AMLS Post Test
1.b. Supplemental oxygen and suction: 1. 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?
2.a. Pulmonary embolism: 2. Patients with a history of COPD that present with an acute
onset of shortness of breath are likely to have what condition?
3.a. Increase in preload, afterload, and re-absorption of sodium: 3. During com-
pensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
4.a. Clear breath sounds with tachypnea: 4. What clinical findings are most
commonly associated with a pulmonary embolus?
5.b. Narcotic overdose: 5. What condition is most likely to cause respiratory
acidosis?
6.d. ST-segment elevation in all leads: 6. 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?
7.b. Vasodilation: 7. Anaphylaxis is most associated with which physiological
event?
8.c. Breakdown of the alveolar-capillary membrane: 8. Acute Respiratory Dis- tress
Syndrome (ARDS) is characterized by what pathological change?
9.b. A 22yo with severe asthma who is not responding to nebulizer treatments-
: 9. Continuous positive airway pressure would be most beneficial in treating which
patient?
10.a. Crystalloid IV fluid administration: 10. What is the initial treatment for a
patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)?
11.c. Midazolam: 11. Your patient has had a seizure secondary to a nerve agent
exposure. What medication would be best to diminish the seizure?
12.a. Fever and anxiety: 12. Respiratory alkalosis may occur as a result of:
13.c. Decrease in lung compliance: 13. An age-related change that increases the risk of
respiratory compromise is:
14.a. Left-sided heart failure (?): 14. Paroxysmal nocturnal dyspnea is most
common in patients with a history of:
15.a. Hyperglycemia: 15. 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:
16.d. Beta Blockers: 16. You are dispatched to the home of a 32yo 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
1/
5
, AMLS Post Test
fine tremors. He is diaphoretic and has a temperature of 101.5F, BP 100/62, P 156 (sinus
tach), R 30, glucose level 133. Which of the following are management considerations for
this patient?
17.b. pH decreased, pCO2 decreased, H2CO3 low (?): 17. Metabolic acidosis is best
described by which arterial blood gas interpretation?
18.c. Identify and manage life threats: 18. 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:
19.a. Sick or not sick: 19. Observing a patient's body positioning can be an early
indicator that the patient is:
20.c. Onset of symptoms: 20. Which assessment finding is crucial to obtain from a
patient suspected of a stroke?
21.d. Subarachnoid hemorrhage: 21. A 62yo patient presents with a severe headache. It
is described as a "thunderclap" accompanied with nausea, blurred vision, and an elevated
blood pressure. What neurologic condition is most likely the cause of this patient's
presentation?
22.b. Initiate an IV with 0.09% NS and monitor the patient carefully: 22. A 38yo
presents with mild chest tightness and urticaria after mowing the lawn. He felt a "sting" in
his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20 with
a normal work of breathing and clear lung sounds. The healthcare provider should:
23.b. Recent stent placement: 23. Healthcare providers are treating a patient
complaining of substernal chest pain accompanied with nausea and one episode of
vomiting. The patient has had two cardiac stents placed within the last year. He has a
familial history of heart disease and takes a baby aspirin daily. What information is most
concerning?
24.d. Pulmonary embolism: 24. The patient complains of sharp chest pain that worsens
when supine. He is bed ridden due to complications from a recent hip surgery. The
patient is tachypneic and the ECG reveals sinus tachycardia. What is the patient's
working diagnosis?
25.c. Methicillin-resistant Staphylococcus aureus: 25. A patient is a resident in an
assisted living facility to obtain physical therapy after a knee replacement surgery. She
complains of a rash that is red and has small bumps. She has been feeling ill for several
days. What is the most likely working diagnosis?
26.b. Meningitis: 26. A foreign exchange university student is found by his room- mate
and EMS is dispatched. The patient presents with an unusual flat red rash on his chest and
arms. He has been ill with fever, nausea, and vomiting. Physical exam reveals stiffness of
the neck. The healthcare provider will anticipate which diagnosis?
