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AMLS POST TEST (3 LATEST VERSIONS )2023-2024
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ADVANCED MEDICAL LIFE SUPPORT, AMLS PRETESTEXAM(AGRADE) AMLS (Advanced Medical Life Support)
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Pretest & post test
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VERSION A
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What condition is most likely to cause respiratory acidosis? - ANSWER- In largerdoses narcotics induce
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respiratory depression and eventually respiratory arrest.
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AMLS Page 95
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A 65-year-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). Which finding will
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help narrow your differential diagnosis to pericarditis? - ANS- 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-aldosterone system is activatedto cause a/an: -
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ANS- This selective perfusion occurs during the ischemic phase of shock. AMLS Page 146 (To stop
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kidneys from excreting fluid and keeping it in the vasculature, therefore increasing BP)
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lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruisingaround the umbilicus.
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This physical exam finding is known as: - ANS- Cullen's sign is a blue discoloration around the umbilicus.
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AMLS Page 235
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What clinical findings are most commonly associated with a pulmonary embolus? -ANS- Clear breath
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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 andchest. discomfort.
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Assessment reveals her skin
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is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regular. Which type of
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shock is most likely occurring? - ANS- The patient's
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respiratory rate is increased, and crackles caused by pulmonary edema can beheard on auscultation.
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Cardiogenic Shock Signs and Symptoms.AMLS Page
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164
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Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have
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which condition? - ANS- Elements of patient historythat suggest PE include acute onset of shortness of
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breath. AMLS Page 114
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An elderly patient with a 1 week history of productive cough and wheezing noticesan increase in difficulty
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in breathing when grocery shopping. Further assessment reveals pursed lip breathing, rhonchi, and
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minimal jugular vein distention. Which diagnosis should the healthcare provider suspect? - ANS- 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 pupils, shallow
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respirations and vomitus in and around the mouth. What course of action should be implemented next? -
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ANS- This is self explanatory(Suction Airway)
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A 20 year old female presents with a 2-day history of dyspnea, non-productive cough, chest tightness
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audible wheezing. Further exam reveals no fever or strider. The patient has rapid respirations with
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difficulty exhaling. Which diagnosis is mostlikely? - ANS- These are textbook signs of asthma
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Signs and Symptoms.AMLS Page 83
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Anaphylaxis is most associated with which physiological event? - ANS- Thecutaneous reaction may be
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observed as flushed, warm skin resulting from vasodilation and uticarea. AMLS Page 162
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An elderly patient is receiving care at home while recuperating from recent kneesurgery. She
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developed post a operative infection and has been on antibiotics forquite sometime. She is complaining
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of foul smelling diarrhea, and abdominal cramping and loss of appetite. Based on this presentation, the
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provider should suspect? - ANS- Signs and Symptoms
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Patients with this illness have diarrhea that is not bloody but has a characteristicfoul odor. Abdominal
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pain and cramping are present in about 22% of patients. AMLS Page 319 (C-DIFF)
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Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - ANS-
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Pathophysiology AMLS Page 88 (Caused bydiffuse damage to the alveoli, perhaps as a result of shock,
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aspiration of gastric contents, pulmonary edema or hypoxic event. Begins with a breakdown of the
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alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gasexchange in the lungs.
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Healthcare providers are responding to a near-drowning at a local lake. The patientis experiencing
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uncontrollable shivering and complains of nausea and weakness.
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The patient had been treading water for 25 minutes and now presents with tachycardia and rapid
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respirations. Core body temperature is 93.2°F (34°C). Whichdiagnosis is most likely? - ANS- 89.6F - 95.0F
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(Mild Hypothermia)
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AMLS Page 338
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Continuous positive airway pressure would be most appropriate in treating whichpatient? - ANS- 22 year
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old with severe asthma and not responding to nebulizer treatments AMLS Page 72
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A local businesswoman has returned from missionary work in South Africa. She iscomplaining of night
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sweats,chest
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discomfort and a persistent cough for several weeks. Which underlying diagnosisis most likely causing
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these symptoms? - ANS- Signs and symptoms of TBinclude persistent cough for 2-3 weeks, night
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sweats, headache, weight loss, hemoptysis, and chest pain. AMLS Page 301
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What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Non-ketotic
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Syndrome (HHNS)? - ANS- The patient may have significant volume depletion. Begin IV fluid resuscitation
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immediately. The initial fluid of choice is 0.9% normal saline (crystalloid solution). AMLS Page 270
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When assessing geriatric patients, infectious disease is more difficult to identify for all the following
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reasons EXCEPT - ANS- Older Adult Patients. AMLS Page325
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Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to
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diminish the seizure? - ANS- If seizures developadminister diazepam (Valium) or lorazepam (Ativan).
