I need questio forThe effectiveness of a structured educational program on stroke management knowledge and skills : A Quasi – experimental study of undergraduate paramedical students. Question for this study
Asking for Preferences
2 and 3 years
Asking for Preferences
Here are 30 MCQ pre/post-test questions on stroke recognition and FAST symptoms, calibrated for 2nd and 3rd year undergraduate paramedical students. Each question has 4 options with the correct answer marked.
Pre/Post-Test Knowledge & Skills Assessment
Study: Effectiveness of a Structured Educational Program on Stroke Management
Target: 2nd & 3rd Year Undergraduate Paramedical Students
Topic: Stroke Recognition & FAST Symptoms
Format: Single Best Answer MCQ (1 mark each) | Total: 30 marks
SECTION A: Basic Concepts of Stroke (Q1-6)
1. What is the medical definition of a stroke?
- A) A sudden cardiac arrest causing loss of consciousness
- B) A sudden interruption of blood supply to part of the brain causing neurological deficit
- C) A severe migraine causing temporary visual loss
- D) Inflammation of the brain tissue due to infection
Correct Answer: B
2. Which of the following is the most common type of stroke?
- A) Hemorrhagic stroke
- B) Transient Ischemic Attack (TIA)
- C) Ischemic stroke
- D) Subarachnoid hemorrhage
Correct Answer: C
3. A transient ischemic attack (TIA) is best described as:
- A) A mild stroke with permanent neurological damage
- B) A stroke that lasts more than 24 hours
- C) A temporary episode of neurological dysfunction resolving within 24 hours without infarction
- D) A type of hemorrhagic stroke
Correct Answer: C
4. The "golden window" for thrombolytic therapy (tPA) in ischemic stroke is within:
- A) 1 hour of symptom onset
- B) 3-4.5 hours of symptom onset
- C) 6-8 hours of symptom onset
- D) 12 hours of symptom onset
Correct Answer: B
5. The leading modifiable risk factor for stroke is:
- A) Age above 55 years
- B) Male gender
- C) Hypertension
- D) Family history of stroke
Correct Answer: C
6. Which artery is most commonly involved in an ischemic stroke?
- A) Posterior cerebral artery
- B) Middle cerebral artery
- C) Anterior communicating artery
- D) Vertebral artery
Correct Answer: B
SECTION B: FAST Acronym (Q7-14)
7. What does the acronym "FAST" stand for in stroke recognition?
- A) Fever, Agitation, Seizure, Trauma
- B) Face drooping, Arm weakness, Speech difficulty, Time to call emergency
- C) Fall, Altered consciousness, Syncope, Tachycardia
- D) Fatigue, Ataxia, Sensory loss, Tinnitus
Correct Answer: B
8. In the FAST assessment, "F" refers to:
- A) Asking the patient to smile and checking for facial asymmetry
- B) Checking the patient's forehead for sweating
- C) Assessing the patient's finger movements
- D) Evaluating fatigue level
Correct Answer: A
9. While assessing "A" in FAST, you ask the patient to raise both arms. A positive finding is:
- A) Both arms rise equally
- B) One arm drifts downward or cannot be raised
- C) The patient complains of shoulder pain
- D) Tremors in both arms
Correct Answer: B
10. The "S" in FAST assesses speech. Which of the following is a positive speech finding in stroke?
- A) Speaking in a foreign language
- B) Slurred speech, inability to speak, or difficulty understanding words
- C) Speaking too loudly
- D) Stuttering since childhood
Correct Answer: B
11. The "T" in FAST stands for "Time." Why is time the most critical element?
- A) Because stroke symptoms worsen only after 6 hours
- B) Because early treatment limits brain damage and improves outcomes
- C) Because ambulances take time to arrive
- D) Because documentation takes time
Correct Answer: B
12. An expanded version of FAST called "BE-FAST" includes two additional signs. What do "BE" stand for?
- A) Brain, Eyes
- B) Balance loss and Eyes (sudden vision changes)
- C) Breathing difficulty and Exhaustion
- D) Behavioral change and Edema
Correct Answer: B
13. A 60-year-old man suddenly develops drooping of the right side of his face and cannot smile symmetrically. This is a positive finding for which component of FAST?
- A) A - Arm weakness
- B) S - Speech difficulty
- C) F - Face drooping
- D) T - Time
Correct Answer: C
14. Which of the following is NOT a feature assessed in the FAST tool?
- A) Facial asymmetry
- B) Arm drift
- C) Chest pain
- D) Speech abnormality
Correct Answer: C
SECTION C: Stroke Recognition & Symptoms (Q15-22)
