1. When assessing a patient with a possible stroke, the priority of care is: a. b. c. d. identifying risk factors for stroke.

determining if there is a family history of stroke. recognizing the signs of a stroke. determining the type of stroke.

Answer: c Objective: 11 ! "eference: #!$ %. Which of the following is the best answer to the &'estion, (Are all stroke patients paralyzed on one side of their body)* a. b. c. d. (+es. ,oth the arm and leg on the same side will always be paralyzed.* (-o. .ome patients s'ffering a stroke will show no signs of paralysis at all.* (-o. /aralysis can occ'r on both sides of the body and in different limbs.* (-o. .ome stroke patients may have only slight weakness on one side of their bodies.*

Answer: d Objective: 11 0 "eference: #!$ #. When assessing a patient for abnormal speech, yo' sho'ld: a. b. c. d. ask the patient stick his tong'e straight o't. ask the patient to repeat a common phrase. see if one side of the patient1s mo'th is drooping. write &'estions on note cards for the patient to read.

Answer: b Objective: 11 0 "eference: #!$ 2. When assessing a patient for a facial droop, yo' sho'ld: a. b. c. d. palpate the face one side at a time. gently lift and then let go of the skin over the cheeks. ask the patient to show yo' his teeth or to smile. observe the patient1s ability to t'rn his head to the right and then to the left.

Answer: c Objective: 11 $ "eference: #!$ $. Which of the following instr'ctions to a possible stroke patient describes the proper proced're for assessing an arm drift) a. b. c. d. (3old yo'r arms 'p over yo'r head for %4 seconds.* (5rab my fingers with both hands and s&'eeze as hard as yo' can.* ("aise yo'r hands above yo'r head and close yo'r eyes.* (3old yo'r arms straight o't for 14 to 1$ seconds.*

Answer: d Objective: 11 $ "eference: #!2

0. Which of the following &'estions is critical for establishing a window of treatment for a patient who is weak and dizzy and may have s'ffered a stroke) a. b. c. d. (6oes yo'r father have a history of heart problems or stroke)* (What time did the weakness and dizziness start)* (What medications do yo' take)* (6o yo' have any pain in yo'r arms or legs)*

Answer: b Objective: 11 $ "eference: #!#, #!0 !. Which of the following pieces of information is assessed by the 7incinnati /rehospital .troke .cale) a. b. c. d. ,lood gl'cose level /resence or absence of facial droop 6'ration of symptoms Age of the patient

Answer: b Objective: 11 $ "eference: #!0 8. +o' have assessed a patient and fo'nd a patent airway, ade&'ate breathing, and a strong radial p'lse. 9he patient is having no diffic'lty speaking and no facial droop, b't e:hibits a slight left arm drift. +o' sho'ld interpret these findings as: a. b. c. d. not s'ggestive of a stroke. s'ggestive of a stroke only if the patient1s blood press're is also elevated. s'ggestive of a stroke only if the patient1s p'pils are not e&'al. s'ggestive that a stroke may be occ'rring.

Answer: d Objective: 11 $ "eference: #!$ ;. Which of the following statements shows that the speaker has an acc'rate 'nderstanding of assessment findings related to stroke) a. b. c. d. (<or a stroke to be s'spected, both arms m'st be e&'ally weak.* (=f one arm is weak, a stroke sho'ld be s'spected.* (A stroke sho'ld be s'spected only when one arm is paralyzed, not j'st weak.* (=f one arm is weak, stroke sho'ld be s'spected only if the patient1s blood press're is also elevated.*

Answer: b Objective: 11 $ "eference: #!2, #!$ 14. +o' have been called for a 0# year old woman with sl'rred speech and right arm weakness. On arrival, the patient informs yo' that the sl'rred speech and weakness have resolved. .ince yo'r assessment reveals no deficits, yo' wo'ld tell the patient: a. b. c. d. (=t wo'ld be best to start taking one baby aspirin every day> this will decrease the chance of this happening again.* (.ometimes seiz'res present this way> call yo'r doctor in the morning to sched'le an appointment.* (=f this happens again, wait 14 min'tes to see if yo' are okay. =f the symptoms don1t go away, call ;11.* (+o' really need to be eval'ated in the hospital. +o' co'ld be at risk for a f't're stroke.*

Answer: d Objective: 11 $ "eference: #!$, #84 11. +o'r assessment reveals a drooling 28 year old male to have g'rgling speech and left arm paralysis. Which of the following wo'ld be yo'r priority) a. b. c. d. .'ction the patient1s airway. /rotect the patient1s left arm. 6etermine the patient1s risk factors for stroke. ?onitor the patient1s blood press're.

