AMLS 3rd Edition Post Test

AMLS 3rd Edition Post Test Which of the following may cause primary respiratory alkalosis? A. Fever B. Chest Wall Pain C. Vomiting D. Renal Failure - ANSWER A. Fever A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is flush and his urine is dark yellow and cloudy. Vital signs are BP 86/68, P 128, R 24, temp is 38 C. Which type of shock should you suspect? A. Hypovolemic B. Obstructive C. Septic D. Cardiogenic - ANSWER C. Septic A 20-year old male college student complains of acute onset of fever, headaches, vomiting and malaise. He appears ill and has a petechial rash on his extremities. What should you suspect? A. Acute gastroenteritis B. Encephalitis C. Meningitis D. Influenza - ANSWER C. Meningitis A 20-year old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? A. Apply a hot pack to the area and mark the affected area B. Splint the limb and administer an antipyretic C. Wash the area and administer an analgesic D. Apply an ice pack and administer an opiod - ANSWER C. Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause the following? A. Increase in preload, afterload, and reabsorption of sodium B. Hypotension and bradycardia C. Decrease in Preload, afterload, and reabsorption of sodium D. Vasodilation and sodium reabsorption - ANSWER A. Increase in preload, afterload, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1- week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P 88, R 20 with Rhonchi. What should you suspect? A. Pulmonary embolism B. Epiglottitis C. Chronic Bronchitis D. Congestive Heart Failure - ANSWER C. Chronic Bronchitis An anxious 32 year old female complains of chest pain with palpitations. She has a history of Graves' disease. She reports she was seen in the ED earlier that day and has a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F. Vital signs are 100/62 P 156 R30 BGL 133 mg/dL. What should you administer? A. Calcium Chloride B. Normal Saline C. Amiodarone D. Aspirin (ASA) - ANSWER B. Normal Saline What statement is correct regarding responding to a suspected nerve agent exposure? A. Secondary contamination rarely occurs in nerve agent exposure B. Parking downwind will ensure first responder safety C. Patients should be treated in well-ventilated areas D. Nerve agents degrade immediately when exposed to sunlight. - ANSWER C. Patients should be treated in well-ventilated areas. What reference is the MOST beneficial to obtain for a suspected stroke? A. Past Medical History B. Last Oral Intake C. Last Known Well D. Daily Aspirin Dose - ANSWER C. Last Known Well Which of the following statements is correct regarding radioactive materials? A. Gamma rays are unable to penetrate bone and connective tissue B. Neutrons are low energy particles and do not cause bodily harm C. Alpha particles are harmless when ingested and inhaled D. Simple clothing can stop beta particles from entering the body - ANSWER D. Simple clothing can stop beta particles from entering the body What finding is unique to pericarditis? A. Diffuse ST segment elevation B. Pain is relieved when supine C. S3 gallop is auscultated D. Pulses alternans is present - ANSWER A. Diffuse ST segment elevation A 21-year old male complains of sharp chest pain and shortness of breath. The symptoms started when he lifted a heavy object. Vital signs are BP 152/96 P 108 R 24 and diminished on the left. What should you suspect? A. Spontaneous Pneumothorax B. Pectoralis muscle tear C. Aortic Dissection D. Pulmonary Embolism - ANSWER A. Spontaneous Pneumothorax A 72- year old female complains of a sudden onset of a burning sensation to the left side of her forehead and blurred vision. She wants to follow up with her family physician tomorrow. Vital signs are BP 150/70 P 80 R 16 What should you do? - ANSWER B. Encourage her to be transported by ambulance to the hospital An anxious 61-year old male complains of severe shortness of breath and localized chest pain with blood-tinged sputum. His dyspnea started when he stood up from watching television all day and increased in severity as he moved around. Vital signs are BP 104/60 P 98 and irregular R