AMLS EXAM, Precise Questions With
Detailed Answers
What condition is most likely to cause respiratory acidosis?
- In larger doses narcotics induce respiratory depression and eventually respiratory
arrest. AMLS Page 95
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
(100 F). Which finding will help narrow your differential diagnosis to pericarditis?
- 12 lead ECG will demonstrate global ST-segment elevation in almost every lead.
AMLS Page 128
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
cause a/an:
- This selective perfusion occurs during the ischemic phase of shock. AMLS Page
146 (To stop kidneys from excreting fluid and keeping it in the vasculature, therefore
increasing BP)
lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruising
around the umbilicus. This physical exam finding is known as:
- Cullen's sign is a blue discoloration around the umbilicus. AMLS Page 235
What clinical findings are most commonly associated with a pulmonary embolus?
- Clear breath sounds with tachypnea.
Signs and Symptoms AMLS Page 113
A 50 year old female has called 911. She complains of shortness of breath and chest.
discomfort. Assessment reveals her skin is pale, moist and cool. BP is 102/68, R 24,
labored with crackles, P of 130 and regular. Which type of shock is most likely
occurring?
- The patient's respiratory rate is increased, and crackles caused by pulmonary edema
can be heard on auscultation.
Cardiogenic Shock Signs and Symptoms.
AMLS Page 164
, Patients with a history of COPD that present with an acute onset of shortness of
breath are likely to have which condition?
- Elements of patient history that suggest PE include acute onset of shortness of
breath. AMLS Page 114
An elderly patient with a 1 week history of productive cough and wheezing notices
an increase in difficulty in breathing when grocery shopping. Further assessment
reveals pursed lip breathing, rhonchi, and minimal jugular vein distention. Which
diagnosis should the healthcare provider suspect?
- Signs and Symptoms of COPD. AMLS Page 85
A 45 year old patient is found supine on the floor. Healthcare providers note pinpoint
pupils, shallow respirations and vomitus in and around the mouth. What course of
action should be implemented next?
- This is self explanatory (Suction Airway)
A 20 year old female presents with a 2-day history of dyspnea, non-productive
cough, chest tightness audible wheezing. Further exam reveals no fever or strider.
The patient has rapid respirations with difficulty exhaling. Which diagnosis is most
likely?
- These are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event?
- The cutaneous reaction may be observed as flushed, warm skin resulting from
vasodilation and uticarea. AMLS Page 162
An elderly patient is receiving care at home while recuperating from recent knee
surgery. She developed post a operative infection and has been on antibiotics for
quite sometime. She is complaining of foul smelling diarrhea, and abdominal
cramping and loss of appetite. Based on this presentation, the provider should
suspect?
- Signs and Symptoms
Detailed Answers
What condition is most likely to cause respiratory acidosis?
- In larger doses narcotics induce respiratory depression and eventually respiratory
arrest. AMLS Page 95
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
(100 F). Which finding will help narrow your differential diagnosis to pericarditis?
- 12 lead ECG will demonstrate global ST-segment elevation in almost every lead.
AMLS Page 128
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
cause a/an:
- This selective perfusion occurs during the ischemic phase of shock. AMLS Page
146 (To stop kidneys from excreting fluid and keeping it in the vasculature, therefore
increasing BP)
lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruising
around the umbilicus. This physical exam finding is known as:
- Cullen's sign is a blue discoloration around the umbilicus. AMLS Page 235
What clinical findings are most commonly associated with a pulmonary embolus?
- Clear breath sounds with tachypnea.
Signs and Symptoms AMLS Page 113
A 50 year old female has called 911. She complains of shortness of breath and chest.
discomfort. Assessment reveals her skin is pale, moist and cool. BP is 102/68, R 24,
labored with crackles, P of 130 and regular. Which type of shock is most likely
occurring?
- The patient's respiratory rate is increased, and crackles caused by pulmonary edema
can be heard on auscultation.
Cardiogenic Shock Signs and Symptoms.
AMLS Page 164
, Patients with a history of COPD that present with an acute onset of shortness of
breath are likely to have which condition?
- Elements of patient history that suggest PE include acute onset of shortness of
breath. AMLS Page 114
An elderly patient with a 1 week history of productive cough and wheezing notices
an increase in difficulty in breathing when grocery shopping. Further assessment
reveals pursed lip breathing, rhonchi, and minimal jugular vein distention. Which
diagnosis should the healthcare provider suspect?
- Signs and Symptoms of COPD. AMLS Page 85
A 45 year old patient is found supine on the floor. Healthcare providers note pinpoint
pupils, shallow respirations and vomitus in and around the mouth. What course of
action should be implemented next?
- This is self explanatory (Suction Airway)
A 20 year old female presents with a 2-day history of dyspnea, non-productive
cough, chest tightness audible wheezing. Further exam reveals no fever or strider.
The patient has rapid respirations with difficulty exhaling. Which diagnosis is most
likely?
- These are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event?
- The cutaneous reaction may be observed as flushed, warm skin resulting from
vasodilation and uticarea. AMLS Page 162
An elderly patient is receiving care at home while recuperating from recent knee
surgery. She developed post a operative infection and has been on antibiotics for
quite sometime. She is complaining of foul smelling diarrhea, and abdominal
cramping and loss of appetite. Based on this presentation, the provider should
suspect?
- Signs and Symptoms
