AMLS | Advanced Medical Life Support,
AMLS Pretest Exam
A 28 year old female is being evaluated for an acute onset of an alteration in
mentation. She complained of a stiff neck and persistent headache. Vital signs are
P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare
provider should observe for which complication?
- Seizure
A 45 year old patient is found supine on the floor of the Triage area. Healthcare
providers note pinpoint pupils, shallow respirations and vomitus in and around the
mouth. What course of action should be implemented next?
- Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath are
likely to have which condition?
- Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change?
- Breakdown of the alveolar-capillary membrane
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea.
the patient has a firm, red pronounced swelling in the sublingual anterior throat area
and tongue. What diagnosis is most likely?
- Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is:
- Administer PEEP
7.) Anaphylaxis is most associated with which physiological event?
- Vasodilation
, An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin
and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and
shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock
is the patient most likely experiencing?
- Distributive
Healthcare providers are assessing a patient with pronounced jugular vein distention
and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of
shock should be suspected?
- Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
cause a/an:
- Increase in preload, afterload and re-absorption of sodium
A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids.
Over the past two weeks, she complains of chronic fatigue, weakness, and loss of
appetite with weight loss. Lab results indicate hyponatremia and hyperkalemia. What
underlying diagnosis is suspected?
- Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-
emergent, non-life threatening illness?
- Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads?
- II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage?
- Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)?
- Crystalloid IV fluid resuscitation
AMLS Pretest Exam
A 28 year old female is being evaluated for an acute onset of an alteration in
mentation. She complained of a stiff neck and persistent headache. Vital signs are
P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare
provider should observe for which complication?
- Seizure
A 45 year old patient is found supine on the floor of the Triage area. Healthcare
providers note pinpoint pupils, shallow respirations and vomitus in and around the
mouth. What course of action should be implemented next?
- Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath are
likely to have which condition?
- Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change?
- Breakdown of the alveolar-capillary membrane
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea.
the patient has a firm, red pronounced swelling in the sublingual anterior throat area
and tongue. What diagnosis is most likely?
- Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is:
- Administer PEEP
7.) Anaphylaxis is most associated with which physiological event?
- Vasodilation
, An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin
and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and
shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock
is the patient most likely experiencing?
- Distributive
Healthcare providers are assessing a patient with pronounced jugular vein distention
and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of
shock should be suspected?
- Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
cause a/an:
- Increase in preload, afterload and re-absorption of sodium
A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids.
Over the past two weeks, she complains of chronic fatigue, weakness, and loss of
appetite with weight loss. Lab results indicate hyponatremia and hyperkalemia. What
underlying diagnosis is suspected?
- Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-
emergent, non-life threatening illness?
- Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads?
- II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage?
- Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)?
- Crystalloid IV fluid resuscitation