15. Sudden severe headache described as "the worst headache of my life" is a classic warning sign of:
- A) Migraine
- B) Tension headache
- C) Subarachnoid hemorrhage
- D) Cluster headache
Correct Answer: C
16. Which of the following is a classic symptom of stroke?
- A) Gradual onset of bilateral leg weakness
- B) Sudden numbness or weakness of face, arm, or leg on one side of the body
- C) Chronic dizziness worsened by movement
- D) Progressive memory loss over months
Correct Answer: B
17. Sudden trouble seeing in one or both eyes is a recognized stroke symptom. This occurs because:
- A) Increased intraocular pressure
- B) Ischemia affecting the occipital cortex or optic pathways
- C) Retinal detachment
- D) Corneal injury
Correct Answer: B
18. A patient presents with sudden onset of trouble walking, dizziness, and loss of balance. These symptoms suggest involvement of:
- A) Frontal lobe
- B) Temporal lobe
- C) Cerebellum or brainstem
- D) Limbic system
Correct Answer: C
19. Aphasia in stroke means:
- A) Loss of vision
- B) Difficulty with language - speaking, understanding, reading, or writing
- C) Paralysis of all four limbs
- D) Inability to swallow
Correct Answer: B
20. Which of the following presentations is LEAST likely to represent an acute stroke?
- A) Sudden unilateral facial drooping
- B) Sudden arm weakness with speech slurring
- C) Gradual onset of bilateral hand tremors over 2 years
- D) Sudden severe headache with neck stiffness
Correct Answer: C
21. Hemiplegia following a stroke refers to:
- A) Weakness of one arm only
- B) Complete paralysis of one side of the body
- C) Weakness of both legs
- D) Facial paralysis only
Correct Answer: B
22. A patient suddenly cannot understand what others are saying but can speak fluently. This type of aphasia is called:
- A) Broca's (expressive) aphasia
- B) Wernicke's (receptive) aphasia
- C) Global aphasia
- D) Anomic aphasia
Correct Answer: B
SECTION D: Pre-Hospital Response & First Responder Skills (Q23-30)
23. As a paramedical first responder, the FIRST action on suspecting a stroke is:
- A) Give the patient water and food
- B) Activate emergency medical services (EMS) immediately
- C) Ask the patient to sleep and rest
- D) Apply ice packs to the head
Correct Answer: B
24. Which of the following actions should be AVOIDED in a suspected stroke patient?
- A) Keeping the airway open
- B) Placing the patient in the recovery position if unconscious
- C) Giving aspirin or any medication without medical order
- D) Monitoring vital signs
Correct Answer: C
25. The recommended patient positioning for a conscious stroke patient without breathing difficulty is:
- A) Flat supine with legs elevated
- B) Sitting upright or semi-recumbent at 30 degrees
- C) Prone position
- D) Trendelenburg position (head down)
Correct Answer: B
26. The Cincinnati Prehospital Stroke Scale (CPSS) assesses three signs. Which of the following correctly lists them?
- A) Pulse rate, Blood pressure, Temperature
- B) Facial droop, Arm drift, Abnormal speech
- C) Pupil reaction, Grip strength, Gait
- D) Breathing rate, Skin color, Consciousness
Correct Answer: B
27. A patient tests positive for one or more signs on the Cincinnati Prehospital Stroke Scale. The probability of stroke is approximately:
- A) 10-15%
- B) 30-40%
- C) 72% or higher
- D) 100%
Correct Answer: C
28. "Time is Brain" in stroke management refers to the concept that:
- A) Stroke only affects brain cells after many hours
- B) Every minute of stroke results in approximately 1.9 million neurons dying
- C) Brain surgery is the only treatment for stroke
- D) Brain scans must be done before any treatment
Correct Answer: B
29. What is the most appropriate oxygen therapy guideline for a stroke patient with oxygen saturation (SpO2) above 94%?
- A) Give high-flow oxygen at 15 L/min via non-rebreather mask
- B) Supplemental oxygen is NOT recommended; target SpO2 94-99%
- C) Give oxygen only if the patient is unconscious
- D) Oxygen therapy is contraindicated in stroke
Correct Answer: B
30. A 55-year-old woman suddenly develops left facial drooping, left arm weakness, and slurred speech. Using FAST, how many positive signs does she have, and what should be done immediately?
- A) 1 positive sign; observe for 30 minutes before calling help
- B) 2 positive signs; give her aspirin and wait
- C) 3 positive signs (F, A, S); activate emergency services immediately
- D) 0 positive signs; symptoms are likely anxiety-related
Correct Answer: C
Scoring Key
| Score | Interpretation |
|---|---|
| 25-30 | Excellent knowledge |
| 18-24 | Good knowledge |
| 10-17 | Moderate knowledge |
| Below 10 | Poor knowledge - needs reinforcement |
Domain Distribution Summary
| Domain | Questions | Marks |
|---|---|---|
| Basic Stroke Concepts | 1-6 | 6 |
| FAST Acronym | 7-14 | 8 |
| Stroke Recognition & Symptoms | 15-22 | 8 |
| Pre-Hospital Response & Skills | 23-30 | 8 |
| Total | 30 | 30 |
These 30 MCQs can be used as both the pre-test (before the educational program) and the post-test (after the program) to measure knowledge gain among your 2nd and 3rd year paramedical students. The same tool administered both times allows direct comparison of scores to determine program effectiveness.
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