Question

questions 25–29 are derived from the following scenario: you are called to a home and find a 56 - year - old woman supine in her bed. she appears alert but has slurred speech. her family tells you she has a history of tias and hypertension. her vital signs are as follows: blood pressure 174/116, heart rate 112 beats/minute, respiratory rate 16 breaths/minute, spo₂ 95%, and blood glucose 97 mg/dl. 25. how would you best determine the probability of this patient having a stroke? a. by using avpu b. by using the cincinnati prehospital stroke scale c. by using the glasgow coma scale d. by assessing her blood glucose 26. which of the following would not be pertinent information regarding her condition? a. knowing the time of onset of symptoms b. gathering a list of patient medications c. determining if the patient has a facial droop d. asking the patient about childhood illnesses 27. you ask the patient, “what day is it today?” her reply is “butterfly.” which area of the brain is likely affected? a. occipital lobe b. left hemisphere c. cerebellum d. right hemisphere

Explanation:

• Question 25: The Cincinnati Prehospital Stroke Scale is used to assess the probability of a stroke in the pre - hospital setting. AVPU is for assessing level of consciousness, Glasgow Coma Scale is for coma assessment, and blood glucose assessment is for diabetes - related issues, not for stroke probability directly.
• Question 26: Childhood illnesses are generally not directly relevant to the current stroke - like condition. Time of onset helps in treatment decisions, list of medications can affect treatment and diagnosis, and facial droop is a key stroke symptom.
• Question 27: Language - related deficits like this are often associated with damage to the left hemisphere of the brain, which is dominant for language in most people.

Answer:

1. B. By using the Cincinnati Prehospital Stroke Scale
2. D. Asking the patient about childhood illnesses
3. B. Left hemisphere