AMLS PRE TEST AND POST TEST QUESTIONS 2022
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
102.3F (39C). The healthcare provider should observe for which complication?
Seizure
-Chapter 2
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?
Supplemental oxygen and suction
-Chapter 2
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have
which condition?
Pulmonary embolism
-Chapter 3
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
Breakdown of fluid between the alveolar-capillary membrane
-Chapter 3
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?
Ludwig's angina
-Chapter 3
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging.
The best treatment for this is:
Administer PEEP
-Chapter 3
Anaphylaxis is most associated with which physiological event?
,Vasodilation
-Chapter 4
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?
Distributive
-Chapter 4
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?
Obstructive
- Chapter 5
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
Increase in preload, afterload and re-absorption of sodium
-Chapter 4
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?
Adrenal insufficiency
-Chapter 6
Which condition should the healthcare provider consider to usually be a non-emergent, non-life threatening
illness?
Thoracic outlet syndrome
-Chapter 5
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which
ECG leads?
II, III, aVF
-Chapter 5
Which is a high-risk factor for intracerebral hemorrhage?
Cocaine drug abuse
-Chapter 2
, What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic Syndrome
(HHNS)?
Crystalloid IV fluid resuscitation
-Chapter 6
What condition is most likely to cause respiratory acidosis?
Narcotic overdose
-Chapter 6
What is the most effective treatment for an unconscious patient in respiratory acidosis?
Assisted bag-mask ventilation
-Chapter 6
An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in
thyroid hormones is:
Grave's disease
-Chapter 6
Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which
underlying illness?
Alcoholism
-Chapter 6
A 24 year old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete becomes
lethargic. What underlying electrolyte disturbance should the healthcare provider most likely suspect?
Hyponatremia
-Chapter 6
What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia?
Peaked T waves
-Chapter 6
An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and right
upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness without
peritoneal signs. What working diagnosis should be considered most likely?
Acute pancreatitis
-Chapter 7
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
102.3F (39C). The healthcare provider should observe for which complication?
Seizure
-Chapter 2
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?
Supplemental oxygen and suction
-Chapter 2
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have
which condition?
Pulmonary embolism
-Chapter 3
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
Breakdown of fluid between the alveolar-capillary membrane
-Chapter 3
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?
Ludwig's angina
-Chapter 3
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging.
The best treatment for this is:
Administer PEEP
-Chapter 3
Anaphylaxis is most associated with which physiological event?
,Vasodilation
-Chapter 4
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?
Distributive
-Chapter 4
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?
Obstructive
- Chapter 5
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
Increase in preload, afterload and re-absorption of sodium
-Chapter 4
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?
Adrenal insufficiency
-Chapter 6
Which condition should the healthcare provider consider to usually be a non-emergent, non-life threatening
illness?
Thoracic outlet syndrome
-Chapter 5
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which
ECG leads?
II, III, aVF
-Chapter 5
Which is a high-risk factor for intracerebral hemorrhage?
Cocaine drug abuse
-Chapter 2
, What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic Syndrome
(HHNS)?
Crystalloid IV fluid resuscitation
-Chapter 6
What condition is most likely to cause respiratory acidosis?
Narcotic overdose
-Chapter 6
What is the most effective treatment for an unconscious patient in respiratory acidosis?
Assisted bag-mask ventilation
-Chapter 6
An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in
thyroid hormones is:
Grave's disease
-Chapter 6
Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which
underlying illness?
Alcoholism
-Chapter 6
A 24 year old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete becomes
lethargic. What underlying electrolyte disturbance should the healthcare provider most likely suspect?
Hyponatremia
-Chapter 6
What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia?
Peaked T waves
-Chapter 6
An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and right
upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness without
peritoneal signs. What working diagnosis should be considered most likely?
Acute pancreatitis
-Chapter 7
