AMLS MOCK EXAMS ANSWERS AND QUESTIONS SET
A+
✔✔The primary mechanism for septic shock is: - ✔✔Widespread inflammatory
response
✔✔A 24-year-old male injuries in a shallow diving incident. Which assessment finding
would you anticipate if he is developing neurogenic shock? - ✔✔Heart rate 58 bpm
✔✔Which intervention for patient in shock prevents an increase in myocardial oxygen
demand? - ✔✔Maintain normal body temperature
✔✔Which diagnostic test most accurately assesses the presence and magnitude of
anaerobic metabolism? - ✔✔Lactic acid
✔✔Which patient is at highest risk for non traumatic obstructive shock? - ✔✔22-year-old
who is 38 weeks pregnant
✔✔A 19-year-old female is flushed, itchy, and wheezing after eating crab legs. Her vital
signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which intervention is
indicated first? - ✔✔Epinephrine intramuscular
✔✔A 62-year-old male is vomiting coffee-ground emissions. Which of his home
medicines may make it more difficult to control his bleeding? - ✔✔Plavix
✔✔Shock related to tension pneumothorax is most directly secondary to: -
✔✔Decreased preload
✔✔The most common sign or symptom found in patients with pulmonary embolism is: -
✔✔increased respiratory rate
, ✔✔A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He
states the pain increases when he swallows. He appears very ill and has subcutaneous
emphysema around his neck. You suspect: - ✔✔Boerhaave's syndrome
✔✔A 73-year-old male awakens suddenly at 0200 complaining of dyspnea. You find
him in tripod position. Crackles are audible around his scapulae. He has a history of
hypertension. You suspect his symptoms are related to: - ✔✔Left heart failure
✔✔A 70-year-old male suspected to have a dissecting aortic aneurysm has a blood
pressure of 170/102 mm Hg. This sign may indicate: - ✔✔The renal arteries are
involved
✔✔Which of the following patients is at highest risk for pericardial tamponade? - ✔✔55-
year-old with end-stage lung cancer
✔✔If you administer nitroglycerin to a patient with ST-elevation in leads II, III and aVF,
you should be prepared to: - ✔✔Administer a bolus of normal saline if the blood
pressure drops
✔✔A 45-year-old male with a history of hypertension complains of chest "pressure,"
about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked out." Vitals
signs and 12-lead ECG are normal. You have already administered oxygen and aspirin.
You should next: - ✔✔Administer nitroglycerin 0.4 mg sublingual.
✔✔An 82-year-old female complains of chest heaviness. She has sinus tachycardia.
Her vital signs are BP 108/72 (equal in both arms), P 98, R 20. Her breath sounds are
clear in all fields. Aside from myocardial infarction, what should you suspect her chest
pain could be related to? - ✔✔Pulmonary embolism
✔✔A 40-year-old male has chest pain reported as an "elephant sitting on my chest." He
confides that he snorted cocaine 5 minutes before his pain began. You should first
administer: - ✔✔Lorazepam, 2 mg IV
✔✔A 65-year-old female complains of chest pain that feels like "aching" in her chest. It
has become progressively worse over several days. Her temperature is 38.3 degrees C
(101F). Which finding will help narrow your differential diagnosis to pericarditis? -
✔✔ST-segment elevation in everylead
✔✔Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132
bpm, and R 20/min. Her pupils are dilated, and her hands are trembling. These signs
and symptoms may be associated with: - ✔✔Alcohol withdrawal
A+
✔✔The primary mechanism for septic shock is: - ✔✔Widespread inflammatory
response
✔✔A 24-year-old male injuries in a shallow diving incident. Which assessment finding
would you anticipate if he is developing neurogenic shock? - ✔✔Heart rate 58 bpm
✔✔Which intervention for patient in shock prevents an increase in myocardial oxygen
demand? - ✔✔Maintain normal body temperature
✔✔Which diagnostic test most accurately assesses the presence and magnitude of
anaerobic metabolism? - ✔✔Lactic acid
✔✔Which patient is at highest risk for non traumatic obstructive shock? - ✔✔22-year-old
who is 38 weeks pregnant
✔✔A 19-year-old female is flushed, itchy, and wheezing after eating crab legs. Her vital
signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which intervention is
indicated first? - ✔✔Epinephrine intramuscular
✔✔A 62-year-old male is vomiting coffee-ground emissions. Which of his home
medicines may make it more difficult to control his bleeding? - ✔✔Plavix
✔✔Shock related to tension pneumothorax is most directly secondary to: -
✔✔Decreased preload
✔✔The most common sign or symptom found in patients with pulmonary embolism is: -
✔✔increased respiratory rate
, ✔✔A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He
states the pain increases when he swallows. He appears very ill and has subcutaneous
emphysema around his neck. You suspect: - ✔✔Boerhaave's syndrome
✔✔A 73-year-old male awakens suddenly at 0200 complaining of dyspnea. You find
him in tripod position. Crackles are audible around his scapulae. He has a history of
hypertension. You suspect his symptoms are related to: - ✔✔Left heart failure
✔✔A 70-year-old male suspected to have a dissecting aortic aneurysm has a blood
pressure of 170/102 mm Hg. This sign may indicate: - ✔✔The renal arteries are
involved
✔✔Which of the following patients is at highest risk for pericardial tamponade? - ✔✔55-
year-old with end-stage lung cancer
✔✔If you administer nitroglycerin to a patient with ST-elevation in leads II, III and aVF,
you should be prepared to: - ✔✔Administer a bolus of normal saline if the blood
pressure drops
✔✔A 45-year-old male with a history of hypertension complains of chest "pressure,"
about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked out." Vitals
signs and 12-lead ECG are normal. You have already administered oxygen and aspirin.
You should next: - ✔✔Administer nitroglycerin 0.4 mg sublingual.
✔✔An 82-year-old female complains of chest heaviness. She has sinus tachycardia.
Her vital signs are BP 108/72 (equal in both arms), P 98, R 20. Her breath sounds are
clear in all fields. Aside from myocardial infarction, what should you suspect her chest
pain could be related to? - ✔✔Pulmonary embolism
✔✔A 40-year-old male has chest pain reported as an "elephant sitting on my chest." He
confides that he snorted cocaine 5 minutes before his pain began. You should first
administer: - ✔✔Lorazepam, 2 mg IV
✔✔A 65-year-old female complains of chest pain that feels like "aching" in her chest. It
has become progressively worse over several days. Her temperature is 38.3 degrees C
(101F). Which finding will help narrow your differential diagnosis to pericarditis? -
✔✔ST-segment elevation in everylead
✔✔Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132
bpm, and R 20/min. Her pupils are dilated, and her hands are trembling. These signs
and symptoms may be associated with: - ✔✔Alcohol withdrawal
