AMLS Final (154 QUESTIONS) WITH COMPLETE SOLUTIONS
What do you do for pin point pupils and low respirations? Correct Answer: Manage airway first,
then give Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do first?
Correct Answer: Suction their airway
COPD and Pulmonary Emphysema patients usually have a history of what? Correct Answer:
AFib
What does AFib cause? Correct Answer: Blood clots, which cause an increase risk for
pulmonary embolisms
What is the Renin-Angiotensin-Aldosterone system? Correct Answer: Body's response to low
BP. Renin, which is released primarily by the kidneys, stimulates the formation of angiotensin in
blood and tissues, which in turn stimulates the release of aldosterone from the adrenal cortex.
This causes the body to retain water and increase BP.
What are the signs and symptoms of a pulmonary embolism? Correct Answer: Sudden onset,
SOB, chest pain, increased HR & RR, cool pale clammy skin, pink tinged sputum
What are the risk factors for a pulmonary embolism? Correct Answer: Bed ridden pt., trauma or
surgical pt., prolonged sitting, recent c-section or traumatic delivery, <40 y/o taking oral
contraceptives, smokers
What causes respiratory alkalosis? Correct Answer: Increased O2
Decreased CO2
What causes respiratory acidosis? Correct Answer: Decreased O2
Increased CO2
What causes metabolic acidosis? Correct Answer: Kidneys aren't removing enough acid from
the body, so there is a build up. RR increases to blow off excess.
What are signs and symptoms of pericarditis? Correct Answer: sharp pain, fever, and ST
elevation in ALL leads
In pericarditis, what leads have ST elevation? Correct Answer: All of them
What is the physiological event that comes from anaphylaxis? Correct Answer: Vasodilation,
swelling, itching
How does ARDS effect the alveoli and capillaries? Correct Answer: Fluids build up in the
alveoli, causing less oxygen exchange at the capillaries
, What patients do CPAP work best on? Correct Answer: COPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline? Correct Answer: Isotonic crystalloid solution
What drug do you give to an organophosphate poisoning? Correct Answer: Atropine
What do you give a patient who is actively seizing? Correct Answer: Versed or Valium
What is another name for Versed? Correct Answer: Midazolam
If a patient with low blood sugar is actively seizing, which do you fix first? Correct Answer: the
seizing, then treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure? Correct Answer:
treat what caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning? Correct Answer: SLUDGE
What type of breathing do you get with DKA? Correct Answer: Kussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome (HHNS)?
Correct Answer: No
Anytime you see the word anxiety what type of respiratory problem do they have? Correct
Answer: Respiratory Alkalosis
What is the problem with your lung compliance the older you get? Correct Answer: It decreases
and becomes more brittle
What is Proximal Nocturnal Dyspnea? Correct Answer: Can't lay down at night without getting
shortness of breath
What patients generally have PND? Correct Answer: CHF
What is another name for CHF? Correct Answer: Left sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake, orthostatic
hypotension, and increased urination Correct Answer: THINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm, dry
skin? Correct Answer: DKA
Can an infection increase your temperature? Correct Answer: Yes
Can an infection increase your blood sugar? Correct Answer: Yes
What do you do for pin point pupils and low respirations? Correct Answer: Manage airway first,
then give Narcan.
If a patient who has pin point pupils and low respirations is vomiting, what do you do first?
Correct Answer: Suction their airway
COPD and Pulmonary Emphysema patients usually have a history of what? Correct Answer:
AFib
What does AFib cause? Correct Answer: Blood clots, which cause an increase risk for
pulmonary embolisms
What is the Renin-Angiotensin-Aldosterone system? Correct Answer: Body's response to low
BP. Renin, which is released primarily by the kidneys, stimulates the formation of angiotensin in
blood and tissues, which in turn stimulates the release of aldosterone from the adrenal cortex.
This causes the body to retain water and increase BP.
What are the signs and symptoms of a pulmonary embolism? Correct Answer: Sudden onset,
SOB, chest pain, increased HR & RR, cool pale clammy skin, pink tinged sputum
What are the risk factors for a pulmonary embolism? Correct Answer: Bed ridden pt., trauma or
surgical pt., prolonged sitting, recent c-section or traumatic delivery, <40 y/o taking oral
contraceptives, smokers
What causes respiratory alkalosis? Correct Answer: Increased O2
Decreased CO2
What causes respiratory acidosis? Correct Answer: Decreased O2
Increased CO2
What causes metabolic acidosis? Correct Answer: Kidneys aren't removing enough acid from
the body, so there is a build up. RR increases to blow off excess.
What are signs and symptoms of pericarditis? Correct Answer: sharp pain, fever, and ST
elevation in ALL leads
In pericarditis, what leads have ST elevation? Correct Answer: All of them
What is the physiological event that comes from anaphylaxis? Correct Answer: Vasodilation,
swelling, itching
How does ARDS effect the alveoli and capillaries? Correct Answer: Fluids build up in the
alveoli, causing less oxygen exchange at the capillaries
, What patients do CPAP work best on? Correct Answer: COPD and pneumonia
Pt. must be AO, maintain own airway, breathing on their own
What are other names for normal saline? Correct Answer: Isotonic crystalloid solution
What drug do you give to an organophosphate poisoning? Correct Answer: Atropine
What do you give a patient who is actively seizing? Correct Answer: Versed or Valium
What is another name for Versed? Correct Answer: Midazolam
If a patient with low blood sugar is actively seizing, which do you fix first? Correct Answer: the
seizing, then treat the cause
If a patient is postictal, do you treat their seizures or what caused the seizure? Correct Answer:
treat what caused the seizure, so it doesn't happen again
What are signs and symptoms of organophosphate poisoning? Correct Answer: SLUDGE
What type of breathing do you get with DKA? Correct Answer: Kussmaul's
Do you get Kussmaul's with Hyperglycemic Hyperosmotic Nonketotic Syndrome (HHNS)?
Correct Answer: No
Anytime you see the word anxiety what type of respiratory problem do they have? Correct
Answer: Respiratory Alkalosis
What is the problem with your lung compliance the older you get? Correct Answer: It decreases
and becomes more brittle
What is Proximal Nocturnal Dyspnea? Correct Answer: Can't lay down at night without getting
shortness of breath
What patients generally have PND? Correct Answer: CHF
What is another name for CHF? Correct Answer: Left sided heart failure
Fever and history of upper respiratory infection, that also has increased water intake, orthostatic
hypotension, and increased urination Correct Answer: THINK ABOUT THAT
What is wrong if someone has increased urination, increased thirst, low BP, with warm, dry
skin? Correct Answer: DKA
Can an infection increase your temperature? Correct Answer: Yes
Can an infection increase your blood sugar? Correct Answer: Yes