Answer: a Objective: 11 $ "eference: #!! 1%. Which of the following events best describes an ischemic stroke) a. b. c. d. An artery in the brain has r'pt'red. ,lood has collected thro'gho't the brain tiss'e. A heart attack has occ'rred at the same time as a stroke. A blood clot has obstr'cted a blood vessel in the brain.

Answer: d Objective: 11 $ "eference: #!4 1#. Which of the following statements indicates that the speaker 'nderstands hemorrhagic strokes) a. b. c. d. (9hey occ'r when clots form in blood vessels in the brain.* (9hey occ'r when a blood vessel in the brain r'pt'res.* (9heir signs and symptoms generally resolve within %2 ho'rs.* (9hey can sometimes be treated by clot destroying medications.*

Answer: b Objective: 11 $ "eference: #!1 12. 9he signs and symptoms of a transient ischemic attack @9=AA: a. b. c. d. are temporary and resolve within %2 ho'rs. can persist for a few days before they resolve. are mild b't permanent. are severe and permanent.

Answer: a Objective: 11 $ "eference: #!1 1$. Which of the following statements indicates that the speaker has an acc'rate 'nderstanding of altered mental stat's @A?.A) a. b. (A?. describes any abnormal change in a person1s level of awareness.* (A?. occ'rs only when a patient is not responsive to verbal or painf'l stim'li.*

c. d.

(A?. sho'ld be s'spected only when a patient is on medications that can ca'se conf'sion.* (A?. is any mental state in a person with diabetes.*

Answer: a Objective: 11 1 "eference: #$0 10. +o'r patient is a !8 year old male who was fo'nd lying on a beginner slope. 9he patient is 'nresponsive with 'ne&'al p'pils and vital signs as follows: p'lse !8, respirations %4 and deep. 9he patient has a hematoma on the back of his head. Which one of the following wo'ld yo' do first) a. b. c. d. <ind a witness to tell yo' how the person got there. Apply a cervical collar. Bns're an open airway 'sing the jaw thr'st mane'ver. Cook for a medic alert tag.

Answer: c Objective: .'pplemental "eference: #!# 1!. +o'r patient is 'nresponsive and there is no evidence of tra'ma. Which piece of information given to yo' by the patient1s family is most important in relation to the treatment of a possible stroke) a. b. c. d. (3e forgot to take his blood thinner last night.* (We think he had too m'ch to drink last night.* (We noticed him acting oddly abo't ! p.m. last night.* (3e took some ib'profen last night for a fever and co'gh.*

Answer: c Objective: 11 0 "eference: #!# 18. 9he benefit of the 7incinnati /rehospital .troke .cale is that it: a. b. c. d. enables yo' to identify patients at risk for stroke. enables yo' to identify the type of stroke a patient is having. helps yo' predict the likelihood a patient will die from a stroke. helps yo' identify the probability that yo'r patient is having a stroke.

Answer: d Objective: 11 0 "eference: #!0 1;. +o' have been called for a seiz're emergency. +o' find an ad'lt female actively seizing with a bystander attempting to place a spoon between her teeth. 9he bystander tells yo' that he is trying to keep the person from biting her tong'e. Which one of the following wo'ld be an appropriate response) a. b. c. d. 9ell the bystander to contin'e trying to get the spoon in place. Ask the bystander to discontin'e his efforts and then t'rn the patient onto her side to facilitate the drainage of oral secretions. =nstr'ct the bystander to restrain the patient while yo' p't the spoon in place. 9ell the bystander that a padded tong'e blade works better.

