ADVANCED MEDICAL LIFE SUPPORT AMLS TEST REVIEW
QUESTIONS WITH COMPLETE SOLUTIONS
1) If you administer nitroglycerin to a patient with ST-elevation in leads II, III and
aVF, you should be prepared to: -- Answer ✔✔ Administer a bolus of normal
saline if the blood pressure drops
2) A 45-year-old male with a history of hypertension complains of chest "pressure,"
about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked
out." Vitals signs and 12-lead ECG are normal. You have already administered
oxygen and aspirin. You should next: -- Answer ✔✔ Administer nitroglycerin 0.4
mg sublingual.
3) An 82-year-old female complains of chest heaviness. She has sinus tachycardia.
Her vital signs are BP 108/72 (equal in both arms), P 98, R 20. Her breath sounds
are clear in all fields. Aside from myocardial infarction, what should you suspect
her chest pain could be related to? -- Answer ✔✔ Pulmonary embolism
4) A 40-year-old male has chest pain reported as an "elephant sitting on my chest."
He confides that he snorted cocaine 5 minutes before his pain began. You should
first administer: -- Answer ✔✔ Lorazepam, 2 mg IV
, 5) A 65-year-old female complains of chest pain that feels like "aching" in her chest.
It has become progressively worse over several days. Her temperature is 38.3
degrees C (101F). Which finding will help narrow your differential diagnosis to
pericarditis? -- Answer ✔✔ ST-segment elevation in everylead
6) Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132
bpm, and R 20/min. Her pupils are dilated, and her hands are trembling. These
signs and symptoms may be associated with: -- Answer ✔✔ Alcohol withdrawal
7) Which source provides the most detailed information related to hazardous
materials? -- Answer ✔✔ Material Safety Data Sheets
8) A 2-year-old male is found chewing on berries from a lily of the valley plant.
Predict his vital signs. -- Answer ✔✔ BP 70/50 P 70 bpm
9) A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP
86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you
anticipate. -- Answer ✔✔ Seizures
10) The family of a 72-year-old male is worried about their father. His blood glucose
is 80 mg/dL (4.4 mmol/L). His rate and depth of breathing are increased, and he is
sleepy and weak. He take metformin (Glucophage). You suspect his signs and
symptoms may be related to: -- Answer ✔✔ Lactic acidosis
11) A farmer was spraying his barn when he became ill. His heart rate is 60 bpm, and
his blood pressure is 88/50 mm Hg. Tears are streaming down his cheeks, and he
is vomiting. What toxidrome does this clinical picture fit? -- Answer ✔✔
Cholinergic
12) Which of the following biological warfare agents causes serious neurologic
symptoms that may include paralysis? -- Answer ✔✔ botulism
QUESTIONS WITH COMPLETE SOLUTIONS
1) If you administer nitroglycerin to a patient with ST-elevation in leads II, III and
aVF, you should be prepared to: -- Answer ✔✔ Administer a bolus of normal
saline if the blood pressure drops
2) A 45-year-old male with a history of hypertension complains of chest "pressure,"
about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked
out." Vitals signs and 12-lead ECG are normal. You have already administered
oxygen and aspirin. You should next: -- Answer ✔✔ Administer nitroglycerin 0.4
mg sublingual.
3) An 82-year-old female complains of chest heaviness. She has sinus tachycardia.
Her vital signs are BP 108/72 (equal in both arms), P 98, R 20. Her breath sounds
are clear in all fields. Aside from myocardial infarction, what should you suspect
her chest pain could be related to? -- Answer ✔✔ Pulmonary embolism
4) A 40-year-old male has chest pain reported as an "elephant sitting on my chest."
He confides that he snorted cocaine 5 minutes before his pain began. You should
first administer: -- Answer ✔✔ Lorazepam, 2 mg IV
, 5) A 65-year-old female complains of chest pain that feels like "aching" in her chest.
It has become progressively worse over several days. Her temperature is 38.3
degrees C (101F). Which finding will help narrow your differential diagnosis to
pericarditis? -- Answer ✔✔ ST-segment elevation in everylead
6) Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132
bpm, and R 20/min. Her pupils are dilated, and her hands are trembling. These
signs and symptoms may be associated with: -- Answer ✔✔ Alcohol withdrawal
7) Which source provides the most detailed information related to hazardous
materials? -- Answer ✔✔ Material Safety Data Sheets
8) A 2-year-old male is found chewing on berries from a lily of the valley plant.
Predict his vital signs. -- Answer ✔✔ BP 70/50 P 70 bpm
9) A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP
86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you
anticipate. -- Answer ✔✔ Seizures
10) The family of a 72-year-old male is worried about their father. His blood glucose
is 80 mg/dL (4.4 mmol/L). His rate and depth of breathing are increased, and he is
sleepy and weak. He take metformin (Glucophage). You suspect his signs and
symptoms may be related to: -- Answer ✔✔ Lactic acidosis
11) A farmer was spraying his barn when he became ill. His heart rate is 60 bpm, and
his blood pressure is 88/50 mm Hg. Tears are streaming down his cheeks, and he
is vomiting. What toxidrome does this clinical picture fit? -- Answer ✔✔
Cholinergic
12) Which of the following biological warfare agents causes serious neurologic
symptoms that may include paralysis? -- Answer ✔✔ botulism
