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A 23 year-old male complains of a productive cough, fever, chills and pleuritic chest pain that has
worsened over 3 days. A physical exam reveals unilateral wheezing with shallow respirations. Vitals are P
128, R 26, BP 144/88, SpO2 90%, and T 102 F. What treatment should be performed? - ✔✔Supplemental
oxygen and immediate transport
A 24 year-old female presents with lower right quadrant abdominal pain. Her skin is hot to the touch and
she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What diagnosis is suspected?
- ✔✔Appendicitis
A 24 year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete becomes
lethargic. What underlying electrolyte disturbance should the healthcare provider most likely suspect? -
✔✔Hyponatremia
A 28 year-old female is being evaluated for an acute onset of an alteration in mentation. She complained
of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular, BP 144/88, SpO2 95% and
T 102.3 F. The healthcare provider should observe for which complication? - ✔✔seizure
A 42 year-old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the past two
weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight loss. Lab results
indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected? - ✔✔Adrenal
insufficiency
A 45 year-old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint
pupils, shallow respirations and vomitus in and around the mouth. What course of action should be
implemented next? - ✔✔Supplemental oxygen and suction
A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and blood-
streaked emesis. The patient has a temperature of 101.9F and severe abdominal tenderness. What
underlying diagnosis should be suspected? - ✔✔pancreatitis
, A lethargic patient presents with dilated pupils and vital signs of P122, R26, and BP 130/80. He admits to
excessive ingestion of diphenhydramine. What response is the cause for the presenting signs and
symptoms? - ✔✔Anticholinergic
A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and radiates to
the jaw. He self-administered 1 nitroglycerin tablet without relief and the 12-lead reveals a normal sinus
rhythm with ST elevation in leads II, III, and aVF. What working diagnosis is most likely? - ✔✔inferior wall
myocardial injury
A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of taste and
no extremity weakness. The patient has a history of Lyme's disease. What condition is the patient likely
experiencing? - ✔✔Bell's palsy
A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for
treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of pulmonary
edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol
poisoning has occurred? - ✔✔2
A patient presents with mildly decreased mental status, slow respirations, bradycardia, hypotension, has
a blood sugar 42 mg/dl. This is most likely caused from excessive ingestion of: - ✔✔beta blockers
A patient with a history of Grave's disease presents with anxiety, profuse sweating and a palpable goiter.
Vitals are P151, R35 and labored, BP 84/42. Which working diagnosis is most likely? - ✔✔Thyrotoxicosis
A patient with suspected gallbladder disease is asked to take a deep breath while the provider presses
upward into the upper right quadrant. If the patient ceases inspiration due to increase pain while being
examined, this is known as: - ✔✔Murphy's sign
According to the AMLS Assessment Pathway, determining whether a patient is "Sick or Not Sick" is
initially done which component of the assessment process? - ✔✔First impression
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? -
✔✔Breakdown of the alveolar-capillary membrane