypoglycemia?

Accepted Answer

A)   Takes too much insulin
B)   Reduces sugar intake by eating too much
C)   Overexercises or overexerts himself
D)   Vomits a mealE) A) and D)
F) B) and D)

Question 11

For the reticular activating system (RAS) to work correctly,what three substances are needed?

Accepted Answer

A)   Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and sodium to keep the brain hydrated
B)   Oxygen to perfuse brain tissue, insulin to nourish brain tissue, and water to keep the brain hydrated
C)   Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and sodium to keep the brain hydrated
D)   Oxygen to perfuse brain tissue, glucose to nourish brain tissue, and water to keep the brain hydratedE) All of the above
F) None of the above

Question 12

Which of the following is the cause of most strokes?

Accepted Answer

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 brainE) A) and C)
F) A) and D)

Question 13

If the blood sugar level is very high,which of the following may result?

Accepted Answer

A)   Excessive urination, excessive thirst, and excessive hunger
B)   Polyuria and hyperactivity
C)   Excessive insulin, excessive glucose, and excessive urination
D)   Hyperactivity, excessive thirst, and polyuriaE) A) and C)
F) C) and D) A

Question 14

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?

Accepted Answer

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.E) C) and D)
F) B) and D)

Question 15

Your patient is an unresponsive 30-year-old male wearing a Medic-Alert bracelet indicating that he is a diabetic.The patient's coworkers came by his house to check on him when he did not show up for work and did not call in sick.Your assessment does not clearly indicate to you whether the patient may be hypoglycemic or hyperglycemic.Which of the following should you do next?

Accepted Answer

A)   Apply oxygen and begin transport without taking further action.
B)   Use your glucometer to check his blood sugar level.
C)   Use the patient's glucometer to check his blood sugar level.
D)   Administer oral glucose, as it will not cause additional harm in hyperglycemia, but may prevent brain damage if the patient is hypoglycemic.E) All of the above
F) A) and D)

Question 16

You respond to a 32-year-old female who is having a seizure.You arrive on the scene to find the patient drowsy,confused,and complaining of a headache.This patient is demonstrating the:

Accepted Answer

A)   aura phase.
B)   clonic phase.
C)   postictal phase.
D)   tonic phase.E) B) and C)
F) C) and D)

Question 17

What is epilepsy?

Accepted Answer

A)   A condition in which a person has multiple seizures usually controlled by medication.
B)   A condition in which a person has an aura followed by seizure usually controlled by medication.
C)   A condition caused by congenital brain abnormalities that causes seizures only twice a year.
D)   A condition in which a person has general seizures that start in childhood.E) C) and D)
F) A) and B)

Question 18

Looking at the following list,which of the items does NOT correctly compare the signs and symptoms of hypoglycemia and hyperglycemia?

Accepted Answer

A)   Hyperglycemia usually has a slower onset than hypoglycemia.
B)   Hyperglycemic patients often have warm, red, dry skin, whereas hypoglycemic patients have cold, pale, moist, or clammy skin.
C)   The hyperglycemic patient often has acetone breath, whereas the hypoglycemic patient does not.
D)   The hypoglycemic patient is usually complaining of a headache, whereas the hyperglycemic patient is not.E) None of the above
F) All of the above

Question 19

With advances in clot-busting (thrombolytic) drugs,the patient has a window of ________ hours to receive treatment.

Accepted Answer

A)   6
B)   4
C)   5
D)   3E) A) and B)
F) A) and C)

Question 20

A seizure that occurs spontaneously from an unknown cause is called:

Accepted Answer

A)   toxinic.
B)   hypoxic.
C)   idiopathic.
D)   hypoglycemic.E) A) and B)
F) B) and C)

Exam 19: Diabetic Emergencies and Altered Mental Status

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:

Correct Answer
verified
A

As an EMT,you will be called on frequently to treat diabetic emergencies.Diabetic emergencies are usually caused by:

Correct Answer
verified
A

Which of the following is the LEAST important question in obtaining the history of a seizure patient in the prehospital setting?

