AMLS Final
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 taken next? - answerSupplemental oxygen and suction
Patients with a history of COPD that present with an acute onset of shortness of breath
are likely to have which condition? - answerPulmonary embolism
During compensatory shock, the renin-angiotensine-aldosterone system is activated to
cause a/an: - answerIncrease in preload, afterload, and re-absorption of sodium
What clinical findings are most commonly associated with a pulmonary embolus? -
answerClear breath sounds with tachypnea
What condition is most likely to cause respiratory acidosis? - answerNarcotic overdose
A 55-year-old complains of an "aching" chest discomfort that persists over several days.
The patient has a temperature of 101*F (38.3*C). Which finding will help narrow the
diagnosis to pericarditis? - answerST-segment elevation in all leads
Anaphylaxis is most associated with which physiological event? - answerVasodilation
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic
change? - answerBreakdown of the alveolar-capillary membrane
Continuous positive airway pressure would be most beneficial in treating which patient?
- answerA 22-year-old with severe asthma who is not responding to nebulizer
treatments
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic
nonketotic coma (HHNC)? - answerCrystalloid IV fluid administration
Your patient has had a seizure secondary to a nerve agent exposure. What medication
would be best to diminish the seizure? - answerMidazolam
Respiratory alkalosis may occur as a result of: - answerFever and anxiety
An age-related change that increases the risk of respiratory compromise is: -
answerDecrease in lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of: -
answerLeft-sided heart failure
, The patient presents with a history of fever and an upper respiratory infection. Historical
information reveals increasing water intake, orthostatic hypotension, and an increase in
urination. You suspect these symptoms are caused by: - answerHyperglycemia
You are dispatched to the home of a 32-year-old patient with a history of Graves'
disease. The patient was in the ER earlier today for some "tests for my ulcers." He
received contrast and was discharged. He is now complaining of not feeling well, chest
pain, and palpitations. You note an anxious patient with fine tremors. He is diaphoretic
and has a temperature of 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose
level 133. Which of the following are management considerations for this patient? -
answerBeta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation? -
answerpH decreased, pCO2 decreased, H2CO3 low
The AMLS Assessment Pathway first advises safety and initial observations of the
scene. The second process described in this pathway asks the healthcare provider to: -
answerIdentify and manage life-threats
Observing a patient's body positioning can be an early indicator that the patient is: -
answerSick or not sick
Which assessment finding is crucial to obtain from a patient suspected of a stroke? -
answerOnset of symptoms
A 62-year-old patient presents with a severe headache. It is described as a
"thunderclap" accompanied with nausea, blurred vision, and an elevated blood
pressure. What neurologic condition is most likely causing this patient's presentation? -
answerSubarachnoid hemorrhage
A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He
felt a "sting" in his left lower leg and states the symptoms came on suddenly. BP
130/82, P 100, R 20 with a normal work of breathing and clear lung sounds. The
healthcare provider should: - answerInitiate an IV with 0.9% normal saline and
administer 0.5mg of epinephrine
Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting. The patient has had two
cardiac stents placed within the last year. He has a familial history of heart disease and
takes a baby aspirin daily. What information is most concerning? - answerRecent stent
placement
The patient complains of sharp chest pain that worsens when supine. He is bed ridden
due to complications from a recent hip surgery. The patient is tachypneic adn the ECG
reveals sinus tachycardia. What is the patient's working diagnosis? - answerPulmonary
embolism
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 taken next? - answerSupplemental oxygen and suction
Patients with a history of COPD that present with an acute onset of shortness of breath
are likely to have which condition? - answerPulmonary embolism
During compensatory shock, the renin-angiotensine-aldosterone system is activated to
cause a/an: - answerIncrease in preload, afterload, and re-absorption of sodium
What clinical findings are most commonly associated with a pulmonary embolus? -
answerClear breath sounds with tachypnea
What condition is most likely to cause respiratory acidosis? - answerNarcotic overdose
A 55-year-old complains of an "aching" chest discomfort that persists over several days.
The patient has a temperature of 101*F (38.3*C). Which finding will help narrow the
diagnosis to pericarditis? - answerST-segment elevation in all leads
Anaphylaxis is most associated with which physiological event? - answerVasodilation
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic
change? - answerBreakdown of the alveolar-capillary membrane
Continuous positive airway pressure would be most beneficial in treating which patient?
- answerA 22-year-old with severe asthma who is not responding to nebulizer
treatments
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic
nonketotic coma (HHNC)? - answerCrystalloid IV fluid administration
Your patient has had a seizure secondary to a nerve agent exposure. What medication
would be best to diminish the seizure? - answerMidazolam
Respiratory alkalosis may occur as a result of: - answerFever and anxiety
An age-related change that increases the risk of respiratory compromise is: -
answerDecrease in lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of: -
answerLeft-sided heart failure
, The patient presents with a history of fever and an upper respiratory infection. Historical
information reveals increasing water intake, orthostatic hypotension, and an increase in
urination. You suspect these symptoms are caused by: - answerHyperglycemia
You are dispatched to the home of a 32-year-old patient with a history of Graves'
disease. The patient was in the ER earlier today for some "tests for my ulcers." He
received contrast and was discharged. He is now complaining of not feeling well, chest
pain, and palpitations. You note an anxious patient with fine tremors. He is diaphoretic
and has a temperature of 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose
level 133. Which of the following are management considerations for this patient? -
answerBeta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation? -
answerpH decreased, pCO2 decreased, H2CO3 low
The AMLS Assessment Pathway first advises safety and initial observations of the
scene. The second process described in this pathway asks the healthcare provider to: -
answerIdentify and manage life-threats
Observing a patient's body positioning can be an early indicator that the patient is: -
answerSick or not sick
Which assessment finding is crucial to obtain from a patient suspected of a stroke? -
answerOnset of symptoms
A 62-year-old patient presents with a severe headache. It is described as a
"thunderclap" accompanied with nausea, blurred vision, and an elevated blood
pressure. What neurologic condition is most likely causing this patient's presentation? -
answerSubarachnoid hemorrhage
A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He
felt a "sting" in his left lower leg and states the symptoms came on suddenly. BP
130/82, P 100, R 20 with a normal work of breathing and clear lung sounds. The
healthcare provider should: - answerInitiate an IV with 0.9% normal saline and
administer 0.5mg of epinephrine
Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting. The patient has had two
cardiac stents placed within the last year. He has a familial history of heart disease and
takes a baby aspirin daily. What information is most concerning? - answerRecent stent
placement
The patient complains of sharp chest pain that worsens when supine. He is bed ridden
due to complications from a recent hip surgery. The patient is tachypneic adn the ECG
reveals sinus tachycardia. What is the patient's working diagnosis? - answerPulmonary
embolism
