AMLS Actual Final Exam Questions with verified Answers
100% Solved and revised.
An age-related change that increases the risk of respiratory compromise is:
Decrease in lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of:
Left-sided heart failure
The patient presents with a history of fever and an upper respiratory infection. Historical
information reveals increasing water intake, orthostatic hypotension, and an increase in
urination. You suspect these symptoms are caused by:
Hyperglycemia
You are dispatched to the home of a 32-year-old patient with a history of Graves' disease. The
patient was in the ER earlier today for some "tests for my ulcers." He received contrast and was
discharged. He is now complaining of not feeling well, chest pain, and palpitations. You note an
anxious patient with fine tremors. He is diaphoretic and has a temperature of 101.5*F, BP
100/62, P 156 (sinus tachycardia), R 30, glucose level 133. Which of the following are
management considerations for this patient?
Beta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation?
pH decreased, pCO2 decreased, H2CO3 low
The AMLS Assessment Pathway first advises safety and initial observations of the scene. The
second process described in this pathway asks the healthcare provider to:
Identify and manage life-threats
Observing a patient's body positioning can be an early indicator that the patient is:
Sick or not sick
Which assessment finding is crucial to obtain from a patient suspected of a stroke?
Onset of symptoms
A 62-year-old patient presents with a severe headache. It is described as a "thunderclap"
accompanied with nausea, blurred vision, and an elevated blood pressure. What neurologic
condition is most likely causing this patient's presentation?
Subarachnoid hemorrhage
1|Page
, A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He felt a
"sting" in his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20
with a normal work of breathing and clear lung sounds. The healthcare provider should:
Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine
Healthcare providers are treating a patient complaining of substernal chest pain accompanied
with nausea and one episode of vomiting. The patient has had two cardiac stents placed within
the last year. He has a familial history of heart disease and takes a baby aspirin daily. What
information is most concerning?
Recent stent placement
The patient complains of sharp chest pain that worsens when supine. He is bed ridden due to
complications from a recent hip surgery. The patient is tachypneic adn the ECG reveals sinus
tachycardia. What is the patient's working diagnosis?
Pulmonary embolism
A patient is a resident in an assisted-living facility to obtain physical therapy after a knee
replacement surgery. She complains of a rash that is red and has small bumps. She has been
feeling ill for several days. What is the most likely working diagnosis?
Methicillin-resistant Staphylococcus aureus
A foreign exchange university student is found by his roommate and EMS is dispatched. The
patient presents with an unusual flat red rash on his chest and arms. He has been ill with fever,
nausea, and vomiting. Physical exam reveals stiffness of the neck. The healthcare provider will
anticipate which diagnosis?
Meningitis
Healthcare providers are treating a 49-year-old male complaining of diffuse abdominal
cramping. He has been ill with vomiting for 3 days. What working diagnosis is most probable?
Gastroenteritis
While assessing your patient, you note he involuntarily flexes the legs in response to flexing the
neck. The patient is presenting with:
A positive Brudzinski's sign indicating possible meningitis
Healthcare providers are assessing an obese 49-year-old who is lethargic and has not been
feeling well for several days. His family reports a history of extreme thirst. Vital signs are P 143,
R 14, and BP 88/58. He takes medication for type 2 diabetes daily. What is the most probably
working diagnosis?
Hyperosmolar hyperglycemic nonketotic coma
2|Page
100% Solved and revised.
An age-related change that increases the risk of respiratory compromise is:
Decrease in lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of:
Left-sided heart failure
The patient presents with a history of fever and an upper respiratory infection. Historical
information reveals increasing water intake, orthostatic hypotension, and an increase in
urination. You suspect these symptoms are caused by:
Hyperglycemia
You are dispatched to the home of a 32-year-old patient with a history of Graves' disease. The
patient was in the ER earlier today for some "tests for my ulcers." He received contrast and was
discharged. He is now complaining of not feeling well, chest pain, and palpitations. You note an
anxious patient with fine tremors. He is diaphoretic and has a temperature of 101.5*F, BP
100/62, P 156 (sinus tachycardia), R 30, glucose level 133. Which of the following are
management considerations for this patient?
Beta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation?
pH decreased, pCO2 decreased, H2CO3 low
The AMLS Assessment Pathway first advises safety and initial observations of the scene. The
second process described in this pathway asks the healthcare provider to:
Identify and manage life-threats
Observing a patient's body positioning can be an early indicator that the patient is:
Sick or not sick
Which assessment finding is crucial to obtain from a patient suspected of a stroke?
Onset of symptoms
A 62-year-old patient presents with a severe headache. It is described as a "thunderclap"
accompanied with nausea, blurred vision, and an elevated blood pressure. What neurologic
condition is most likely causing this patient's presentation?
Subarachnoid hemorrhage
1|Page
, A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He felt a
"sting" in his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20
with a normal work of breathing and clear lung sounds. The healthcare provider should:
Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine
Healthcare providers are treating a patient complaining of substernal chest pain accompanied
with nausea and one episode of vomiting. The patient has had two cardiac stents placed within
the last year. He has a familial history of heart disease and takes a baby aspirin daily. What
information is most concerning?
Recent stent placement
The patient complains of sharp chest pain that worsens when supine. He is bed ridden due to
complications from a recent hip surgery. The patient is tachypneic adn the ECG reveals sinus
tachycardia. What is the patient's working diagnosis?
Pulmonary embolism
A patient is a resident in an assisted-living facility to obtain physical therapy after a knee
replacement surgery. She complains of a rash that is red and has small bumps. She has been
feeling ill for several days. What is the most likely working diagnosis?
Methicillin-resistant Staphylococcus aureus
A foreign exchange university student is found by his roommate and EMS is dispatched. The
patient presents with an unusual flat red rash on his chest and arms. He has been ill with fever,
nausea, and vomiting. Physical exam reveals stiffness of the neck. The healthcare provider will
anticipate which diagnosis?
Meningitis
Healthcare providers are treating a 49-year-old male complaining of diffuse abdominal
cramping. He has been ill with vomiting for 3 days. What working diagnosis is most probable?
Gastroenteritis
While assessing your patient, you note he involuntarily flexes the legs in response to flexing the
neck. The patient is presenting with:
A positive Brudzinski's sign indicating possible meningitis
Healthcare providers are assessing an obese 49-year-old who is lethargic and has not been
feeling well for several days. His family reports a history of extreme thirst. Vital signs are P 143,
R 14, and BP 88/58. He takes medication for type 2 diabetes daily. What is the most probably
working diagnosis?
Hyperosmolar hyperglycemic nonketotic coma
2|Page
