AMLS: Advanced Medical Life Support
AMLS Review 2022.
As you obtain historical information regarding your patient, you note that the patient's
presentation and responses are very similar to several patient complaints you have
treated in the past. Integrating this information from past experience to this current
experience is known as:
Pattern recognition
In which situation has the threat to your personal safety been reduced most
significantly?
A barking dog has been secured in a kennel in the yard.
You evaluate the patient's environment to assess for:
all of the above; Safety concerns, Room Temp, Assistive devices
An unresponsive patient has a needle in his arm when you arrive. His pupils are
pinpoint, and he is breathing four times per minute. You are preparing to administer
naloxone. At this point, opioid overdose is your initial:
Differential diagnosis
An 18-year-old male had a tonic-clonic seizure. Coworkers report no known seizure
history. You can arouse him to voice. P 118, R 20, BP 102/68. The diagnostic test most
likely to narrow your differential diagnosis would be:
Blood glucose analysis
A 23-year-old female has an acute onset of left flank pain. You should investigate which
of the following regarding her pain?
Dysuria
When you use an interpreter to question a 42-year-old female about her abdominal
pain, what is the best way to ensure information has been conveyed accurately and
completely?
Let the patient write her answers, and have the interpreter restate them so you will have
a recored of her statements for your report. (yeah right)
After you ensure scene safety, your highest priority is to:
Rule out immediate life threats
Which of the following physical findings points most specifically to increased intracranial
pressure?
Respiratory rate is 8 and irregular.
You are transferring a 65-year-old female with renal failure from the nursing home. She
has a history of "abnormal lab values" and is drowsy and weak. You note the following
lab values: serum calcium 10.0 mg/dL (0.55 mmol/L), pH 7.28, potassium 6.1 mEq/L.
The patient goes into cardiac arrest after you load her into the ambulance. After
epinephrine, you should first consider giving her:
Magnesium sulfate
Which of the following describes a behavior that represents normal mental status? A
person who:
Is drowsy and slow to respond to questions after awakening from a nap.
, Which assessment evaluates at least one aspect of cranial nerve function?
Cincinnati Prehospital Stroke Scale
A 72-year-old male had a syncopal episode in church. His wife said he has been
complaining of a headache for about a week. He has early Alzheimer's disease. Home
medicines include Lipitor and Exelon (rivastigmine). Which of the following questions
may help narrow your differential diagnosis?
Did he fall or hit his head recently?
A 56-year-old female experiences a sudden onset of headache and blurred vision
during yoga class. Her right eyelid is drooping, and the pupil on that side is small
compared to the left pupil. You should take her to a hospital with:
Specialized neurologic and vascular capability
A 32-year-old complains of headache and dizziness. He vomited once and is walking
with a staggering gait. His blood pressure is 148/72, pulse 92, respirations 20. He has a
steady stare up toward his right ear. Which sign or symptom makes you consider
intracerebral hemorrhage more strongly than migraine headache as a cause of his
emergency?
Abnormal gaze
Which is the most reliable indicator that ventilation should be assisted in a patient with
altered mental status?
End-tidal CO2 is 60 mm Hg
A 24-year-old male complains of sudden explosive headache . He asks you to lower the
lights. He has vomited once. Which of these findings would increase your index of
suspicion for subarachnoid hemorrhage?
Stiff neck
Which of the following findings indicates the need to increase the rate of ventilation in a
intubated patient you suspect to have an epidural hematoma?
Unilateral blown pupil
A 25-year-old helmeted female was thrown from a horse. She is complaining of
weakness in her upper extremities. You ask her to close her eyes and identify whether
you are moving her thumb up or down. She is unable to do so. This indicates she does
not have normal:
Proprioception
A 44-year-old male is postictal after a witnessed grand mal seizure. He is arousable to
light pain and is presently snoring. His vital signs are BP 142/86, P 120, R 20, Sa02
98%. You should:
Insert a nasopharyngeal airway
A 25-year-old woman was involved in a motor vehicle collision. Her initial vital signs
were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the following findings
on repeat assessment would indicate that she is developing shock?
Pulse pressure 32 mm Hg
Which gland is responsible for some of the vasoconstriction in shock?
Pituitary
The primary mechanism for septic shock is:
Widespread inflammatory response
A 24-year-old male injuries in a shallow diving incident. Which assessment finding
would you anticipate if he is developing neurogenic shock?
