The three major parts of the brain are the:
A. cerebellum, medulla, and occiput.
B. midbrain, cerebellum, and spinal cord.
C. brain stem, midbrain, and spinal cord.
D. cerebrum, cerebellum, and brain stem.
The MOST significant risk factor for a hemorrhagic stroke is:
A. severe stress.
C. diabetes mellitus.
D. heavy exertion.
The left cerebral hemisphere controls:
A. the right side of the face.
B. the right side of the body.
C. breathing and blood pressure.
D. heart rate and pupil reaction.
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
A. a thrombus.
B. an embolism.
C. cerebral vasodilation.
D. an acute arterial rupture.
During the primary assessment of a semiconscious 70-year-old female, you should:
A. ask family members if the patient has a history of stroke.
B. insert a nasopharyngeal airway and assist ventilations.
C. immediately determine the patient’s blood glucose level.
D. ensure a patent airway and support ventilation as needed.
A patient with an altered mental status is:
A. usually able to be aroused with a painful stimulus.
B. not thinking clearly or is incapable of being aroused.
C. typically alert but is confused as to preceding events.
D. completely unresponsive to all forms of stimuli.
A patient whose speech is slurred and difficult to understand is experiencing:
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport?
A. His Glasgow Coma Scale (GCS) score is 15
B. He is currently not prescribed any medications
C. His wife states that this was his “usual” seizure
D. He has experienced seizures since he was 20
You are attending to a 27-year-old male driver of a car. According to his passenger, the patient had been acting strangely while driving, then slumped forward against the steering wheel, apparently unconscious. The car drove off the road and struck a telephone pole. The patient remains unconscious, and physical assessment reveals only a large hematoma on his right forehead with no other physical signs. Your patient is a diabetic who had been under a lot of stress lately and may have missed meals. This is an example of a:
A. combination of a medical and trauma emergency.
B. medical emergency.
C. trauma emergency.
D. combination of a psychiatric and trauma emergency.
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