Answers
What condition is most likely to cause respiratory acidosis? Correct ans
- In 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 ans - 12 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 ans - This 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 ans - Cullen's sign is a blue discoloration around the umbilicus.
AMLS Page 235
What clinical findings are most commonly associated with a pulmonary
embolus? Correct ans - Clear 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 ans -
The 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 ans - Elements 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
This study source was downloaded by 100000857300661 from CourseHero.com on 12-08-2022 14:44:13 GMT -06:00
https://www.coursehero.com/file/178327047/AMLS-Test-Examdocx/
, distention. Which diagnosis should the healthcare provider suspect?
Correct ans - Signs 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 ans - This
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 ans - These are textbook signs
of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event? Correct
ans - The 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 ans - Signs 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 ans - Pathophysiology 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 ans - 89.6F -
95.0F (Mild Hypothermia)
AMLS Page 338
Continuous positive airway pressure would be most appropriate in treating
which patient? Correct ans - 22 year old with severe asthma and not
responding to nebulizer treatments AMLS Page 72
This study source was downloaded by 100000857300661 from CourseHero.com on 12-08-2022 14:44:13 GMT -06:00
https://www.coursehero.com/file/178327047/AMLS-Test-Examdocx/