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Terms in this set (31)
Your patient states that he often experiences a painful cramping and "freezing up" of his hands and feet while handwriting or walking, respectively. This best describes
Which of the following is caused by unilateral paralysis of cranial nerve VII?
Your patient is a 45-year-old female type I diabetic with a history of a nonhealing foot ulcer. On examination, you find that her pedal pulse is present, but she lacks sensation in her foot. This is most likely due to:
You have been called for a 46-year-old female complaining of a headache. Which of the following statements made by the patient should you find most concerning?
"I have never had a headache this bad."
Your patient is a 32-year-old female who is alert but in significant distress, complaining of a migraine. She has a history of migraines, describes a gradual onset of headache this morning, and is now experiencing nausea and intense throbbing pain behind her temples. She is lying on a couch in a dim room and keeps her eyes closed while talking to you in a low voice. HR = 100, BP = 148/100, RR = 12, SaO2= 99%. Which of the following is MOST appropriate in the prehospital management of this patient?
A calm, quiet environment and dim lights
Your patient is a 62-year-old female who is alert and oriented and sitting at her kitchen table. Her husband describes an episode of slurred speech and facial drooping that lasted about 10 minutes and resolved just before your arrival. Physical examination is unremarkable. She has no significant medical history and takes no medications. HR = 78, BP = 134/78, RR = 12, SaO2 = 99%. Which of the following is most likely?
Transient ischemic attack
Which of the following infectious childhood diseases would most likely result in paralysis?
A seizure that begins as an aberrant electrical discharge in a small area of the brain but spreads to include the entire cerebral cortex is a ________ seizure.
Which of the following should be suspected as a potential cause of syncope?
All of the above
Your patient is a 24-year-old male who is alert and oriented, complaining of severe "dizziness" and an earache for two days. He states that any movement of his head causes him to become very dizzy and nauseated. The patient's skin is warm and dry, his pupils are equal and reactive, and there is no gross neurological deficit. HR = 82, BP = 120/82, RR = 12, SaO2 = 99%. Which of the following is most likely?
You suspect your patient is experiencing a hemorrhagic stroke. He is confused, has a respiratory rate of 20, and a blood pressure of 178/88. Which of the following additional findings would most increase your suspicion of increased intracranial pressure?
Heart rate of 50
You are transporting a male patient to the hospital for an evaluation after a possible seizure when you notice the patient's loss of consciousness. His muscles start to contract so that he is arching his back. This best describes the ________ phase of a generalized seizure.
Your patient has a history of epilepsy and is experiencing loss of consciousness, tonic-clonic muscle activity, and erratic ocular movement. Based on this, you might also expect to find all of the following EXCEPT:
Which of the following is a collection of genetic diseases characterized by progressive muscle weakness and skeletal muscle degeneration?Which of the following is a collection of genetic diseases characterized by progressive muscle weakness and skeletal muscle degeneration?
The most common cause of lower back pain is:
A 35-year-old male complains of a "pressure"-type headache to the back of his head and neck. He states that he woke up with the discomfort this morning, and the pain has steadily gotten worse through the day. He denies any radiation of the pain and denies photophobia but states that he is slightly nauseated. Based on this clinical presentation, the paramedic should be suspicious of what type of headache?
Which of the following diseases involves inflammation followed by demyelination of the brain and spinal cord nerve fibers?
A type of generalized seizure characterized by a rapid loss of consciousness and motor coordination, muscle spasms, and jerking motions is known as a(n):
Your patient is a 64-year-old male who is alert and oriented and visibly upset, sitting on a bench in a shopping mall and complaining of weakness. He describes an acute onset of left-sided weakness in his arm and leg that made it difficult for him to walk. Physical examination reveals noticeable left-side weakness, PEARL, skin warm and dry. HR = 104, BP = 132/96, RR = 12, SaO2 = 97%. Which of the following is most appropriate?
100 percent oxygen by nonrebreather mask, blood glucose determination, transport without delay
Which of the following should be part of the general management of a patient with altered mental status?
IV of NS KVO
Your patient is a 32-year-old male who is alert and oriented and complaining of severe pain. He states he has a history of disk herniation. Today, he experienced an acute onset of lower back pain while lifting a heavy box. Physical examination reveals a palpable muscle spasm and pain with palpation at the level of L4 and L5. He is lying on his right side and states that the pain is too severe for him to move. HR = 132, BP = 152/104, RR = 20, SaO2= 99%. Which of the following would NOT be appropriate?
Right lateral recumbent position on a long backboard for transport
An eight-year-old male child is alert and oriented after a brief episode of eyelid fluttering and slight loss of muscle tone, which caused him to slump in his chair. His teacher reports that the child was inattentive for 15 to 20 seconds during the episode but was fine after. This most indicates a(n) ________ seizure.
Your patient is a 57-year-old male who is alert and oriented and complaining of a slight headache. His coworker states the patient "fainted." The patient describes feeling weak and lightheaded before the incident and "came to" lying on the floor. Medical history includes cardiovascular disease with a history of angina and hypertension. Medications include clopidogrel (Plavix), nitroglycerin, and metoprolol. Which of the following is LEAST helpful when formulating a field impression for this patient?
Your patient is a 72-year-old male with a history of coronary artery disease and atrial fibrillation. He complains of a sudden onset of blindness in his right eye. He is noncompliant with both his digitalis and coumadin. He is alert and oriented. HR = 112, irregular; BP = 154/94; RR = 16. Which of the following is LEAST likely?
Which of the following patients is the most likely candidate for fibrinolytic therapy to treat a stroke?
67-year-old female who called EMS as soon as she noticed difficulty speaking but shows no improvement with prehospital treatment
You are transporting a male patient with the complaint of expressive aphasia and right upper extremity paralysis to the hospital. When calling the hospital, which of the following pieces of information is it most critical to convey?
Time of symptom onset
All of the following are assessed during the Cincinnati Prehospital Stroke Screen EXCEPT:
The father of a 15-year-old male who has had a generalized seizure asks you why his son turned blue during the seizure. Which of the following is the best answer?
"The muscles used in breathing cannot work effectively during the seizure, decreasing the amount of oxygen in the blood."
While you are caring for a patient on the floor of her kitchen, she begins to have a generalized seizure. Which of the following is the most appropriate first action?
Move objects away from her and wait to see if the seizure stops
What neurological problem results in a birth defect in which the fetal vertebrae do not close properly, often resulting in spinal cord dysfunction?
Which of the following diseases is most likely to cause dementia in the patient?
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