AMLS Review 2022.
As you obtain historical information regarding your patient, you note that the patient's
presentation and responses are very similar to several patient complaints you have
treated in the past. Integrating this information from past experience to this current
experience is known as:
Pattern recognition
In which situation has the threat to your personal safety been reduced most
significantly?
A barking dog has been secured in a kennel in the yard.
You evaluate the patient's environment to assess for:
all of the above; Safety concerns, Room Temp, Assistive devices
An unresponsive patient has a needle in his arm when you arrive. His pupils are
pinpoint, and he is breathing four times per minute. You are preparing to administer
naloxone. At this point, opioid overdose is your initial:
Differential diagnosis
An 18-year-old male had a tonic-clonic seizure. Coworkers report no known seizure
history. You can arouse him to voice. P 118, R 20, BP 102/68. The diagnostic test most
likely to narrow your differential diagnosis would be:
Blood glucose analysis
A 23-year-old female has an acute onset of left flank pain. You should investigate which
of the following regarding her pain?
Dysuria
When you use an interpreter to question a 42-year-old female about her abdominal
pain, what is the best way to ensure information has been conveyed accurately and
completely?
Let the patient write her answers, and have the interpreter restate them so you will have
a recored of her statements for your report. (yeah right)
After you ensure scene safety, your highest priority is to:
Rule out immediate life threats
Which of the following physical findings points most specifically to increased intracranial
pressure?
Respiratory rate is 8 and irregular.
You are transferring a 65-year-old female with renal failure from the nursing home. She
has a history of "abnormal lab values" and is drowsy and weak. You note the following
lab values: serum calcium 10.0 mg/dL (0.55 mmol/L), pH 7.28, potassium 6.1 mEq/L.
The patient goes into cardiac arrest after you load her into the ambulance. After
epinephrine, you should first consider giving her:
Magnesium sulfate
Which of the following describes a behavior that represents normal mental status? A
person who:
Is drowsy and slow to respond to questions after awakening from a nap.
, Which assessment evaluates at least one aspect of cranial nerve function?
Cincinnati Prehospital Stroke Scale
A 72-year-old male had a syncopal episode in church. His wife said he has been
complaining of a headache for about a week. He has early Alzheimer's disease. Home
medicines include Lipitor and Exelon (rivastigmine). Which of the following questions
may help narrow your differential diagnosis?
Did he fall or hit his head recently?
A 56-year-old female experiences a sudden onset of headache and blurred vision
during yoga class. Her right eyelid is drooping, and the pupil on that side is small
compared to the left pupil. You should take her to a hospital with:
Specialized neurologic and vascular capability
A 32-year-old complains of headache and dizziness. He vomited once and is walking
with a staggering gait. His blood pressure is 148/72, pulse 92, respirations 20. He has a
steady stare up toward his right ear. Which sign or symptom makes you consider
intracerebral hemorrhage more strongly than migraine headache as a cause of his
emergency?
Abnormal gaze
Which is the most reliable indicator that ventilation should be assisted in a patient with
altered mental status?
End-tidal CO2 is 60 mm Hg
A 24-year-old male complains of sudden explosive headache . He asks you to lower the
lights. He has vomited once. Which of these findings would increase your index of
suspicion for subarachnoid hemorrhage?
Stiff neck
Which of the following findings indicates the need to increase the rate of ventilation in a
intubated patient you suspect to have an epidural hematoma?
Unilateral blown pupil
A 25-year-old helmeted female was thrown from a horse. She is complaining of
weakness in her upper extremities. You ask her to close her eyes and identify whether
you are moving her thumb up or down. She is unable to do so. This indicates she does
not have normal:
Proprioception
A 44-year-old male is postictal after a witnessed grand mal seizure. He is arousable to
light pain and is presently snoring. His vital signs are BP 142/86, P 120, R 20, Sa02
98%. You should:
Insert a nasopharyngeal airway
A 25-year-old woman was involved in a motor vehicle collision. Her initial vital signs
were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the following findings
on repeat assessment would indicate that she is developing shock?
Pulse pressure 32 mm Hg
Which gland is responsible for some of the vasoconstriction in shock?
Pituitary
The primary mechanism for septic shock is:
Widespread inflammatory response
A 24-year-old male injuries in a shallow diving incident. Which assessment finding
would you anticipate if he is developing neurogenic shock?
