AMLS PRETEST V 1.11 TEST - ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
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 P112, R22 and regular,
BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for
which complication? ANSWER -Seizure
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? ANSWER -Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath are likely
to have which condition? ANSWER -Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change? ANSWER -Breakdown of the alveolar-capillary membrane
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the
patient has a firm, red pronounced swelling in the sublingual anterior throat area and
tongue. What diagnosis is most likely? ANSWER -Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from
mucous plugging. The best treatment for this is: ANSWER -Administer PEEP
7.) Anaphylaxis is most associated with which physiological event? ANSWER -Vasodilation
An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a
urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow, BP
78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient most
likely experiencing? ANSWER -Distributive
, Healthcare providers are assessing a patient with pronounced jugular vein distention and
muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should
be suspected? ANSWER -Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause
a/an: ANSWER -Increase in preload, afterload and re-absorption of sodium
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? ANSWER -Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-emergent,
non-life threatening illness? ANSWER -Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is
present in which ECG leads? ANSWER -II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage? ANSWER -Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic
Nonketotic Syndrome (HHNS)? ANSWER -Crystalloid IV fluid resuscitation
16.) What condition is most likely to cause respiratory acidosis? ANSWER -narcotic
overdose
What is the most effective treatment for an unconscious patient in respiratory acidosis?
ANSWER -Assisted bag-mask ventilation
An autoimmune disease which produces antibodies that mimic the role of TSH and cause an
increase in thyroid hormones is: ANSWER -Grave's disease
Glucagon may not be effective treatment for a patient with hypoglycemia if they also have
which underlying illness? ANSWER -Alcoholism
QUESTIONS AND CORRECT DETAILED
ANSWERS
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 P112, R22 and regular,
BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for
which complication? ANSWER -Seizure
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? ANSWER -Supplemental oxygen and suction
Patients with a history of chronic bronchitis that present with shortness of breath are likely
to have which condition? ANSWER -Pulmonary embolism
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological
change? ANSWER -Breakdown of the alveolar-capillary membrane
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the
patient has a firm, red pronounced swelling in the sublingual anterior throat area and
tongue. What diagnosis is most likely? ANSWER -Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from
mucous plugging. The best treatment for this is: ANSWER -Administer PEEP
7.) Anaphylaxis is most associated with which physiological event? ANSWER -Vasodilation
An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a
urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow, BP
78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient most
likely experiencing? ANSWER -Distributive
, Healthcare providers are assessing a patient with pronounced jugular vein distention and
muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should
be suspected? ANSWER -Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause
a/an: ANSWER -Increase in preload, afterload and re-absorption of sodium
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? ANSWER -Adrenal insuffiency
Which condition should the healthcare provider consider to usually be a non-emergent,
non-life threatening illness? ANSWER -Thoracic outlet syndrome
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is
present in which ECG leads? ANSWER -II, III, aVF
Which is a high-risk factor for intracerebral hemorrhage? ANSWER -Cocaine drug abuse
15. )What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic
Nonketotic Syndrome (HHNS)? ANSWER -Crystalloid IV fluid resuscitation
16.) What condition is most likely to cause respiratory acidosis? ANSWER -narcotic
overdose
What is the most effective treatment for an unconscious patient in respiratory acidosis?
ANSWER -Assisted bag-mask ventilation
An autoimmune disease which produces antibodies that mimic the role of TSH and cause an
increase in thyroid hormones is: ANSWER -Grave's disease
Glucagon may not be effective treatment for a patient with hypoglycemia if they also have
which underlying illness? ANSWER -Alcoholism
