CEP Neurological Emergencies & Stroke Management 2

Question 1

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

Accepted Answer

Ischemic stroke

Answer

Hemorrhagic stroke

Answer

Subarachnoid hemorrhage

Answer

Lacunar infarct only

Question 2

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

Accepted Answer

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

Answer

Administering another dose of benzodiazepines prophylactically

Answer

Performing immediate endotracheal intubation regardless of airway status

Answer

Administering phenytoin IV to prevent recurrence en route

Question 3

Todd's paralysis refers to:

Accepted Answer

Transient focal weakness following a seizure

Answer

Permanent hemiplegia following hemorrhagic stroke

Answer

Spastic paralysis from spinal cord compression

Answer

Bilateral leg weakness during status epilepticus

Question 4

A patient with suspected subarachnoid hemorrhage typically reports:

Accepted Answer

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

Answer

Gradual onset headache worsening over several days

Answer

Dull occipital headache with neck stiffness lasting one week

Answer

Migraine-like headache with visual aura and nausea

Question 5

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

Accepted Answer

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

Answer

Elevate the head of the stretcher to 45 degrees

Answer

Place the patient in Trendelenburg position to increase cerebral blood flow

Answer

Sit the patient fully upright at 90 degrees to reduce ICP

Question 6

The FAST acronym used for public stroke recognition stands for:

Accepted Answer

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

Answer

Facial pallor, Ataxia, Seizure, Temperature

Answer

Focal deficit, Altered mental status, Slurred speech, Tachycardia

Answer

Face symmetry, Arm grip, Speech clarity, Triage priority

Question 7

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

Accepted Answer

Aggressively lowering blood pressure with IV antihypertensives in the prehospital setting

Answer

Administering supplemental oxygen if SpO2 is below 94%

Answer

Establishing IV access and drawing blood samples

Answer

Performing a point-of-care blood glucose check