2024 REAL EXAM 150 QUESTIONS AND CORRECT ANSW
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What condition is most likely to cause respiratory acidosis? - ANSWER-
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In larger doses narcotics induce respiratory depression and eventually respiratory arrest.
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AMLS Page 95 g g
A 65-year-
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old female complains of chest pain that feels like "aching" in her chest. It has become
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progressively worse over several days. Her temperature is 38.3 degrees C (100 F).
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Which finding will help narrow your differential diagnosis to pericarditis? -
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ANSWER- 12 lead ECG will demonstrate global ST-
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segment elevation in almost every lead. AMLS Page 128
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During compensatory shock, the renin-angiotensin-
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aldosterone system is activated to cause a/an: - ANSWER-g g g g g g g g
This selective perfusion occurs during the ischemic phase of shock. AMLS Page 14
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6 (To stop kidneys from excreting fluid and keeping it in the vasculature, therefore in
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creasing BP) g
lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruising a
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round the umbilicus. This physical exam finding is known as: - ANSWER-
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gCullen's sign is a blue discoloration around the umbilicus. AMLS Page 235
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What clinical findings are most commonly associated with a pulmonary embolus? -
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ANSWER- Clear breath sounds with tachypnea.
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Signs and Symptoms AMLS Page 113
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A 50 year old female has called 911. She complains of shortness of breath and chest.
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discomfort. Assessment reveals her skin g g g g
is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regul
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ar. Which type of shock is most likely occurring? - ANSWER- The patient's
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,respiratory rate is increased, and crackles caused by pulmonary edema can be hear
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d on auscultation.
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Cardiogenic Shock Signs and Symptoms. AMLS g g g g g
gPage 164 g
Patients with a history of COPD that present with an acute onset of shortness of breat
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h are likely to have which condition? - ANSWER-
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gElements of patient history that suggest PE include acute onset of shortness of breath
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. AMLS Page 114
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An elderly patient with a 1 week history of productive cough and wheezing notices a
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n increase in difficulty in breathing when grocery shopping. Further assessment reve
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als pursed lip breathing, rhonchi, and minimal jugular vein distention. Which diagno
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sis should the healthcare provider suspect? - ANSWER-
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Signs and Symptoms of COPD. AMLS Page 85
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A 45 year old patient is found supine on the floor. Healthcare providers note pinpoint
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pupils, shallow respirations and vomitus in and around the mouth. What course of act
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ion should be implemented next? - ANSWER-
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gThis is self explanatory (Suction Airway)
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A 20 year old female presents with a 2-day history of dyspnea, non-
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productive cough, chest tightness audible wheezing. Further exam reveals no fever or
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strider. The patient has rapid respirations with difficulty exhaling. Which diagnosis is
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most likely? - ANSWER- These are textbook signs of asthma
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Signs and Symptoms.AMLS Page 83 g g g g
Anaphylaxis is most associated with which physiological event? - ANSWER- g g g g g g g g g
gThe cutaneous reaction may be observed as flushed, warm skin resulting from vasod
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ilation and uticarea. AMLS Page 162 g g g g g
An elderly patient is receiving care at home while recuperating from recent knee surg
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ery. She developed post a operative infection and has been on antibiotics for quite so
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metime. She is complaining of foul smelling diarrhea, and abdominal cramping and l
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oss of appetite. Based on this presentation, the provider should suspect? -
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ANSWER- Signs and Symptoms
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Patients with this illness have diarrhea that is not bloody but has a characteristic foul o
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dor. Abdominal pain and cramping are present in about 22% of patients. AMLS Page
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319 (C-DIFF)
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, Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologi
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cal change? - ANSWER-
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Pathophysiology AMLS Page 88 (Caused by diffuse damage to the alveoli, perha
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ps as a result of shock, aspiration of gastric contents, pulmonary edema or hypoxic
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event. Begins with a breakdown of the alveolar-
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capillary border that allows fluid to seep into the alveoli, decreasing gas exchange i
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n the lungs.
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Healthcare providers are responding to a near- g g g g g g
drowning at a local lake. The patient is experiencing uncontrollable shivering and co
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mplains of nausea and weakness. g g g g
The patient had been treading water for 25 minutes and now presents with tachycardi
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a and rapid respirations. Core body temperature is 93.2°F (34°C). Which diagnosis is
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most likely? - ANSWER- 89.6F - 95.0F (Mild Hypothermia)
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AMLS Page 338 g g
Continuous positive airway pressure would be most appropriate in treating which pat
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ient? - ANSWER- g g
g22 year old with severe asthma and not responding to nebulizer treatments AMLS P
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age 72 g
A local businesswoman has returned from missionary work in South Africa. She is comp
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laining of night sweats,chest g g g
discomfort and a persistent cough for several weeks. Which underlying diagnosis is
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most likely causing these symptoms? - ANSWER-
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gSigns and symptoms of TB include persistent cough for 2-
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3 weeks, night sweats, headache, weight loss, hemoptysis, and chest pain. AMLS Pa
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ge 301 g
What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemi
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c Non-ketotic Syndrome (HHNS)? - ANSWER-
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The patient may have significant volume depletion. Begin IV fluid resuscitation im
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mediately. The initial fluid of choice is 0.9% normal saline (crystalloid solution). A
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MLS Page 270 g g
When assessing geriatric patients, infectious disease is more difficult to identify for al
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l the following reasons EXCEPT - ANSWER- Older Adult Patients. AMLS Page 325
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Your patient has had a seizure secondary to a nerve agent exposure. What medication
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would be best to diminish the seizure? - ANSWER-
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If seizures develop administer diazepam (Valium) or lorazepam (Ativan). AMLS Pa
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ge 424 (Treat seizure before treating for the exposure to the nerve agent)
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