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? -
correct 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? - correct answerPulmonary embolism
During compensatory shock, the renin-angiotensine-aldosterone system is activated to cause a/an: -
correct answerIncrease in preload, afterload, and re-absorption of sodium
What clinical findings are most commonly associated with a pulmonary embolus? - correct answerClear
breath sounds with tachypnea
What condition is most likely to cause respiratory acidosis? - correct 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? - correct
answerST-segment elevation in all leads
Anaphylaxis is most associated with which physiological event? - correct answerVasodilation
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? - correct
answerBreakdown of the alveolar-capillary membrane
Continuous positive airway pressure would be most beneficial in treating which patient? - correct
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)? - correct 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? - correct answerMidazolam
Respiratory alkalosis may occur as a result of: - correct answerFever and anxiety
An age-related change that increases the risk of respiratory compromise is: - correct answerDecrease in
lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of: - correct 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: - correct 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? -
correct answerBeta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation? - correct 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: - correct answerIdentify and manage
life-threats
Observing a patient's body positioning can be an early indicator that the patient is: - correct answerSick
or not sick
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? -
correct 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? - correct answerPulmonary embolism
During compensatory shock, the renin-angiotensine-aldosterone system is activated to cause a/an: -
correct answerIncrease in preload, afterload, and re-absorption of sodium
What clinical findings are most commonly associated with a pulmonary embolus? - correct answerClear
breath sounds with tachypnea
What condition is most likely to cause respiratory acidosis? - correct 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? - correct
answerST-segment elevation in all leads
Anaphylaxis is most associated with which physiological event? - correct answerVasodilation
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? - correct
answerBreakdown of the alveolar-capillary membrane
Continuous positive airway pressure would be most beneficial in treating which patient? - correct
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)? - correct 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? - correct answerMidazolam
Respiratory alkalosis may occur as a result of: - correct answerFever and anxiety
An age-related change that increases the risk of respiratory compromise is: - correct answerDecrease in
lung compliance
Paroxysmal nocturnal dyspnea is most common in patients with a history of: - correct 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: - correct 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? -
correct answerBeta Blockers
Metabolic acidosis is best described by which arterial blood gas interpretation? - correct 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: - correct answerIdentify and manage
life-threats
Observing a patient's body positioning can be an early indicator that the patient is: - correct answerSick
or not sick
