AMLS Pretest questions and answers (all correct)
2021/2022.
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? Correct Answer:
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? Correct Answer:
Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath
are likely to have which condition? Correct Answer: Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change? Correct Answer: 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? Correct Answer: Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is: Correct Answer: Administer
PEEP
7.) Anaphylaxis is most associated with which physiological event? Correct
Answer: 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? Correct Answer: 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? Correct Answer: Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated
to cause a/an: Correct Answer: 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? Correct Answer:
Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-
emergent, non-life threatening illness? Correct Answer: Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads? Correct Answer: II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage? Correct Answer:
Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)? Correct Answer: Crystalloid IV
fluid resuscitation
16.) What condition is most likely to cause respiratory acidosis? Correct Answer:
narcotic overdose
What is the most effective treatment for an unconscious patient in respiratory
acidosis? Correct Answer: Assisted bag-mask ventilation
An autoimmune disease which produces antibodies that mimic the role of TSH and
cause an increase in thyroid hormones is: Correct Answer: Grave's disease
Glucagon may not be effective treatment for a patient with hypoglycemia if they
also have which underlying illness? Correct Answer: Alcoholism
2021/2022.
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? Correct Answer:
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? Correct Answer:
Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath
are likely to have which condition? Correct Answer: Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change? Correct Answer: 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? Correct Answer: Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is: Correct Answer: Administer
PEEP
7.) Anaphylaxis is most associated with which physiological event? Correct
Answer: 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? Correct Answer: 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? Correct Answer: Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated
to cause a/an: Correct Answer: 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? Correct Answer:
Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-
emergent, non-life threatening illness? Correct Answer: Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads? Correct Answer: II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage? Correct Answer:
Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)? Correct Answer: Crystalloid IV
fluid resuscitation
16.) What condition is most likely to cause respiratory acidosis? Correct Answer:
narcotic overdose
What is the most effective treatment for an unconscious patient in respiratory
acidosis? Correct Answer: Assisted bag-mask ventilation
An autoimmune disease which produces antibodies that mimic the role of TSH and
cause an increase in thyroid hormones is: Correct Answer: Grave's disease
Glucagon may not be effective treatment for a patient with hypoglycemia if they
also have which underlying illness? Correct Answer: Alcoholism
