FP-C - Flight Paramedic-Certification Advanced Neurological Emergencies Questions and Answers

Question 1

A flight crew is transporting a 45-year-old male who was involved in a high-speed motor vehicle collision.
The patient presents with a GCS of 6, an ipsilateral dilated and non-reactive pupil, and contralateral hemiparesis.
These findings are most indicative of which neurological emergency?

Accepted Answer

Uncal herniation

Answer

Central cord syndrome

Answer

Subdural hematoma

Answer

Autonomic dysreflexia

Question 2

A patient with a traumatic brain injury begins to exhibit Cushing's triad. Which of the following sets of vital signs correctly represents this phenomenon?

Accepted Answer

Hypertension, bradycardia, and irregular respirations

Answer

Hypotension, tachycardia, and irregular respirations

Answer

Hypertension, tachycardia, and bradypnea

Answer

Hypotension, bradycardia, and tachypnea

Question 3

A flight paramedic is managing a patient in status epilepticus who has been seizing for over 10 minutes. IV access is not yet established. According to current guidelines, what is the most appropriate initial intervention?

Accepted Answer

Administer 10 mg midazolam intramuscularly

Answer

Administer 4 mg lorazepam intravenously

Answer

Prepare for rapid sequence intubation immediately

Answer

Administer 1 g levetiracetam via an intraosseous line

Question 4

You are transporting a patient who was stabbed in the right side of his neck. He is experiencing ipsilateral (right-sided) loss of motor function, proprioception, and vibration sense, with contralateral (left-sided) loss of pain and temperature sensation below the level of the injury. This specific pattern of neurological deficit is known as:

Accepted Answer

Brown-Séquard Syndrome

Answer

Anterior Cord Syndrome

Answer

Central Cord Syndrome

Answer

Posterior Cord Syndrome

Question 5

During the management of a patient with a suspected aneurysmal subarachnoid hemorrhage (SAH), which of the following is a primary goal to prevent re-bleeding?

Accepted Answer

Strict blood pressure control, typically targeting a systolic BP < 160 mmHg

Answer

Maintaining a systolic blood pressure > 180 mmHg to ensure cerebral perfusion

Answer

Administering hypotonic fluids to hydrate brain tissue

Answer

Placing the patient in the Trendelenburg position to increase venous return

Question 6

A 68-year-old female presents with acute onset of left-sided facial droop and right arm weakness that began exactly 2 hours ago. Her blood glucose is 110 mg/dL and a non-contrast CT scan shows no hemorrhage. Which of the following is an absolute contraindication for the administration of intravenous alteplase (tPA) in this patient?

Accepted Answer

The patient's blood pressure is 190/115 mmHg

Answer

The patient has a history of a previous stroke 4 years ago

Answer

The patient reports a major surgery 3 weeks ago

Answer

The patient is 68 years old

A flight crew is transporting a 45-year-old male who was involved in a high-speed motor vehicle collision.The patient presents with a GCS of 6, an ipsilateral dilated and non-reactive pupil, and contralateral hemiparesis.These findings are most indicative of which neurological emergency?

A flight crew is transporting a 45-year-old male who was involved in a high-speed motor vehicle collision.
The patient presents with a GCS of 6, an ipsilateral dilated and non-reactive pupil, and contralateral hemiparesis.
These findings are most indicative of which neurological emergency?