AMLS Test Quiz
What condition is most likely to cause respiratory acidosis?correct 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?correct 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:correct
answerThis 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:correct answerCullen's sign is a blue discoloration
around the umbilicus. AMLS Page 235
What clinical findings are most commonly associated with a pulmonary embolus?correct 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?correct 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?correct 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?correct
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?
correct answerThis 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?correct answerThese are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event?correct 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?correct 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 (C-DIFF)
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?correct
answerPathophysiology AMLS Page 88 (Caused by diffuse damage to the alveoli, perhaps as a result of
shock, aspiration of gastric contents, pulmonary edema or hypoxic event. Begins with a breakdown of
the alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gas exchange in the
lungs.
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?correct answer89.6F - 95.0F (Mild Hypothermia)
AMLS Page 338
Continuous positive airway pressure would be most appropriate in treating which patient?correct
answer22 year old with severe asthma and not responding to nebulizer treatments AMLS Page 72
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?correct 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)?correct 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 EXCEPTcorrect answerOlder Adult Patients. AMLS Page 325
What condition is most likely to cause respiratory acidosis?correct 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?correct 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:correct
answerThis 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:correct answerCullen's sign is a blue discoloration
around the umbilicus. AMLS Page 235
What clinical findings are most commonly associated with a pulmonary embolus?correct 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?correct 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?correct 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?correct
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?
correct answerThis 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?correct answerThese are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event?correct 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?correct 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 (C-DIFF)
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?correct
answerPathophysiology AMLS Page 88 (Caused by diffuse damage to the alveoli, perhaps as a result of
shock, aspiration of gastric contents, pulmonary edema or hypoxic event. Begins with a breakdown of
the alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gas exchange in the
lungs.
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?correct answer89.6F - 95.0F (Mild Hypothermia)
AMLS Page 338
Continuous positive airway pressure would be most appropriate in treating which patient?correct
answer22 year old with severe asthma and not responding to nebulizer treatments AMLS Page 72
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?correct 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)?correct 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 EXCEPTcorrect answerOlder Adult Patients. AMLS Page 325
