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Neurological Emergencies & Stroke Management Flashcards

7 cards from real CEP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which type of stroke accounts for approximately 87% of all strokes?

    Answer: Ischemic stroke

    Ischemic stroke, caused by arterial occlusion (thrombotic or embolic), accounts for approximately 87% of all strokes.

  2. A patient who has had a seizure is now postictal. Appropriate prehospital management includes:

    Answer: Placing in the recovery position and continuously monitoring airway, breathing, and circulation

    During the postictal state, recovery positioning protects the airway while continuous ABCs monitoring guides further intervention; medications are reserved for recurring seizures.

  3. Todd's paralysis refers to:

    Answer: Transient focal weakness following a seizure

    Todd's paralysis is a temporary focal neurological deficit, most commonly weakness, following a focal seizure, typically resolving within 24 hours.

  4. A patient with suspected subarachnoid hemorrhage typically reports:

    Answer: Sudden onset 'thunderclap' headache described as the worst of their life

    Subarachnoid hemorrhage classically presents with a sudden-onset thunderclap headache — the worst headache of the patient's life — from blood rapidly filling the subarachnoid space.

  5. When transporting a patient with suspected acute ischemic stroke, you should:

    Answer: Keep the head flat or at 15–30 degrees and transport rapidly to a stroke center

    Current guidelines recommend supine or slight head elevation (15–30°) to maintain cerebral perfusion pressure during rapid transport to a stroke-capable facility.

  6. The FAST acronym used for public stroke recognition stands for:

    Answer: Face drooping, Arm weakness, Speech difficulty, Time to call 911

    FAST stands for Face drooping, Arm weakness, Speech difficulty, and Time to call 911, offering a simple tool to rapidly recognize stroke symptoms.

  7. Which intervention is contraindicated in a patient with suspected ischemic stroke who has a BP of 195/105 mmHg?

    Answer: Aggressively lowering blood pressure with IV antihypertensives in the prehospital setting

    Aggressive prehospital BP reduction in ischemic stroke is contraindicated because elevated BP may be compensatory to maintain perfusion in the ischemic penumbra.