Answer: b Objective: 11 2

"eference: #84 %4. A yo'ng boy tells yo' that his twin brother s'ffers from seiz'res and asks what he can do if he sees his brother conv'lsing. +o' sho'ld give him which one of the following instr'ctions) a. b. c. d. (?ove any moveable objects and f'rnit're away from him.* (3old him firmly against the floor 'ntil he stops seizing or 'ntil the B?9s arrive.* (=nsert a spoon into his mo'th to keep him from swallowing his tong'e.* (7all B?. only if the seiz're lasts more than 14 min'tes or he loses control of his bladder.*

Answer: a Objective: 11 2 "eference: #84 %1. As a general r'le, a seizing patient sho'ld be transported in what position) a. b. c. d. .'pine .emi <owler1s Cateral rec'mbent 9rendelenb'rg @shock positionA

Answer: c Objective: 11 2 "eference: #84 %%. After a delayed response, yo' arrive in the lodge and find a 0% year old female is still seizing. Which one of the following sho'ld yo' do first) a. b. c. d. Assess her airway and breathing. 6etermine if she has a seiz're history. Ascertain the d'ration of the seiz're. ?ove her to the aid room for f'rther assessment and then transport her to the hospital.

Answer: a Objective: 11 2 "eference: #84 %#. +o' are called the lodge to assess a # year old boy. 9he parents state that their son was playing with his brother and (blanked o't* and (stared off into space* for several seconds. 9hey deny any conv'lsing like movement. ,ased on this description, yo' wo'ld s'spect what type of seiz're) a. b. c. d. A febrile seiz're A simple partial seiz're A grand mal seiz're An absence seiz're

Answer: d Objective: 11 2 "eference: #02 %2. When performing a secondary assessment on a conf'sed patient, which of the following signs is most s'ggestive of a seiz're) a. b. ,r'ises on the arms A bitten tong'e

c. d.

/inpoint p'pils A slow heart rate

Answer: b Objective: 11 2 "eference: #!# %$. +o' have been called to the lodge for a behavioral emergency. When yo' arrive, yo' find a disheveled male in his forties sitting 'p against a wall. 3e is conf'sed and incontinent. ,ystanders state that he s'ddenly began to st'mble aro'nd and then fell to the gro'nd and was gr'nting and shaking. <rom this description, yo' wo'ld be s'spicio's of what condition) a. b. c. d. A generalized seiz're A diabetic reaction An absence seiz're A syncopal episode

Answer: a Objective: 11 2 "eference: #02 %0. .tat's epileptic's is best differentiated from a generalized seiz're by: a. b. c. d. the d'ration of the seiz're. the length of the postictal period. the presence of an a'ra prior to seizing. a pre e:isting history of seiz'res.

Answer: a Objective: 11 2 "eference: #0$ %!. 6'ring the initial part of a generalized seiz're, some patients e:perience a@nA: a. b. c. d. syncopal stage. a'ra. clonic phase. postictal state.

Answer: b Objective: 11 2 "eference: #02 %8. Which of the following statements indicates that the speaker 'nderstands the danger posed by stat's epileptic's) a. b. c. d. (.tat's epileptic's is an e:tremely dangero's condition beca'se the patient can go into shock from blood loss.* (/atients who do not have a history of seiz'res are at greater risk for stat's epileptic's.* (9he longer the seiz're contin'es, the greater the likelihood of permanent brain damage.* (.tat's epileptic's indicates that the patient1s medications have reached to:ic levels in the body.*

Answer: c Objective: 11 2 "eference: #0$ %;. Which of the following statements concerning the ca'sation of seiz'res is correct)

a. b. c. d.

A seiz're occ'rs when the heart beats irreg'larly, ca'sing a decreased amo'nt of o:ygen rich blood to reach the brain. All seiz'res are ca'sed by epilepsy, a term that describes a problem somewhere in the body. A seiz're condition is a m'scle problem that ca'ses the arms and legs to jerk. A seiz're occ'rs when there is an electrical dist'rbance in the brain.

Answer: d Objective: 11 2 "eference: #0# #4. =n the mnemonic AB=OD 9=/., the A stands for: a. b. c. d. A636 and alcohol. alcohol and acidosis. acidosis and anemia. abscess and acidosis.

Answer: b Objective: 11 % "eference: #01, #!! #1. =n the mnemonic AB=OD 9=/., the B stands for: a. b. c. d. epilepsy, environment, and electrolyte imbalance. edema, electrolyte imbalance, and endocarditis. epilepsy, echovir's, and environment. electrolyte imbalance, environment, and echovir's.

