NREMT Neurological Emergencies & Stroke Care 2

Question 1

A patient presents with sudden onset of facial droop, arm weakness, and slurred speech. Using the Cincinnati Prehospital Stroke Scale, which finding is NOT one of the three assessed?

Accepted Answer

Pupillary response

Answer

Facial droop

Answer

Arm drift

Answer

Speech

Question 2

A patient with a suspected stroke has a blood glucose reading of 45 mg/dL. The EMT's priority should be:

Accepted Answer

Perform the Cincinnati Stroke Scale and contact medical direction about glucose treatment

Answer

Transport immediately to the stroke center without treating the hypoglycemia

Answer

Administer oral glucose if the patient can swallow and is alert enough

Answer

Wait for ALS backup before treating

Question 3

What is the significance of establishing the 'last known well' time for a potential stroke patient?

Accepted Answer

It establishes the window for thrombolytic (tPA) therapy eligibility

Answer

It determines whether the patient qualifies for pain medication

Answer

It tells the receiving hospital when the patient last ate

Answer

It determines how fast the EMT needs to drive to the hospital

Question 4

A patient has a seizure that lasts 3 minutes and then stops. Upon your arrival, the patient is confused and difficult to arouse. This postictal state typically:

Accepted Answer

Is a normal period of altered consciousness following a seizure that usually resolves over minutes to hours

Answer

Indicates the patient has had a stroke

Answer

Means the patient needs immediate CPR

Answer

Suggests the patient is faking symptoms

Question 5

Which of the following is the priority intervention for a patient actively seizing?

Accepted Answer

Protect the patient from injury and maintain airway patency

Answer

Insert an oral airway to prevent tongue swallowing

Answer

Restrain the patient's extremities to prevent injury

Answer

Administer high-flow oxygen via non-rebreather mask immediately

Question 6

A patient complains of the 'worst headache of my life' with sudden onset. This presentation should increase the EMT's suspicion for:

Accepted Answer

Subarachnoid hemorrhage

Answer

Tension headache

Answer

Migraine with aura

Answer

Cluster headache

A patient presents with sudden onset of facial droop, arm weakness, and slurred speech.Using the Cincinnati Prehospital Stroke Scale, which finding is NOT one of the three assessed?

A patient presents with sudden onset of facial droop, arm weakness, and slurred speech.
Using the Cincinnati Prehospital Stroke Scale, which finding is NOT one of the three assessed?