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WorksheetsEMT Chapter 18
Total questions: 20
Worksheet time: 15mins
The three major parts of the brain are the:
cerebellum, medulla, and occiput
brain stem, midbrain, and spinal cord
midbrain, cerebellum, and spinal cord
cerebrum, cerebellum, and brain stem
The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the:
brain stem
cerebrum
cerebellum
cerebral cortex
Muscle control and body coordination are controlled by the:
cerebrum
cerebellum
brain stem
cerebral cortex
The spinal cord exits the cranium through the:
foramen magnum
vertebral foramen
foramen lamina
cauda equina
Which of the following MOST accurately describes the cause of an ischemic stroke?
Blockage of a cerebral artery
Acute atherosclerotic disease
Rupture of a cerebral artery
Narrowing of a carotid artery
Which of the following clinical signs is MOST suggestive of a ruptured aneurysm?
Unilateral hemiparesis
Confusion and weakness
Nasal discharge of blood
Sudden, severe headache
Which of the following findings should concern the EMT the MOST when assessing a patient who complains of a headache?
Sinus congestion
Neck stiffness or pain
History of migraines
Slow onset of symptoms
Which of the following is characteristic of a focal-onset aware seizure?
Absence of breathing
Normal level of consciousness
No change in vision, smell, or taste
Generalized twitching of all muscles
Febrile seizures:
often result in permanent brain damage
are also referred to as absence seizures
are usually benign but should be evaluated
occur when a child’s fever rises slowly
A patient with an altered mental status is:
completely unresponsive to all forms of stimuli
typically alert but is confused as to preceding events
usually able to be aroused with a painful stimulus
not thinking clearly or is incapable of being aroused
Individuals with chronic alcoholism are predisposed to intracranial bleeding and hypoglycemia secondary to abnormalities in the:
brain
kidneys
liver
pancreas
A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is:
epilepsy
a brain tumor
a serious infection
intracranial bleeding
Components of the Cincinnati Prehospital Stroke Scale include:
speech, pupil reaction, and memory
arm drift, memory, and grip strength
arm drift, speech, and facial droop
facial droop, speech, and pupil size
When assessing for arm drift of a patient with a suspected stroke, you should:
observe movement of the arms for approximately 2 minutes
expect to see one arm slowly drift down to the patient’s side
ask the patient to close his or her eyes during the assessment
ask the patient to hold his or her arms up with the palms down
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic) therapy if he or she:
has had a prior heart attack
is older than 60 years of age
has a GCS score that is less than 8
has bleeding within the brain
The MOST significant risk factor for a hemorrhagic stroke is:
severe stress
hypertension
heavy exertion
diabetes mellitus
A patient who is experiencing aphasia is:
not able to swallow without choking
experiencing a right hemispheric stroke
unable to produce or understand speech
usually conscious but has slurred speech
Status epilepticus is characterized by:
generalized seizures that last less than 5 minutes
an absence seizure that is not preceded by an aura
profound tachycardia and total muscle flaccidity
prolonged seizures without a return of consciousness
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
a seizure
an acute stroke
respiratory distress
a febrile convulsion
Which of the following conditions would MOST likely affect the entire brain?
Blocked cerebral artery in the frontal lobe
Reduced blood supply to the left hemisphere
Ruptured cerebral artery in the occipital lobe
Respiratory failure or cardiopulmonary arrest
