1|Page
ADVANCED MEDICAL LIFE SUPPORT STUDY
GUIDE 2026-2027 | 200+ PRACTICE QUESTIONS &
RATIONALES | NAEMT | HIGH-YIELD | 100%
CORRECT
## Table of Contents
1. **Airway, Breathing & Ventilation** (Q1–Q20)
2. **Shock & Resuscitation** (Q21–Q40)
3. **Neurological Emergencies** (Q41–Q60)
4. **Cardiovascular Emergencies** (Q61–Q80)
5. **Respiratory Emergencies** (Q81–Q100)
6. **Endocrine & Metabolic Emergencies** (Q101–Q120)
7. **Infectious Disease & Sepsis** (Q121–Q140)
8. **Toxicology & Overdose** (Q141–Q160)
9. **Environmental Emergencies** (Q161–Q175)
10. **Abdominal & GI Emergencies** (Q176–Q190)
11. **Special Populations (Geriatric, Pediatric, Pregnancy)** (Q191–
Q205)
12. **High-Yield NGN/AMLS Case Scenarios** (Q206–Q215)
,2|Page
Section 1: Airway, Breathing & Ventilation (Q1–Q20)
**Q1.** A 45-year-old patient is found unresponsive with snoring
respirations. The first action is:
A. Head-tilt chin-lift and airway adjunct
B. Insert an oropharyngeal airway (OPA) immediately
C. Administer high-flow oxygen
D. Check for a pulse
**Correct Answer: A – Head-tilt chin-lift and airway adjunct**
*Rationale: Snoring indicates partial airway obstruction; basic airway
maneuvers are first.*
**Q2.** A patient has stridor after a bee sting. This indicates:
A. Upper airway obstruction (laryngeal edema)
B. Lower airway bronchospasm
C. Pulmonary edema
D. Tension pneumothorax
**Correct Answer: A – Upper airway obstruction**
*Rationale: Stridor is a high-pitched inspiratory sound from upper
airway narrowing.*
,3|Page
**Q3.** A patient with facial trauma has gurgling respirations. The
priority is:
A. Suction the oropharynx
B. Intubate immediately
C. Apply a cervical collar
D. Administer oxygen via non-rebreather
**Correct Answer: A – Suction the oropharynx**
*Rationale: Gurgling indicates blood/secretions; suction clears the
airway.*
**Q4.** A patient with a suspected cervical spine injury has absent
breath sounds. The most appropriate airway maneuver is:
A. Jaw-thrust without head extension
B. Head-tilt chin-lift
C. Nasopharyngeal airway (NPA) without head movement
D. Both A and C
**Correct Answer: D – Jaw-thrust and NPA**
*Rationale: Jaw-thrust maintains spinal motion restriction; NPA is
tolerated in awake patients.*
, 4|Page
**Q5.** A patient with COPD has an SpO2 of 82% on room air. The
best initial oxygen delivery is:
A. Nasal cannula at 2–4 L/min
B. Non-rebreather at 15 L/min
C. Bag-valve-mask ventilation
D. Venturi mask at 40%
**Correct Answer: A – Nasal cannula at 2–4 L/min**
*Rationale: Titrate oxygen to SpO2 88–92% in COPD to avoid CO2
retention.*
**Q6.** Capnography (EtCO2) is most valuable for confirming:
A. Endotracheal tube placement
B. Adequate oxygenation
C. Blood pressure
D. Cardiac output
**Correct Answer: A – Endotracheal tube placement**
*Rationale: EtCO2 waveform confirms tracheal intubation; absent
EtCO2 suggests esophageal intubation.*
**Q7.** A normal EtCO2 value in a non-intubated patient is
approximately:
ADVANCED MEDICAL LIFE SUPPORT STUDY
GUIDE 2026-2027 | 200+ PRACTICE QUESTIONS &
RATIONALES | NAEMT | HIGH-YIELD | 100%
CORRECT
## Table of Contents
1. **Airway, Breathing & Ventilation** (Q1–Q20)
2. **Shock & Resuscitation** (Q21–Q40)
3. **Neurological Emergencies** (Q41–Q60)
4. **Cardiovascular Emergencies** (Q61–Q80)
5. **Respiratory Emergencies** (Q81–Q100)
6. **Endocrine & Metabolic Emergencies** (Q101–Q120)
7. **Infectious Disease & Sepsis** (Q121–Q140)
8. **Toxicology & Overdose** (Q141–Q160)
9. **Environmental Emergencies** (Q161–Q175)
10. **Abdominal & GI Emergencies** (Q176–Q190)
11. **Special Populations (Geriatric, Pediatric, Pregnancy)** (Q191–
Q205)
12. **High-Yield NGN/AMLS Case Scenarios** (Q206–Q215)
,2|Page
Section 1: Airway, Breathing & Ventilation (Q1–Q20)
**Q1.** A 45-year-old patient is found unresponsive with snoring
respirations. The first action is:
A. Head-tilt chin-lift and airway adjunct
B. Insert an oropharyngeal airway (OPA) immediately
C. Administer high-flow oxygen
D. Check for a pulse
**Correct Answer: A – Head-tilt chin-lift and airway adjunct**
*Rationale: Snoring indicates partial airway obstruction; basic airway
maneuvers are first.*
**Q2.** A patient has stridor after a bee sting. This indicates:
A. Upper airway obstruction (laryngeal edema)
B. Lower airway bronchospasm
C. Pulmonary edema
D. Tension pneumothorax
**Correct Answer: A – Upper airway obstruction**
*Rationale: Stridor is a high-pitched inspiratory sound from upper
airway narrowing.*
,3|Page
**Q3.** A patient with facial trauma has gurgling respirations. The
priority is:
A. Suction the oropharynx
B. Intubate immediately
C. Apply a cervical collar
D. Administer oxygen via non-rebreather
**Correct Answer: A – Suction the oropharynx**
*Rationale: Gurgling indicates blood/secretions; suction clears the
airway.*
**Q4.** A patient with a suspected cervical spine injury has absent
breath sounds. The most appropriate airway maneuver is:
A. Jaw-thrust without head extension
B. Head-tilt chin-lift
C. Nasopharyngeal airway (NPA) without head movement
D. Both A and C
**Correct Answer: D – Jaw-thrust and NPA**
*Rationale: Jaw-thrust maintains spinal motion restriction; NPA is
tolerated in awake patients.*
, 4|Page
**Q5.** A patient with COPD has an SpO2 of 82% on room air. The
best initial oxygen delivery is:
A. Nasal cannula at 2–4 L/min
B. Non-rebreather at 15 L/min
C. Bag-valve-mask ventilation
D. Venturi mask at 40%
**Correct Answer: A – Nasal cannula at 2–4 L/min**
*Rationale: Titrate oxygen to SpO2 88–92% in COPD to avoid CO2
retention.*
**Q6.** Capnography (EtCO2) is most valuable for confirming:
A. Endotracheal tube placement
B. Adequate oxygenation
C. Blood pressure
D. Cardiac output
**Correct Answer: A – Endotracheal tube placement**
*Rationale: EtCO2 waveform confirms tracheal intubation; absent
EtCO2 suggests esophageal intubation.*
**Q7.** A normal EtCO2 value in a non-intubated patient is
approximately:
