AMLS Post Test
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? - -b. Supplemental
oxygen and suction
- 2. Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have what condition? - -a. Pulmonary
embolism
- 3. During compensatory shock, the renin-angiotensin-aldosterone
system is activated to cause a/an: - -a. Increase in preload, afterload, and
re-absorption of sodium
- 4. What clinical findings are most commonly associated with a
pulmonary embolus? - -a. Clear breath sounds with tachypnea
- 5. What condition is most likely to cause respiratory acidosis? - -b.
Narcotic overdose
- 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? - -d. ST-segment
elevation in all leads
- 7. Anaphylaxis is most associated with which physiological event? - -b.
Vasodilation
- 8. Acute Respiratory Distress Syndrome (ARDS) is characterized by
what pathological change? - -c. Breakdown of the alveolar-capillary
membrane
- 9. Continuous positive airway pressure would be most beneficial in
treating which patient? - -b. A 22yo with severe asthma who is not
responding to nebulizer treatments
- 10. What is the initial treatment for a patient experiencing
hyperosmolar hyperglycemic nonketotic coma (HHNC)? - -a. Crystalloid IV
fluid administration
- 11. Your patient has had a seizure secondary to a nerve agent
exposure. What medication would be best to diminish the seizure? - -c.
Midazolam
, - 12. Respiratory alkalosis may occur as a result of: - -a. Fever and
anxiety
- 13. An age-related change that increases the risk of respiratory
compromise is: - -c. Decrease in lung compliance
- 14. Paroxysmal nocturnal dyspnea is most common in patients with a
history of: - -a. Left-sided heart failure (?)
- 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: - -a. Hyperglycemia
- 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 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? - -d. Beta
Blockers
- 17. Metabolic acidosis is best described by which arterial blood gas
interpretation? - -b. pH decreased, pCO2 decreased, H2CO3 low (?)
- 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: - -c. Identify and manage life threats
- 19. Observing a patient's body positioning can be an early indicator
that the patient is: - -a. Sick or not sick
- 20. Which assessment finding is crucial to obtain from a patient
suspected of a stroke? - -c. Onset of symptoms
- 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? - -d. Subarachnoid hemorrhage
- 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: - -b.
Initiate an IV with 0.09% NS and monitor the patient carefully
- 23. Healthcare providers are treating a patient complaining of
substernal chest pain accompanied with nausea and one episode of
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? - -b. Supplemental
oxygen and suction
- 2. Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have what condition? - -a. Pulmonary
embolism
- 3. During compensatory shock, the renin-angiotensin-aldosterone
system is activated to cause a/an: - -a. Increase in preload, afterload, and
re-absorption of sodium
- 4. What clinical findings are most commonly associated with a
pulmonary embolus? - -a. Clear breath sounds with tachypnea
- 5. What condition is most likely to cause respiratory acidosis? - -b.
Narcotic overdose
- 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? - -d. ST-segment
elevation in all leads
- 7. Anaphylaxis is most associated with which physiological event? - -b.
Vasodilation
- 8. Acute Respiratory Distress Syndrome (ARDS) is characterized by
what pathological change? - -c. Breakdown of the alveolar-capillary
membrane
- 9. Continuous positive airway pressure would be most beneficial in
treating which patient? - -b. A 22yo with severe asthma who is not
responding to nebulizer treatments
- 10. What is the initial treatment for a patient experiencing
hyperosmolar hyperglycemic nonketotic coma (HHNC)? - -a. Crystalloid IV
fluid administration
- 11. Your patient has had a seizure secondary to a nerve agent
exposure. What medication would be best to diminish the seizure? - -c.
Midazolam
, - 12. Respiratory alkalosis may occur as a result of: - -a. Fever and
anxiety
- 13. An age-related change that increases the risk of respiratory
compromise is: - -c. Decrease in lung compliance
- 14. Paroxysmal nocturnal dyspnea is most common in patients with a
history of: - -a. Left-sided heart failure (?)
- 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: - -a. Hyperglycemia
- 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 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? - -d. Beta
Blockers
- 17. Metabolic acidosis is best described by which arterial blood gas
interpretation? - -b. pH decreased, pCO2 decreased, H2CO3 low (?)
- 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: - -c. Identify and manage life threats
- 19. Observing a patient's body positioning can be an early indicator
that the patient is: - -a. Sick or not sick
- 20. Which assessment finding is crucial to obtain from a patient
suspected of a stroke? - -c. Onset of symptoms
- 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? - -d. Subarachnoid hemorrhage
- 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: - -b.
Initiate an IV with 0.09% NS and monitor the patient carefully
- 23. Healthcare providers are treating a patient complaining of
substernal chest pain accompanied with nausea and one episode of
