Question 1

The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which of the following?

Accepted Answer

A)   Transient ischemic attack
B)   Stroke
C)   Aphasia
D)   SeizureE) C) and D)
F) All of the above

Question 2

Which of the following is the most critical piece of equipment to have immediately available for the seizure patient who has just stopped convulsing?

Accepted Answer

A)   Suction
B)   Cervical collar
C)   Glucometer
D)   Bite blockE) C) and D)
F) A) and B)

Question 3

Which of the following is within the EMT's scope of practice for the treatment of the diabetic patient?

Accepted Answer

A)   Assisting the patient with the administration of his insulin
B)   Administration of oral glucose
C)   Rectal administration of glucose
D)   Both A and BE) A) and B)
F) A) and C)

Question 4

Most of the diabetic emergencies that you will be called to deal with will be related to hypoglycemia.However,occasionally you will experience an instance of hyperglycemia.In the list below,which item is NOT likely to be a sign or symptom of hyperglycemia?

Accepted Answer

A)   Chronic thirst
B)   Excessive urination
C)   Reduced rate of breathing
D)   NauseaE) A) and C)
F) A) and B)

Question 5

Your patient is a 21-year-old female with a history of epilepsy.She is having a convulsion upon your arrival.Which of the following should you do?

Accepted Answer

A)   Insert a bite block, cloth, wallet, or similar item between the patient's teeth to prevent her from biting her tongue.
B)   Move furniture and other objects away from the patient to prevent injury.
C)   Restrain the patient's extremities to prevent injury from flailing of the arms and legs.
D)   Place a tongue depressor or spoon in the back of the mouth to prevent the patient from swallowing her tongue.E) B) and D)
F) C) and D)

Question 6

The condition in which there is an insufficient amount of sugar in the blood is called:

Accepted Answer

A)   diabetic coma.
B)   hypoglycemia.
C)   hyperglycemia.
D)   diabetic ketoacidosis.E) C) and D)
F) A) and D)

Question 7

Your patient is a 59-year-old female with a sudden onset of slurred speech and weakness on her right side.Which of the following measures is appropriate?

Accepted Answer

A)   Test the patient's sensation with a series of pinpricks, beginning at the feet and working upward.
B)   Keep the patient in a supine position.
C)   Immediately transport the patient to a hospital with specialized treatment for stroke patients.
D)   Administer oral glucose and then assess the patient's blood sugar.E) A) and B)
F) A) and C)

Question 8

Which of the following is a standardized test to evaluate a conscious patient for possible stroke?

Accepted Answer

A)   Michigan TIA Assessment
B)   The Numbness-Aphasia-Paralysis (NAP)  Test
C)   Cincinnati Prehospital Stroke Scale
D)   The Functional Analysis Stroke TestE) A) and B)
F) A) and C)

Question 9

Compared to hypoglycemia,which of the following is true of hyperglycemia?

Accepted Answer

A)   Its onset is more sudden.
B)   Its onset is more gradual.
C)   Its onset is preceded by an aura, such as hallucinations or detecting unusual odors.
D)   It is more easily treated in the prehospital environment than hypoglycemia.E) A) and D)
F) A) and C)

Question 10

A hormone called insulin is secreted by the:

Accepted Answer

A)   islets of Langerhans in the liver.
B)   gallbladder found in the pancreas.
C)   islets of Langerhans in the pancreas.
D)   None of the above.E) A) and B)
F) A) and C)

Question 11

Which of the items below is NOT part of the Cincinnati Prehospital Stroke Scale?

Accepted Answer

A)   Test for equal grip strength.
B)   Ask the patient to smile.
C)   Have the patient repeat a simple sentence.
D)   Test the patient for arm droop or lack of movement.E) None of the above
F) C) and D)

Question 12

The medical term for fainting is:

Accepted Answer

A)   syncope.
B)   altered RAS status.
C)   dehydration.
D)   vertigo.E) All of the above
F) B) and C)

Question 13

Which of the following BEST describes status epilepticus?

Accepted Answer

A)   A seizure involving convulsions on only one side of the body
B)   A seizure that occurs without a known cause
C)   A period of drowsiness following tonic-clonic seizures
D)   Two or more seizures with tonic-clonic activity without an intervening period of consciousnessE) B) and D)
F) B) and C)

Question 14

Which of the following is a typical cause of seizures in children 6 months to 3 years of age?

Accepted Answer

A)   Administration of glucose to a hyperglycemic patient
B)   Fever
C)   Asthma
D)   Chest painE) B) and D)
F) B) and C)

Question 15

Which of the following is NOT a sign or symptom of stroke?