2/
5
1.b. Supplemental oxygen and suction: 1. 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?
2.a. Pulmonary embolism: 2. Patients with a history of COPD that present with an acute
onset of shortness of breath are likely to have what condition?
3.a. Increase in preload, afterload, and re-absorption of sodium: 3. During com-
pensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
4.a. Clear breath sounds with tachypnea: 4. What clinical findings are most
commonly associated with a pulmonary embolus?
5.b. Narcotic overdose: 5. What condition is most likely to cause respiratory
acidosis?
6.d. ST-segment elevation in all leads: 6. 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?
7.b. Vasodilation: 7. Anaphylaxis is most associated with which physiological
event?
8.c. Breakdown of the alveolar-capillary membrane: 8. Acute Respiratory Dis- tress
Syndrome (ARDS) is characterized by what pathological change?
9.b. A 22yo with severe asthma who is not responding to nebulizer treatments-
: 9. Continuous positive airway pressure would be most beneficial in treating which
patient?
10.a. Crystalloid IV fluid administration: 10. What is the initial treatment for a
patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)?
11.c. Midazolam: 11. Your patient has had a seizure secondary to a nerve agent
exposure. What medication would be best to diminish the seizure?
12.a. Fever and anxiety: 12. Respiratory alkalosis may occur as a result of:
13.c. Decrease in lung compliance: 13. An age-related change that increases the risk of
respiratory compromise is:
14.a. Left-sided heart failure (?): 14. Paroxysmal nocturnal dyspnea is most
common in patients with a history of:
15.a. Hyperglycemia: 15. 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:
16.d. Beta Blockers: 16. You are dispatched to the home of a 32yo 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
1/
5
, AMLS Post Test
fine tremors. He is diaphoretic and has a temperature of 101.5F, BP 100/62, P 156 (sinus
tach), R 30, glucose level 133. Which of the following are management considerations for
this patient?
17.b. pH decreased, pCO2 decreased, H2CO3 low (?): 17. Metabolic acidosis is best
described by which arterial blood gas interpretation?
18.c. Identify and manage life threats: 18. 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:
19.a. Sick or not sick: 19. Observing a patient's body positioning can be an early
indicator that the patient is:
20.c. Onset of symptoms: 20. Which assessment finding is crucial to obtain from a
patient suspected of a stroke?
21.d. Subarachnoid hemorrhage: 21. A 62yo patient presents with a severe headache. It
is described as a "thunderclap" accompanied with nausea, blurred vision, and an elevated
blood pressure. What neurologic condition is most likely the cause of this patient's
presentation?
22.b. Initiate an IV with 0.09% NS and monitor the patient carefully: 22. A 38yo
presents with mild chest tightness and urticaria after mowing the lawn. He felt a "sting" in
his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20 with
a normal work of breathing and clear lung sounds. The healthcare provider should:
23.b. Recent stent placement: 23. Healthcare providers are treating a patient
complaining of substernal chest pain accompanied with nausea and one episode of
vomiting. The patient has had two cardiac stents placed within the last year. He has a
familial history of heart disease and takes a baby aspirin daily. What information is most
concerning?
24.d. Pulmonary embolism: 24. The patient complains of sharp chest pain that worsens
when supine. He is bed ridden due to complications from a recent hip surgery. The
patient is tachypneic and the ECG reveals sinus tachycardia. What is the patient's
working diagnosis?
25.c. Methicillin-resistant Staphylococcus aureus: 25. A patient is a resident in an
assisted living facility to obtain physical therapy after a knee replacement surgery. She
complains of a rash that is red and has small bumps. She has been feeling ill for several
days. What is the most likely working diagnosis?
26.b. Meningitis: 26. A foreign exchange university student is found by his room- mate
and EMS is dispatched. The patient presents with an unusual flat red rash on his chest and
arms. He has been ill with fever, nausea, and vomiting. Physical exam reveals stiffness of
the neck. The healthcare provider will anticipate which diagnosis?
2/
5
