The EMTs will be able to tell that she does not have any externally-visible injuries apart from some light bruising from the harness straps. She's being cooperative with the examination and isn't, like, ticklish or anything. She does have two permanent injection ports, one on her chest and one on her thigh.
Is she dreaming? Hm. She's pretty sure she's not, but sometimes when she's dreaming she thinks about it and concludes that she's not - usually she just has dream-certainty that she's not dreaming. So if instead she does some actual test instead of just thinking about it she'd be able to tell.
She fails to lift off the bed and levitate out of the landship.
She's not dreaming.
And this doesn't actually feel like what she would expect if she had brain damage. She can recall the universal emergency vehicle symbols, she just can't recognize them. She's not a cognitive scientist but she's pretty damn sure that's not how memory works.
She pulls up a saved book on her pocket computer. She can read it fine, she just can't read anything around her.
She knows what cities look like and while this one isn't impossible it's certainly noncentral.
Hypotheses:
1. There's at-least-a-city-state but probably a larger polity which has for some reason resisted all standardization, which she had never heard of before.
2. She died and this is a rescue sim by a future civilization that has forgotten almost everything about what the world was like in her time, and was for some reason unable to get that information from her simulated mind.
3. She died and this is a rescue sim by a future civilization which is, for some reason, fucking with her.
4. The Amarra Station explosion opened up a wormhole leading to the moderately-distant past before the Great Errata
5. The Amarra Station explosion opened up a wormhole leading to some distant place not in her past lightcone, and she has been captured by aliens, who are simulating her a la hypothesis (2).
6. As (5), but a la (3) instead.
7. The Amarra explosion bumped her metaphorically eight-longs-to-the-left in the fundamental distribution of reality through something something littlephysics something something she-is-not-a-physicist-and-she-knows-it but this is some alternate timeline version of planet-that-we-live-upon.
8. The Amarra explosion opened up a wormhole to some distant place, she is not being simulated, these are actual aliens, and convergent evolution is way way way stronger than she would have ever imagined.
9. She is suffering from brain damage which specifically prevents her from parsing some-but-not-all written text, some-but-not-all speech, and standard emergency symbology, which has also altered her understanding of city design and of what brain damage can do to you, but does not seem to be otherwise impairing her thinking, unless she used to think much better than this and the brain damage has removed all memory of being able to think better than this. That's not very parsimonious but maybe her expectation that things should be parsimonious is a result of brain damage.
A. She died and it turns out religions are very confused about what the afterlife is like.
B. ...She died and specifically the Mormons* were right about what the afterlife is like. This is her planet now and she will be a God unto these people.
...OK that's enough hypotheses for now, she's clearly starting to run out of even slightly plausible ones. And, of course,
0. Something she hasn't thought of yet.
OK, broad classes of hypothesis:
0. Something not on this list
1. This is a simulation (Hypotheses 2, 3, 5, 6, A, B)
2. This is the same level of reality as before but she is somewhere other than planet-that-we-live-upon in her time. (Hypotheses 4, 7, 8)
3. She has to rederive all of epistemology from first principles and/or hope that the doctors have an easy cure for whatever brain damage she has (Hypothesis 9)
4. Nothing weird is going on here (Hypothesis 1)
Of these obviously the prior is on category 4, but she sure has seen a lot of evidence that something weird is going on. If this is a simulation... someone's fucking with her, if someone's simming her and is putting readable text on her simmed-computer they aren't accidentally leaving all the other text in the world unintelligible. If this is reality... it's not convergent evolution, it's either the past or an alternate timeline. Or the future, but it'd be a surprising future where they lost standardization and languages diverged and this whole time tech stayed stagnant. 'heaven is not what the religious expected' falls into the same category, really, but also that's not getting much weight. She's pretty sure 'The mormons were right and she's a god now' was incidentally invalidated by her failure to levitate out of the landship but she's not exactly an expert and that was also incredibly unlikely to start.
So,
0. Something she has rejected or hasn't thought of yet
1. Secret antistandardization polity
2. Time travel/alternate timeline
3. Simulation, in which case she's probably expected to believe (1) or (2)?
She's just going to disbelieve the world with incredibly-specific brain damage because it's not one she can strategize in.
* Translator's Note: No, not literally Mormons, Mormons are historically contingent and wouldn't exist on planet-we-live-upon. But mormonlike afterlife beliefs are sufficiently appealing that some Listener religions developed them; Here, the word "Mormons" refers to a particular faith with afterlife claims similar to Mormon ones, who are considered to be kind of weird and out there by almost everyone else.