AMLS Post Test 2022 3rd Edition QUESTIONS WITH
COMPLETE SOLUTIONS
Which of the following may cause primary respiratory alkalosis? Correct Answer: Fever
A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is warm and
his urine is dark, yellow and cloudy. Vital signs are BP 86/68, P-128, R-24, temp 101.2 F
(38degrees C). Which type of shock should you suspect? Correct Answer: Septic
A 20-year-old male college student complains of acute onset of fever, headache, vomiting, and
malaise. He appears ill and has a petechial rash on his extremities. What should you suspect?
Correct Answer: Meningitis
A 20-year-old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle
and foot. What should you do? Correct Answer: Wash the area and administer an analgesic
The renin-angiotensin-aldosterone system is activated during shock in order to cause which of
the following? Correct Answer: Increase in preload, after load, and reabsorption of sodium
An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week
history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as
needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What should you suspect? Correct
Answer: Epiglottitis
An anxious 32-year-old female complains of chest pains with palpitations. She has a history of
Grave's disease. She reports she was seen in the ED earlier that day and had a CT scan of her
abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F (38.6 C). Vital
signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should you administer? Correct
Answer: Normal Saline
What statement is correct regarding responding to a suspected nerve agent exposure? Correct
Answer: Patients should be treated in a well-ventilated area
What reference is the MOST beneficial to obtain for a suspected stroke? Correct Answer: Last
Known Well
Which of the following statements is correct regarding radioactive materials? Correct Answer:
Simple clothing can stop beta particles from entering the body
What finding is unique to pericarditis? Correct Answer: Diffuse ST segment elevation
A 21-year-old male complains of sharp chest pain and shortness of breath. The symptoms started
when he lifted a heavy object. Vital signs are BP-152/96, P-108, R-24 and diminished on the left.
What should you suspect? Correct Answer: Spontaneous Pneumothorax
, A 72-year-old female complains of a sudden onset of a burning sensation to the left side of her
forehead and blurred vision. She wants to follow up with her primary care physician tomorrow.
Vital signs are BP-150/70, P-80, R-16. What should you do? Correct Answer: Encourage her to
be transported by ambulance to the hospital
An anxious 61-year-old male complains of severe shortness of breath and localized chest pain
with blood-tinged sputum. His dyspnea started when he stood up from watching television all
day and increased in severity as he moved around. Vital signs are BP-104/60, P-98 and irregular,
R-26 and labored. What should you suspect? Correct Answer: Pulmonary Embolism
Anaphylaxis is most commonly associated with which physiological event? Correct Answer:
Vasodilation
A confused 67-year-old male has vomited multiple times prior to EMS arrival. He was involved
in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost
coordination since the crash. Vitals signs are BP-150/88, P-72, R-18, BGL-92 mg/dL. What
should you suspect? Correct Answer: Subdural Hematoma
What condition causes paroxysmal nocturnal dyspnea? Correct Answer: Left-sided heart failure
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state
(HHS)? Correct Answer: Normal Saline
An 18-year-old male nearly drowned at a local lake after treading water for 25 minutes. He is
shivering uncontrollably and complains of nausea and weakness. Vital signs are BP-122/62, R-
28, P-136, and his temperature is 93.2 F (34 C). What should you suspect? Correct Answer:
Mild hypothermia
A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse and
presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles. What should
you suspect? Correct Answer: Liver Failure
A 22-year old male has recently undergone a surgical procedure to repair an injury to thoracic
vertebrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive,
and has warm, dry skin. Which type of shock is most likely occurring? Correct Answer:
Neurogenic
It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial droop, and
altered mental status. At 0400 hours, her husband heard her go to the bathroom. At 2300 hours
they went to bed and everything was "fine." How should you report the last time she was known
normal? Correct Answer: 2300 hrs
Continuous positive airway pressure would be most beneficial in treating which of the following
patients? Correct Answer: A 22-year-old with severe asthma that is unresponsive to albuterol
treatments
COMPLETE SOLUTIONS
Which of the following may cause primary respiratory alkalosis? Correct Answer: Fever
A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is warm and
his urine is dark, yellow and cloudy. Vital signs are BP 86/68, P-128, R-24, temp 101.2 F
(38degrees C). Which type of shock should you suspect? Correct Answer: Septic
A 20-year-old male college student complains of acute onset of fever, headache, vomiting, and
malaise. He appears ill and has a petechial rash on his extremities. What should you suspect?
