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Exam (elaborations)

AMLS Pretest and Post Test Questions and Answers 2022

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AMLS Pretest and Post Test Questions and Answers 2022 1. The most common underlying medical conditions found in patients with acute pancreatitis is: a. Gall stones and heavy alcohol use b. Esophageal varices and stomach ulcers c. Mallory-Weiss syndrome and nephritis d. Peptic ulcer disease and diverticulitis a. Gall stones and heavy alcohol use 2. A patient complaining of a 3-day history of left lower abdominal pain describes it as sharp and, during the focused physical exam, the pain intensifies during palpation over the site. Differentials should include: a. Ectopic pregnancy or diverticulitis b. Pancreatitis or gall bladder infection c. Peritonitis or intestinal obstruction d. Appendicitis or hepatitis a. Ectopic pregnancy or diverticulitis 3. A 22yo male has recently undergone a surgical procedure to repair an injury to thoracic vertebrae T4-T6. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely occurring? a. Hypovolemic b. Obstructive c. Cardiogenic d. Neurogenic d. Neurogenic 4. A caregiver for a quadriplegic patient notes an onset of difficulty in breathing and anxiousness in her patient. Further assessment shows a temperature of 1011.2F, P 128, BP 86/68, and R 24. Physical exam reveals the skin is warm and urine in the catheter is dark yellow and cloudy. This patient is most likely experiencing which type of shock? a. Hypovolemia b. Septic c. Obstructive d. Cardiogenic b. Septic 5. When assessing geriatric patients, infectious diseases are more difficult to identify for all of the following reasons EXCEPT: a. History may be difficult to obtain b. Fever may be absent c. Frequent presence of underlying chronic illnesses d. Heightened immune response is common d. Heightened immune response is common 6. A local business woman has returned from missionary work in South Africa. She is complaining of night sweats, chest discomfort, and a persistent cough for several weeks. Which underlying diagnosis is most likely causing these symptoms? a. Pneumonia b. Cytomegaly virus c. Tuberculosis d. Mononucleosis c. Tuberculosis 7. Healthcare providers are responding to a near-drowning at a local lake. The patient is experiencing uncontrolled shivering and complains of nausea and weakness. The patient had been treading water for 25 minutes and now presents with tachycardia and rapid respirations. Core body temperature is 93.2F (34C). Which diagnosis is most likely? a. Mild hypothermia b. Acute pulmonary edema c. Severe hypothermia d. Deep frostbite a. Mild hypothermia 8. An elderly patient is receiving nursing care at a home while recuperating from a recent knee surgery. A post-operative infection developed, and the patient has been on antibiotics for quite some time. She is complaining of a foul-smelling diarrhea, and abdominal cramping and loss of appetite. On the basis of this presentation, the provider should suspect: a. UTI b. Clostridium difficile c. Methicillin-resistant Staphylococcus aureus d. Escherichia coli b. Clostridium difficile 9. A 20yo female presents with a 2-day history of dyspnea, nonproductive cough, chest tightness, and audible wheezing. Further exam reveals no fever or stridor. The patient has rapid respirations with difficulty exhaling. Which diagnosis is most likely? a. Epiglottitis b. Respiratory syncytial virus c. Asthma d. Bronchiolitis c. Asthma 10. An elderly patient with a 1-week history of productive cough and wheezing notices an increase in difficulty breathing when grocery shopping. Further assessment reveals pursed lip breathing, rhonchi, and minimal jugular vein distension. Which diagnosis should the provider suspect? a. COPD b. Pulmonary embolism c. CHF d. Epiglottitis a. COPD

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