AMLS TEST KEY CONCEPTS AND
REVISION NOTES
◉ 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
b. Hypoglycemia
c. Hypokalemia
d. Respiratory acidosis
Answer: 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?
a. Aspirin (ASA)
b. Fluids restriction
,c. Amiodarone
d. Beta blockers
Answer: d. Beta Blockers
◉ 17. Metabolic acidosis is best described by which arterial blood
gas interpretation?
a. pH elevated, pCO2 elevated, H2CO3 normal range
b. pH decreased, pCO2 decreased, H2CO3 low
c. pH decreased, pCO2 elevated, H2CO3 normal range
d. pH elevated, pCO2 elevated, H2CO3 normal low
Answer: 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:
a. Perform a focused physical exam
b. Obtain diagnostic information
c. Identify and manage life threats
d. Reassess and refine the diagnosis
Answer: 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
b. Does not speak the same language as the provider
c. Has family who can provide historical information
d. Diagnosed with multiple underlying medical conditions
Answer: a. Sick or not sick
◉ 20. Which assessment finding is crucial to obtain from a patient
suspected of a stroke?
a. Last oral intake
b. Medication allergies
c. Onset of symptoms
d. Risk factors
Answer: 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?
a. Brain abscess
b. Ischemic stroke
c. Epidural hematoma
REVISION NOTES
◉ 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
b. Hypoglycemia
c. Hypokalemia
d. Respiratory acidosis
Answer: 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?
a. Aspirin (ASA)
b. Fluids restriction
,c. Amiodarone
d. Beta blockers
Answer: d. Beta Blockers
◉ 17. Metabolic acidosis is best described by which arterial blood
gas interpretation?
a. pH elevated, pCO2 elevated, H2CO3 normal range
b. pH decreased, pCO2 decreased, H2CO3 low
c. pH decreased, pCO2 elevated, H2CO3 normal range
d. pH elevated, pCO2 elevated, H2CO3 normal low
Answer: 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:
a. Perform a focused physical exam
b. Obtain diagnostic information
c. Identify and manage life threats
d. Reassess and refine the diagnosis
Answer: 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
b. Does not speak the same language as the provider
c. Has family who can provide historical information
d. Diagnosed with multiple underlying medical conditions
Answer: a. Sick or not sick
◉ 20. Which assessment finding is crucial to obtain from a patient
suspected of a stroke?
a. Last oral intake
b. Medication allergies
c. Onset of symptoms
d. Risk factors
Answer: 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?
a. Brain abscess
b. Ischemic stroke
c. Epidural hematoma
