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National Registry Paramedic Exam: Neurological Emergencies
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National Registry Paramedic Exam: Neurological Emergencies
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5 Questions

1. To propagate a nerve impulse (action potential), _________ must enter the neuron at the nodes of Ranvier, starting at the cell body and continuing all the way along the ________ to the synaptic cleft.
2. Assessment of a 76-year-old male patient reveals that he is unable to move his right eye up, down, and medially. The pupil in his right eye also is dilated. Which cranial nerve is most likely affected?
3. A 28-year-old male patient presents with agitation and is physically combative after being struck in the head during a bar fight. He is particularly combative when he is unable to answer questions posed to him. His conversation consists of clear words but nonsensical sentences and phrases. Which of the following lobes of the brain has most likely been damaged?
4. An 88-year-old male patient deliberately overdosed on donepezil, an Alzheimer disease medication, about 45 minutes ago in an attempt to commit suicide. Donepezil is an inhibitor of AChE, the enzyme that breaks down ACh. Although currently symptom free, what medication do you prepare to give in anticipation of the drug’s effects?
5. A 38-year-old female complains of dizziness and balance problems. Which of the following is the most likely explanation for the dizziness?

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