2017_Q1_CE Aurora Health Care 2017 1st Quarter CE Quiz Revised Protocol Review This quiz MUST be completed by March 31, 2016. The accompanying document can be downloaded here : Seizure Disorderl Document Once this quiz is completed it will automatically be submitted to firstname.lastname@example.org. This quiz is intended to be completed by all EMS providers, regardless of level of licensure. It is understood that some questions may ask about skills that you are not able to perform. We encourage all providers to be aware of skills allowed at other levels of licensure. Name* First Last Department*Email* Current Level of Licensure*EMREMT-BAEMT/Intermediate/IV TechParamedicPassword*Enter the password supplied by your department to continue with the quiz.1. Seizures account for approximately 4% of EMS calls. Most seizures:*a. last longer than 5 minutes.b. require medical intervention to cease.c. resolve on their own in less than 2 minutes.d. none of the above.2. Prolonged seizures are more commonly known as:*a. epilepsy.b. seizure disorder.c. chronic seizures.d. status epilepticus.3. Seizures are generally classified as two types. Those two types are:*a. acute and chronic.b. generalized and partial.c. ictal and post-ictal.d. neurologic and neurogenic.4. Status epilepticus is a true medical emergency. The risk of death within one month of suffering an episode of status epilepticus is 20%. Complications of status epilepticus include:*a. cardiac dysrhythmias and neuronal injuries.b. hypoxia and brain injury.c. hyperthermia and pulmonary edema.d. all of the above.5. Seizures can be caused by a wide array of diseases, illnesses or injuries. As part of an assessment of a patient who has suffered or is suffering from a seizure, one must always consider the seizure to be a sign associated with an underlying cause that must be identified and treated.*a. trueb. false6. Cushing’s Triad is a condition associated with an increase in intracranial pressure (ICP). Findings associated with Cushing’s Triad include:*a. hypertension, bradycardia and normal respirations.b. hypotension, tachycardia and abnormal respirations.c. hypertension, bradycardia and abnormal respirations.d. normotension, normal pulse rate and normal respirations.7. It can be difficult to determine if a seizing patient has moved into the post-ictal period or is continuing to seize. It is necessary to accurately identify if the patient is continuing to seize as this patient requires:*a. aggressive treatment to terminate the seizure activity.b. passive treatment to ONLY maintain ABC’s.c. no major intervention is required.d. none of the above.8. Observations that would suggest a patient is in a post-ictal state rather than continuing to seize include:*a. abnormal respiratory pattern.b. abnormal pupillary movements such as nystagmusc. normal respiratory pattern and normal pupillary movementd. all of the above9. Medications are frequently needed to terminate seizures. These medications are limited to the Advanced Life Support (ALS) Scope of Practice. Recognizing that, it is important that we consider the use of ALS in managing a seizure patient.*a. trueb. false10. While caring for a seizing patient, EMS should always attempt to insert an oropharyngeal airway (OPA) to maintain a patent airway.*a. trueb. false11. The following patients should receive a blood glucose check:*a. any patient with an altered mental statusb. patient with suspected strokec. patient suffering from a seizured. all of the above12. During an assessment of a patient you suspect has suffered a seizure, physical observations such as signs of incontinence or tongue biting/lacerations support the suspicion that a seizure has occurred. However, it does not confirm that a seizure has occurred and additional assessment is required.*a. trueb. false13. Life threatening conditions may appear as a seizure. One of those is a patient going into cardiac arrest. Someone witnessing such an event and calling 9-1-1 may report it as a seizure that is how EMS may be dispatched. An important take-away for EMS is to consider any dispatch for a seizure as a possible life threatening emergency until an assessment has been completed.*a. trueb. falseComplete Quiz* Complete Quiz Checking this box will allow the submit button to appear. Make sure of your answers prior to checking this box and clicking the submit button.