AMLS Test
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 (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: - 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 (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? -
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 (C-DIFF)
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change? - 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? - answer89.6F - 95.0F (Mild Hypothermia)
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 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? - 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 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 (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: - 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 (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? -
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 (C-DIFF)
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change? - 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? - answer89.6F - 95.0F (Mild Hypothermia)
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 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? - answerSigns and symptoms of TB include
persistent cough for 2-3 weeks, night sweats, headache, weight loss, hemoptysis, and
chest pain. AMLS Page 301