Answer: a Objective: 11 % "eference: #01, #!8 #%. =n the mnemonic AB=OD 9=/., the first = stands for: a. b. c. d. impetigo. infantile ne'roa:onal dystrophy. ins'lin. interstitial cystitis.

Answer: c Objective: 11 % "eference: #01, #!8 ##. =n the mnemonic AB=OD 9=/., the O stands for: a. b. c. d. osteosarcoma and o:ygen. o:ygen and overdose. overdose and olig'ria. overdose and otitis.

Answer: b Objective: 11 % "eference: #01, #!; #2. =n the mnemonic AB=OD 9=/., the D stands for:

a. b. c. d.

'rticaria. 'sher syndrome. 'lcers. 'remia.

Answer: d Objective: 11 % "eference: #01, #!; #$. =n the mnemonic AB=OD 9=/., the 9 stands for: a. b. c. d. thyroiditis and thrombophlebitis. tra'ma and t'mors. thrombophlebitis and tinnit's. tra'ma and thrombophlebitis.

Answer: b Objective: 11 % "eference: #01, #!; #0. =n the mnemonic AB=OD 9=/., the second = stands for: a. b. c. d. insomnia. impetigo. interstitial cystitis. infection.

Answer: d Objective: 11 % "eference: #01, #84 #!. =n the mnemonic AB=OD 9=/., the / stands for: a. b. c. d. parathyroid disorders and /arkinson1s disease. parathyroid disorders and psychiatric conditions. /arkinson1s disease and peripheral nerve disorder. poisoning and psychiatric conditions.

Answer: d Objective: 11 % "eference: #01, #84 #8. =n the mnemonic AB=OD 9=/., the . stands for: a. b. c. d. steroids, seiz're, and sin'sitis. seiz're, stroke, and syncope. .jogren1s syndrome, seiz're, and sin'sitis. sickle cell anemia, .jogren1s syndrome, and steroids.

Answer: b Objective: 11 % "eference: #01, #84 #;. 9he part of the brain that is responsible for emotion, tho'ght, speech, integration, and memory is the:

a. b. c. d.

brain stem. cerebell'm. cerebr'm. thalam's.

Answer: c Objective: .'pplemental "eference: #$0 #$! 24. 9he part of the brain that controls basic f'nctions necessary for life is the: a. b. c. d. brain stem. cerebell'm. cerebr'm. thalam's.

Answer: a Objective: .'pplemental "eference: #$0 21. 9he part of the brain that controls balance and coordination is the: a. b. c. d. brain stem. cerebell'm. cerebr'm. thalam's.

Answer: b Objective: .'pplemental "eference: #$0 2%. =ns'lin: a. b. c. d. enables transfer of gl'cose from blood into cells increases the level of gl'cose circ'lating in the blood. makes gl'cosamine work better as an energy so'rce. increases the transfer of s'gar from the stomach and small intestine to the bloodstream.

Answer: a Objective: 11 # "eference: #$8 2#. 9he primary problem in 9ype == diabetes is that: a. b. c. d. s'gars cannot be easily digested in the stomach and small intestine. cells e:hibit resistance to ins'lin. ins'fficient ins'lin is prod'ced. too m'ch ins'lin is prod'ced.

Answer: b Objective: 11 # "eference: #0! 22. Which of the following actions may res'lt in hypoglycemia in a diabetes patient)

a. b. c. d.

<ail're to take ins'lin or an oral diabetes medication Cack of e:ercise ?issing a meal Overeating

Answer: c Objective: 11 # "eference: #0! 2$. 3yperglycemia: a. b. c. d. has a more grad'al onset than hypoglycemia. is preceded by an a'ra, s'ch as hall'cinations or detecting 'n's'al odors. has a more rapid onset than hypoglycemia. is more easily treated in prehospital environments than is hypoglycemia.

Answer: a Objective: 11 # "eference: #0; 20. 5l'cose: a. b. c. d. assists the pancreas in the man'fact're of ins'lin. is an energy so'rce for brain cells and other cells in the body. is an essential b'ilding block for body tiss'es s'ch as m'scle and bone. allows the body to 'se ins'lin.

Answer: b Objective: 11 # "eference: #0$