Correct Answer
verified

Which of the following is LEAST important for the patient who has stopped seizing before the EMT's arrival at the scene?

Correct Answer
verified

Which of the following is the most common cause of seizures in adults?

Correct Answer
verified

Your patient is waking up from a seizure; it was the patient's first seizure ever.When you ask what happened,the patient tells you she had the smell of fresh mown grass just before she seized.This sensation is known as a(n) :

Correct Answer
verified

Which of the following is NOT a sign of a hypoglycemic diabetic emergency?

Correct Answer
verified

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.

Correct Answer
verified

Treatment of someone with a seizure disorder includes all of the following except:

Correct Answer
verified

The most common medical emergency for the diabetic is hypoglycemia,or low blood sugar.Which one of the factors below is NOT a cause of hypoglycemia?

Correct Answer
verified

For the reticular activating system (RAS) to work correctly,what three substances are needed?

Correct Answer
verified

Which of the following is the cause of most strokes?

Correct Answer
verified

If the blood sugar level is very high,which of the following may result?

Correct Answer
verified
A

Correct Answer
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Correct Answer
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You respond to a 32-year-old female who is having a seizure.You arrive on the scene to find the patient drowsy,confused,and complaining of a headache.This patient is demonstrating the:

Correct Answer
verified

What is epilepsy?

Correct Answer
verified

Looking at the following list,which of the items does NOT correctly compare the signs and symptoms of hypoglycemia and hyperglycemia?

Correct Answer
verified

With advances in clot-busting (thrombolytic) drugs,the patient has a window of ________ hours to receive treatment.

Correct Answer
verified

A seizure that occurs spontaneously from an unknown cause is called:

Correct Answer
verified

Exam 19: Diabetic Emergencies and Altered Mental Status

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:

Correct AnswerverifiedA

As an EMT,you will be called on frequently to treat diabetic emergencies.Diabetic emergencies are usually caused by:

Correct AnswerverifiedA

Which of the following is the LEAST important question in obtaining the history of a seizure patient in the prehospital setting?

Correct AnswerverifiedShow Answer

Which of the following is LEAST important for the patient who has stopped seizing before the EMT's arrival at the scene?

Correct AnswerverifiedShow Answer

Which of the following is the most common cause of seizures in adults?

Correct AnswerverifiedShow Answer

Your patient is waking up from a seizure; it was the patient's first seizure ever.When you ask what happened,the patient tells you she had the smell of fresh mown grass just before she seized.This sensation is known as a(n) :

Correct AnswerverifiedShow Answer

Which of the following is NOT a sign of a hypoglycemic diabetic emergency?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

Treatment of someone with a seizure disorder includes all of the following except:

Correct AnswerverifiedShow Answer

The most common medical emergency for the diabetic is hypoglycemia,or low blood sugar.Which one of the factors below is NOT a cause of hypoglycemia?

Correct AnswerverifiedShow Answer

For the reticular activating system (RAS) to work correctly,what three substances are needed?

Correct AnswerverifiedShow Answer

Which of the following is the cause of most strokes?

Correct AnswerverifiedShow Answer

If the blood sugar level is very high,which of the following may result?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

You respond to a 32-year-old female who is having a seizure.You arrive on the scene to find the patient drowsy,confused,and complaining of a headache.This patient is demonstrating the:

Correct AnswerverifiedShow Answer

What is epilepsy?

Correct AnswerverifiedShow Answer

Looking at the following list,which of the items does NOT correctly compare the signs and symptoms of hypoglycemia and hyperglycemia?

Correct AnswerverifiedShow Answer

With advances in clot-busting (thrombolytic) drugs,the patient has a window of ________ hours to receive treatment.

Correct AnswerverifiedShow Answer

A seizure that occurs spontaneously from an unknown cause is called:

Correct AnswerverifiedShow Answer

Correct Answer
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A

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A

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A

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