2024 EMT JBL Module 4 Form B Practice Exam New Full Exam Questions and Answers ( Included ) 100% Correct
- A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before
- He is currently not prescribed any medications
- His Glasgow Coma Scale (GCS) score is 15
- He has experienced seizures since he was 20
- His wife states that this was his "usual" seizure
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?
Answer: A. He is currently not prescribed any medications
- A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic
(fibrinolytic) therapy if he or she:
- has bleeding within the brain.
- has a GCS score that is less than 8.
- has had a prior heart attack.
- is older than 60 years of age.
Answer: A. has bleeding within the brain
- A patient whose speech is slurred and difficult to understand is experiencing:
- dysphagia.
- dysarthria.
- paraplegia.
- aphasia.
Answer: B. dysarthria.
4. A patient with an altered mental status is:
- 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.
- completely unresponsive to all forms of stimuli.
Answer: C. not thinking clearly or is incapable of being aroused.
- During the primary assessment of a semiconscious 70-year-old female, you should:
- ensure a patent airway and support ventilation as needed. 1 / 3
- insert a nasopharyngeal airway and assist ventilations.
- ask family members if the patient has a history of stroke.
- immediately determine the patient's blood glucose level.
Answer: A. ensure a patent airway and support ventilation as needed.
- Interruption of cerebral blood flow may result from all of the following, EXCEPT:
- a thrombus.
- an embolism.
- an acute arterial rupture.
- cerebral vasodilation.
Answer: D. cerebral vasodilation.
7. The left cerebral hemisphere controls:
- the right side of the body.
- heart rate and pupil reaction.
- breathing and blood pressure.
- the right side of the face.
Answer: A. the right side of the body.
8. The MOST significant risk factor for a hemorrhagic stroke is:
- diabetes mellitus.
- heavy exertion.
- hypertension.
- severe stress.
Answer: C. hypertension.
9. The three major parts of the brain are the:
- cerebrum, cerebellum, and brain stem.
- cerebellum, medulla, and occiput.
- brain stem, midbrain, and spinal cord.
- midbrain, cerebellum, and spinal cord.
Answer: A. cerebrum, cerebellum, and brain stem.
- When assessing for arm drift of a patient with a suspected stroke, you should:
- ask the patient to close his or her eyes during the assessment.
- expect to see one arm slowly drift down to the patient's side.
- observe movement of the arms for approximately 2 minutes. 2 / 3
- ask the patient to hold his or her arms up with the palms down.
Answer: A. ask the patient to close his or her eyes during the assessment.
- When caring for a patient with documented hypoglycemia, you should be MOST alert for:
- an acute stroke.
- a seizure.
- respiratory distress.
- a febrile convulsion.
Answer: B. a seizure.
- When you are obtaining medical history from the family of a suspected stroke patient, it is
MOST important to determine:
- if there is a family history of a stroke.
- if the patient has been hospitalized before.
- when the patient last appeared normal.
- the patient's overall medication compliance.
Answer: C. when the patient last appeared normal
- Which of the following conditions would be the LEAST likely to mimic the signs and
symptoms of a stroke?
- Intracranial bleeding
- A postictal state
- Hypoglycemia
- Hypovolemia
Answer: D. Hypovolemia
- Which of the following conditions would MOST likely affect the entire brain?
- Reduced blood supply to the left hemisphere
- Ruptured cerebral artery in the occipital lobe
- Respiratory failure or cardiopulmonary arrest
- Blocked cerebral artery in the frontal lobe
Answer: C. Respiratory failure or cardiopulmonary arrest
- Which of the following MOST accurately describes a simple partial seizure?
- A seizure that is not preceded by an aura
- A generalized seizure without incontinence
- A seizure that causes the patient to stare blankly
- / 3