AMLS POST TEST 50 QUESTIONS AND ANSWERS A+ GRADED
2024.
• 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?
• Initiate an IV and administer naloxone
• Supplemental oxygen and suction
• Obtain a blood glucose level
• Begin BVM ventilations - Correct Answer -b. Supplemental oxygen and
suction
• Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have what condition?
• Pulmonary embolism
• Angina pectoris
• Angioedema
• Hypertensive crisis - Correct Answer -a. Pulmonary embolism
• During compensatory shock, the renin-angiotensin-aldosterone system is
activated to cause a/an:
• Increase in preload, afterload, and re-absorption of sodium
• Decrease in preload, afterload, and re-absorption of sodium
• Hypotension and bradycardia
• Vasodilation and sodium retention - Correct Answer -a. Increase in preload,
afterload, and re-absorption of sodium
• What clinical findings are most commonly associated with a pulmonary
embolus?
• Clear breath sounds with tachypnea
• Rhonchi auscultated bilaterally with hypercarbia
• Crackles heard in the bases with bradycardia
• Fever, tachycardia, and tachypnea with increased work of breathing -
Correct Answer -a. Clear breath sounds with tachypnea
• What condition is most likely to cause respiratory acidosis?
• Anxiety/panic attack
• Narcotic overdose
, • Methanol ingestion
• Diabetic ketoacidosis - Correct Answer -b. Narcotic overdose
• A 55-year-old complains of an 'aching' chest discomfort that persists over
several days. The patient has a temperature of 101F (38.3C). Which finding will
help narrow the diagnosis to pericarditis?
• Pain is relieved when supine
• Pulsus alternans is present
• S3 gallop is auscultated
• ST-segment elevation in all leads - Correct Answer -d. ST-segment
elevation in all leads
• Anaphylaxis is most associated with which physiological event?
• Hemorrhage
• Vasodilation
• Bradycardia
• Hypertension - Correct Answer -b. Vasodilation
• Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change?
• Excessive mucous production
• Inflammation of the visceral pleura
• Breakdown of the alveolar-capillary membrane
• Accumulation of fluid between the pleural layers - Correct Answer -c.
Breakdown of the alveolar-capillary membrane
• Continuous positive airway pressure would be most beneficial in treatingwhich
patient?
• A 43yo with a decreased LOC with respiratory difficulty
• A 22yo with severe asthma who is not responding to nebulizer treatments
• A 38yo with carpal pedal spasms, clear lung sounds, and respirations of
40/min
• A 55yo with jugular vein distension and a BP of 90/60 - Correct Answer -b.A
22yo with severe asthma who is not responding to nebulizer treatments
• What is the initial treatment for a patient experiencing hyperosmolar
hyperglycemic nonketotic coma (HHNC)?
• Crystalloid IV fluid administration
• Administration of dextrose
2024.
• 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?
• Initiate an IV and administer naloxone
• Supplemental oxygen and suction
• Obtain a blood glucose level
• Begin BVM ventilations - Correct Answer -b. Supplemental oxygen and
suction
• Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have what condition?
• Pulmonary embolism
• Angina pectoris
• Angioedema
• Hypertensive crisis - Correct Answer -a. Pulmonary embolism
• During compensatory shock, the renin-angiotensin-aldosterone system is
activated to cause a/an:
• Increase in preload, afterload, and re-absorption of sodium
• Decrease in preload, afterload, and re-absorption of sodium
• Hypotension and bradycardia
• Vasodilation and sodium retention - Correct Answer -a. Increase in preload,
afterload, and re-absorption of sodium
• What clinical findings are most commonly associated with a pulmonary
embolus?
• Clear breath sounds with tachypnea
• Rhonchi auscultated bilaterally with hypercarbia
• Crackles heard in the bases with bradycardia
• Fever, tachycardia, and tachypnea with increased work of breathing -
Correct Answer -a. Clear breath sounds with tachypnea
• What condition is most likely to cause respiratory acidosis?
• Anxiety/panic attack
• Narcotic overdose
, • Methanol ingestion
• Diabetic ketoacidosis - Correct Answer -b. Narcotic overdose
• A 55-year-old complains of an 'aching' chest discomfort that persists over
several days. The patient has a temperature of 101F (38.3C). Which finding will
help narrow the diagnosis to pericarditis?
• Pain is relieved when supine
• Pulsus alternans is present
• S3 gallop is auscultated
• ST-segment elevation in all leads - Correct Answer -d. ST-segment
elevation in all leads
• Anaphylaxis is most associated with which physiological event?
• Hemorrhage
• Vasodilation
• Bradycardia
• Hypertension - Correct Answer -b. Vasodilation
• Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change?
• Excessive mucous production
• Inflammation of the visceral pleura
• Breakdown of the alveolar-capillary membrane
• Accumulation of fluid between the pleural layers - Correct Answer -c.
Breakdown of the alveolar-capillary membrane
• Continuous positive airway pressure would be most beneficial in treatingwhich
patient?
• A 43yo with a decreased LOC with respiratory difficulty
• A 22yo with severe asthma who is not responding to nebulizer treatments
• A 38yo with carpal pedal spasms, clear lung sounds, and respirations of
40/min
• A 55yo with jugular vein distension and a BP of 90/60 - Correct Answer -b.A
22yo with severe asthma who is not responding to nebulizer treatments
• What is the initial treatment for a patient experiencing hyperosmolar
hyperglycemic nonketotic coma (HHNC)?
• Crystalloid IV fluid administration
• Administration of dextrose