Correct Answer: Meningitis
A 20-year-old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle
and foot. What should you do? Correct Answer: Wash the area and administer an analgesic
The renin-angiotensin-aldosterone system is activated during shock in order to cause which of
the following? Correct Answer: Increase in preload, after load, and reabsorption of sodium
An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week
history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as
needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What should you suspect? Correct
Answer: Epiglottitis
An anxious 32-year-old female complains of chest pains with palpitations. She has a history of
Grave's disease. She reports she was seen in the ED earlier that day and had a CT scan of her
abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F (38.6 C). Vital
signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should you administer? Correct
Answer: Normal Saline
What statement is correct regarding responding to a suspected nerve agent exposure? Correct
Answer: Patients should be treated in a well-ventilated area
What reference is the MOST beneficial to obtain for a suspected stroke? Correct Answer: Last
Known Well
Which of the following statements is correct regarding radioactive materials? Correct Answer:
Simple clothing can stop beta particles from entering the body
What finding is unique to pericarditis? Correct Answer: Diffuse ST segment elevation
A 21-year-old male complains of sharp chest pain and shortness of breath. The symptoms started
when he lifted a heavy object. Vital signs are BP-152/96, P-108, R-24 and diminished on the left.
What should you suspect? Correct Answer: Spontaneous Pneumothorax
, A 72-year-old female complains of a sudden onset of a burning sensation to the left side of her
forehead and blurred vision. She wants to follow up with her primary care physician tomorrow.
Vital signs are BP-150/70, P-80, R-16. What should you do? Correct Answer: Encourage her to
be transported by ambulance to the hospital
An anxious 61-year-old male complains of severe shortness of breath and localized chest pain
with blood-tinged sputum. His dyspnea started when he stood up from watching television all
day and increased in severity as he moved around. Vital signs are BP-104/60, P-98 and irregular,
R-26 and labored. What should you suspect? Correct Answer: Pulmonary Embolism
Anaphylaxis is most commonly associated with which physiological event? Correct Answer:
Vasodilation
A confused 67-year-old male has vomited multiple times prior to EMS arrival. He was involved
in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost
coordination since the crash. Vitals signs are BP-150/88, P-72, R-18, BGL-92 mg/dL. What
should you suspect? Correct Answer: Subdural Hematoma
What condition causes paroxysmal nocturnal dyspnea? Correct Answer: Left-sided heart failure
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state
(HHS)? Correct Answer: Normal Saline
An 18-year-old male nearly drowned at a local lake after treading water for 25 minutes. He is
shivering uncontrollably and complains of nausea and weakness. Vital signs are BP-122/62, R-
28, P-136, and his temperature is 93.2 F (34 C). What should you suspect? Correct Answer:
Mild hypothermia
A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse and
presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles. What should
you suspect? Correct Answer: Liver Failure
A 22-year old male has recently undergone a surgical procedure to repair an injury to thoracic
vertebrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive,
and has warm, dry skin. Which type of shock is most likely occurring? Correct Answer:
Neurogenic
It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial droop, and
altered mental status. At 0400 hours, her husband heard her go to the bathroom. At 2300 hours
they went to bed and everything was "fine." How should you report the last time she was known
normal? Correct Answer: 2300 hrs
Continuous positive airway pressure would be most beneficial in treating which of the following
patients? Correct Answer: A 22-year-old with severe asthma that is unresponsive to albuterol
treatments