Accepted Answer

A)   Chest pain
B)   Vomiting
C)   Sudden impairment of vision
D)   SeizureE) B) and D)
F) B) and C)

Question 16

Your patient is a 19-year-old female who is 7 months pregnant.She just experienced a seizure.Although she has no previous history of seizures or any other medical condition,she was just diagnosed with pregnancy-induced hypertension.Which of the following is the most likely cause of the seizure?

Accepted Answer

A)   Trauma
B)   Hypoglycemia
C)   Eclampsia
D)   Any of the aboveE) C) and D)
F) A) and B)

Question 17

For the EMT,which of the following is the most important question to ask of a diabetic patient or his family members?

Accepted Answer

A)   When was the last time you had something to eat?
B)   Do you have a fruity taste in your mouth?
C)   Do you have a family history of diabetes?
D)   What kind of insulin do you take?E) B) and D)
F) All of the above

Question 18

The signs and symptoms of a transient ischemic attack (TIA) may last up to:

Accepted Answer

A)   1 hour.
B)   30 minutes.
C)   24 hours.
D)   6 hours.E) A) and B)
F) All of the above

Question 19

When assessing a patient for a possible stroke,which of the following three functions should be tested by the EMT?

Accepted Answer

A)   Memory, ability to speak, and ability to track movement with the eyes
B)   Ability to walk, control of facial muscles, and balance
C)   Control of facial muscles, ability to speak, and ability to hold both arms in an extended position for 10 seconds
D)   Ability to walk, ability to hold both arms in an extended position for 10 seconds, and ability to name common objectsE) A) and B)
F) A) and C)

Question 20

Your patient is a 70-year-old man whose wife called EMS because her husband began exhibiting unusual behavior.Upon your arrival you introduce yourself to the patient,who responds,"Not until nine o'clock." This phenomenon is BEST described as:

Accepted Answer

A)   receptive aphasia.
B)   disorientation to time.
C)   unresponsive to verbal stimuli.
D)   expressive aphasia.E) A) and D)
F) A) and C)

Exam 19: Diabetic Emergencies and Altered Mental Status

Your patient is a 70-year-old man whose wife called EMS because her husband began exhibiting unusual behavior.Upon your arrival you introduce yourself to the patient,who responds,"Not until nine o'clock." This phenomenon is BEST described as:

Correct AnswerverifiedShow Answer

Which of the following is a standardized test to evaluate a conscious patient for possible stroke?

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The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which of the following?

Correct AnswerverifiedShow Answer

Which of the following is a typical cause of seizures in children 6 months to 3 years of age?

Correct AnswerverifiedShow Answer

The signs and symptoms of a transient ischemic attack (TIA) may last up to:

Correct AnswerverifiedShow Answer

When assessing a patient for a possible stroke,which of the following three functions should be tested by the EMT?

Correct AnswerverifiedShow Answer

Compared to hypoglycemia,which of the following is true of hyperglycemia?

Correct AnswerverifiedShow Answer

Your patient is a 19-year-old female who is 7 months pregnant.She just experienced a seizure.Although she has no previous history of seizures or any other medical condition,she was just diagnosed with pregnancy-induced hypertension.Which of the following is the most likely cause of the seizure?

Correct AnswerverifiedShow Answer

Which of the following is NOT a sign or symptom of stroke?

Correct AnswerverifiedShow Answer

Your patient is a 21-year-old female with a history of epilepsy.She is having a convulsion upon your arrival.Which of the following should you do?

Correct AnswerverifiedShow Answer

Which of the items below is NOT part of the Cincinnati Prehospital Stroke Scale?

Correct AnswerverifiedShow Answer

A hormone called insulin is secreted by the:

Correct AnswerverifiedShow Answer

The medical term for fainting is:

Correct AnswerverifiedShow Answer

Most of the diabetic emergencies that you will be called to deal with will be related to hypoglycemia.However,occasionally you will experience an instance of hyperglycemia.In the list below,which item is NOT likely to be a sign or symptom of hyperglycemia?

Correct AnswerverifiedShow Answer

Which of the following is the most critical piece of equipment to have immediately available for the seizure patient who has just stopped convulsing?

Correct AnswerverifiedShow Answer

For the EMT,which of the following is the most important question to ask of a diabetic patient or his family members?

Correct AnswerverifiedShow Answer

The condition in which there is an insufficient amount of sugar in the blood is called:

Correct AnswerverifiedShow Answer

Your patient is a 59-year-old female with a sudden onset of slurred speech and weakness on her right side.Which of the following measures is appropriate?

Correct AnswerverifiedShow Answer

Which of the following BEST describes status epilepticus?

Correct AnswerverifiedShow Answer

Which of the following is within the EMT's scope of practice for the treatment of the diabetic patient?

Correct AnswerverifiedShow Answer

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