AMLS STUDY GUIDE WITH COMPLETE SOLUTION 2022/2023

AMLS STUDY GUIDE WITH COMPLETE SOLUTION 2022/2023 What condition is most likely to cause respiratory acidosis? - answerIn 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? - answer12 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: - answerThis selective perfusion occurs during the ischemic phase of shock. AMLS Page 146 lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruising around the umbilicus. This physical exam finding is known as: - answerCullen's sign is a blue discoloration around the umbilicus. AMLS Page 235 What clinical findings are most commonly associated with a pulmonary embolus? - answerClear 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? - answerThe 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? - answerElements 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? - answerSigns 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? - answerThis is self explanatory 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? - answerThese are textbook signs of asthma Signs and Symptoms.AMLS Page 83 Anaphylaxis is most associated with which physiological event? - answerThe 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 - answerSigns and Symptoms Patients with this illness have diarrhea that is not bloody but has a characteristic foul odor. Abdominal pain and cramping are present in about 22% of patients. AMLS Page 319 Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - answerPathophysiology AMLS Page 88 Healthcare providers are responding to a near-drowning at a local lake. The patient is experiencing uncontrollable shivering and complains of nausea and weakness. The patient had been treading water for 25 minutes and now presents with tachycardia and rapid respirations. Core body temperature is 93.2°F (34°C). Which diagnosis is most likely? - answer89.6F - 95.0F AMLS Page 338 Continuous positive airway pressure would be most appropriate in treating which patient? - answer22 year old with severe asthma and not responding to nebulizer treatments A local businesswoman has returned from missionary work in South Africa. She is complaining of night sweats,chest discomfort and a persistent cough for several weeks. Which underlying diagnosis is most likely causing these symptoms? - answerSigns and symptoms of TB include persistent cough for 2-3 weeks, night sweats, headache, weight loss, hemoptysis, and chest pain. AMLS Page 301 What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Non-ketotic Syndrome (HHNS)? - answerThe patient may have significant volume depletion. Begin IV fluid resuscitation immediately. The initial fluid of choice is 0.9% normal saline (crystalloid solution). AMLS Page 270 When assessing geriatric patients, infectious disease is more difficult to identify for all the following reasons EXCEPT - answerOlder Adult Patients. AMLS Page 325 Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - answerIf seizures develop administer diazepam (Valium) or lorazepam (Ativan). AMLS Page 424 A caregiver for a quadriplegic patient notes an onset of difficulty in breathing and anxiousness in her patient. Further assessment shows a temperature of 101.2°F (38"C), P 128, BP 86/68, and R 24. Physical exam shows the skin is warm and urine in the Foley catheter is dark yellow and cloudy. This patient is most likely experiencing what type of shock? - answerAMLS Page 159, Table 4-11