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Chapter 19: Neurologic Emergencies Practice Questions

About this Chapter 19 practice test

Part of the Medical Emergencies practice questions exam area.

This page holds 300 free practice questions for Chapter 19, Neurologic Emergencies, covering neurologic assessment, stroke and TIA, seizures, altered mental status, headache, syncope, dementia and delirium, and neuromuscular disorders. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.

Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.

Topics covered in Chapter 19

Sample questions from this chapter

Which part of the brain is primarily responsible for coordination of movement and balance?

  1. A. Medulla oblongata
  2. B. Cerebellum
  3. C. Thalamus
  4. D. Hypothalamus

Answer: B. Cerebellum
The cerebellum coordinates fine motor movement, posture, and balance. The medulla controls vital functions such as respiration and heart rate.

You find a 70-year-old man slumped in a chair, unresponsive to voice. Which assessment step comes first?

  1. A. Assess the airway and breathing
  2. B. Obtain a full Glasgow Coma Scale score
  3. C. Perform a Cincinnati stroke screen
  4. D. Check pupils with a penlight

Answer: A. Assess the airway and breathing
The primary survey always comes first; neurologic scoring and detailed exam follow once immediate life threats to the ABCs are addressed.

Under the current tissue-based definition, a transient ischemic attack is:

  1. A. Any deficit lasting under 24 hours
  2. B. A stroke that resolves within 1 hour
  3. C. A deficit lasting under 24 hours with infarct
  4. D. Transient deficit without infarction

Answer: D. Transient deficit without infarction
TIA is now defined as transient neurologic dysfunction from focal ischemia without acute infarction on imaging. The old 24-hour time rule is no longer used because many short events still cause infarction.

How students use this page

Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.

Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.

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These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.