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AMLS Page 424 (Treat seizure before treating for the exposure to the nerve agent)
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Sp
ne
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AMLS POST TEST (3 LATEST VERSIONS )2023-2024
la
ADVANCED MEDICAL LIFE SUPPORT, AMLS PRETESTEXAM(AGRADE) AMLS (Advanced Medical Life Support)
tz
sh
Sp
Pretest & post test
ne
la
tz
sh
Sp
ne
VERSION A
la
tz
What condition is most likely to cause respiratory acidosis? - ANSWER- In largerdoses narcotics induce
sh
Sp
respiratory depression and eventually respiratory arrest.
ne
AMLS Page 95
la
tz
sh
A 65-year-old female complains of chest pain that feels like "aching" in her chest.It has become
Sp
ne
progressively worse over several days. Her temperature is 38.3 degrees C (100 F). Which finding will
la
help narrow your differential diagnosis to pericarditis? - ANS- 12 lead ECG will demonstrate global ST-
tz
segment elevation in almost every lead. AMLS Page 128
sh
Sp
ne
During compensatory shock, the renin-angiotensin-aldosterone system is activatedto cause a/an: -
la
ANS- This selective perfusion occurs during the ischemic phase of shock. AMLS Page 146 (To stop
tz
sh
Sp
kidneys from excreting fluid and keeping it in the vasculature, therefore increasing BP)
ne
la
lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruisingaround the umbilicus.
tz
sh
This physical exam finding is known as: - ANS- Cullen's sign is a blue discoloration around the umbilicus.
Sp
AMLS Page 235
ne
la
tz
What clinical findings are most commonly associated with a pulmonary embolus? -ANS- Clear breath
sh
Sp
sounds with tachypnea.
ne
Signs and Symptoms AMLS Page 113
la
tz
sh
A 50 year old female has called 911. She complains of shortness of breath andchest. discomfort.
Sp
ne
Assessment reveals her skin
la
is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regular. Which type of
tz
shock is most likely occurring? - ANS- The patient's
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
respiratory rate is increased, and crackles caused by pulmonary edema can beheard on auscultation.
la
Cardiogenic Shock Signs and Symptoms.AMLS Page
tz
164
sh
Sp
ne
Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have
la
tz
which condition? - ANS- Elements of patient historythat suggest PE include acute onset of shortness of
sh
Sp
breath. AMLS Page 114
ne
la
An elderly patient with a 1 week history of productive cough and wheezing noticesan increase in difficulty
tz
sh
in breathing when grocery shopping. Further assessment reveals pursed lip breathing, rhonchi, and
Sp
ne
minimal jugular vein distention. Which diagnosis should the healthcare provider suspect? - ANS- Signs and
Symptoms of COPD. AMLS Page 85
la
tz
sh
Sp
A 45 year old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow
ne
respirations and vomitus in and around the mouth. What course of action should be implemented next? -
la
ANS- This is self explanatory(Suction Airway)
tz
sh
Sp
ne
A 20 year old female presents with a 2-day history of dyspnea, non-productive cough, chest tightness
la
audible wheezing. Further exam reveals no fever or strider. The patient has rapid respirations with
tz
difficulty exhaling. Which diagnosis is mostlikely? - ANS- These are textbook signs of asthma
sh
Sp
Signs and Symptoms.AMLS Page 83
ne
la
Anaphylaxis is most associated with which physiological event? - ANS- Thecutaneous reaction may be
tz
sh
Sp
observed as flushed, warm skin resulting from vasodilation and uticarea. AMLS Page 162
ne
la
An elderly patient is receiving care at home while recuperating from recent kneesurgery. She
tz
sh
developed post a operative infection and has been on antibiotics forquite sometime. She is complaining
Sp
of foul smelling diarrhea, and abdominal cramping and loss of appetite. Based on this presentation, the
ne
provider should suspect? - ANS- Signs and Symptoms
la
tz
Patients with this illness have diarrhea that is not bloody but has a characteristicfoul odor. Abdominal
sh
Sp
pain and cramping are present in about 22% of patients. AMLS Page 319 (C-DIFF)
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - ANS-
la
Pathophysiology AMLS Page 88 (Caused bydiffuse damage to the alveoli, perhaps as a result of shock,
tz
aspiration of gastric contents, pulmonary edema or hypoxic event. Begins with a breakdown of the
sh
Sp
alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gasexchange in the lungs.
ne
la
tz
Healthcare providers are responding to a near-drowning at a local lake. The patientis experiencing
sh
Sp
uncontrollable shivering and complains of nausea and weakness.
ne
The patient had been treading water for 25 minutes and now presents with tachycardia and rapid
la
respirations. Core body temperature is 93.2°F (34°C). Whichdiagnosis is most likely? - ANS- 89.6F - 95.0F
tz
sh
(Mild Hypothermia)
Sp
ne
AMLS Page 338
la
tz
Continuous positive airway pressure would be most appropriate in treating whichpatient? - ANS- 22 year
sh
Sp
old with severe asthma and not responding to nebulizer treatments AMLS Page 72
ne
la
A local businesswoman has returned from missionary work in South Africa. She iscomplaining of night
tz
sh
sweats,chest
Sp
ne
discomfort and a persistent cough for several weeks. Which underlying diagnosisis most likely causing
la
these symptoms? - ANS- Signs and symptoms of TBinclude persistent cough for 2-3 weeks, night
tz
sweats, headache, weight loss, hemoptysis, and chest pain. AMLS Page 301
sh
Sp
ne
What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Non-ketotic
la
tz
Syndrome (HHNS)? - ANS- The patient may have significant volume depletion. Begin IV fluid resuscitation
sh
Sp
immediately. The initial fluid of choice is 0.9% normal saline (crystalloid solution). AMLS Page 270
ne
la
When assessing geriatric patients, infectious disease is more difficult to identify for all the following
tz
sh
reasons EXCEPT - ANS- Older Adult Patients. AMLS Page325
Sp
ne
Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to
la
tz
diminish the seizure? - ANS- If seizures developadminister diazepam (Valium) or lorazepam (Ativan).
sh
Sp
AMLS Page 424 (Treat seizure before treating for the exposure to the nerve agent)
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
