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Exam of 8 pages for the course amls at amls (AMLS exam)

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AMLS
Anaphylaxis is most commonly associated with which physiological event?
A. Hypertension
B. Vasodilation
C. Bradycardia
D. Hemmorrhage - answerVasodilation

A patient complains of nausea and is passing black, tarry stools. What should you
suspect?
A. Bowel obstruction
B. Cholecystisis
C. Upper GI bleeding
D. Lower GI bleeding - answerUpper GI bleeding

A 45 year old female reports a headache, vertigo, and leg cramps after exercising. Vital
signs are BP 108/62, P 124, R 18, Temp 100.6, and SPo2 98%. What should you do?
A. remove patients clothes
B. Place ice packs in the axilla
C. provide oral fluid replacements
D. administer 25 g of D50 - answerProvide oral fluid replacement

A confused 67 year old male has vomited multiple times prior to EMS arrival. He was
involved in a car crash 48 hours prior. Bystanders state he became increasingly
confused and lost coordination since the crash. vital sings are BP 150/88, P 72, R 18,
BGL 92 mg/dL. What should you suspect?
A. Epidural Hematoma
B. Subdural hematoma
C. Carotid dissection
D. Absence seizure - answerSubdural Hematoma

A 44 year old female complains of a sudden onset of sharp pain in her right flank that
radiates to her groin area. Intermittently the pain becomes very severe. She also reports
nausea. Vital signs are BP 152/92, P 104, R 16, SpO2 98%. What is the most likely
cause?
A. Diverticulitis
B. Crohn's disease
C. Acute hepatitis
D. Kidney Stones - answerKidney Stones

A 45 year old male complains of SOB. He has a history of alcohol abuse and present
with severe ascites. Vitals are BP 142/78, P 104, R 24 with crackles. What should you
suspect?
A. Cholecystitis

, B. Gastroenteritis
C. Liver failure
D. Congestive heart failure - answerLiver Failure

An alert 49 year old male complains of a headache. He has tremors in his hands and
has been in the detoxification unit for 38 hours. He has a history of alcoholism. Vitals
are BP 168/96, P 104, R 22. What is he most at risk for?
A. MI
B. Stroke
C. Seizure
D. Hypoglycemia - answerSeizure

What references is the most beneficial to obtain for a suspected stroke?
A. Daily aspirin dose
B. PMH
C. Last known well
D. Last oral intake - answerLast known well

A 22 year old male has recently undergone a surgical procedure to repair an injury to
the thoracic vertebrae T1-T2. Assessment indicates the patient is an alert and oriented,
bradycardia, hypotensive, and has warm dry skin. which type of shock is most likely
occurring?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Neurogenic - answerNeurogenic

An elderly COPD patient complains of difficulty breathing upon exertion. She has a 1
week history of productive cough. She has pursed lip breathing. She is prescribed a
bronchodilator as needed. Vitals are BP 132/70, P 88, R 20 with rhonchi. What should
you suspect?
A. Chronic bronchitis
B. Pulmonary embolims
C. Epiglottitis
D. CHF - answerChronic Bronchitis

A 27 year old male is breathing fast and deep. He works at a preschool and believes
that the children plan to harm him. Which of the following statements is most helpful
when treating this patient?
A. please calm yourself. have you talked to your supervisor?
B. Concentrate on staying calm. This is all in your imagination. Children can't hurt
adults.
C. Your difficulty breathing is most important. What medications do you take?
D. I understand that you are concerned. Please tell me more about why you feel this
way. - answerI understand that you are concerned. Please tell me more about why you
feel this way.

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