EXAM 150 QUESTIONS AND CORRECT
ANSWERS /ADVANCED MEDICAL LIFE
SUPPORT, AMLS PRETEST
EXAM(AGRADE)
A 19-year-old female is flushed, itchy, and wheezing after eating crab legs. Her
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vital signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which
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intervention is indicated first? - ANSWER- Epinephrine intramuscular
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A 2-year-old male is found chewing on berries from a lily of the valley plant.
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Predict his vital signs. - ANSWER- BP 70/50 P 70 bpm
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A 22-year-old female is found at a party unresponsive and breathing
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approximately 8 breaths/min. Her skin is gray. Which of the following signs or
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symptoms will confirm your suspicion that the opioid toxidrome is causing her
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emergency? - ANSWER- Pupils 2 mm and equal
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A 22-year-old male complains of a 2-day history of abdominal pain. His skin is
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flushed, and he has a fruity odor on his breath. Assessment reveals BP 106/54 mm
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Hg, P 128, R 28, glucose 568 mg/dL. Your highest priority intervention would be
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to: - ANSWER- Infuse normal saline rapid IV
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A 22-year-old patient at a restaurant is complaining of abdominal pain and
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diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP 98/50, P
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124, R 24. Which finding in her SAMPLER history is most likely to guide your
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differential diagnosis for this patient? - ANSWER- Illness began about 10
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minutes after eating
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A 23-year-old female has an acute onset of left flank pain. You should investigate
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which of the following regarding her pain? - ANSWER- Dysuria
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A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are
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BP 86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom
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should you anticipate. - ANSWER- Seizures
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, A 24-year-old male complains of sudden explosive headache . He asks you to
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lower the lights. He has vomited once. Which of these findings would increase
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your index of suspicion for subarachnoid hemorrhage? - ANSWER- Stiff neck
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A 24-year-old male injuries in a shallow diving incident. Which assessment
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finding would you anticipate if he is developing neurogenic shock? -
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ANSWER- Heart rate 58 bpm
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A 25-year-old helmeted female was thrown from a horse. She is complaining
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of weakness in her upper extremities. You ask her to close her eyes and
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identify whether you are moving her thumb up or down. She is unable to do
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so. This indicates she does not have normal: - ANSWER- Proprioception
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A 25-year-old woman was involved in a motor vehicle collision. Her initial vital
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signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the
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following findings on repeat assessment would indicate that she is developing
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shock? - ANSWER- Pulse pressure 32 mm Hg
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A 32-year-old complains of headache and dizziness. He vomited once and is
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walking with a staggering gait. His blood pressure is 148/72, pulse 92, respirations
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20. He has a steady stare up toward his right ear. Which sign or symptom makes
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you consider intracerebral hemorrhage more strongly than migraine headache as a
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cause of his emergency? - ANSWER- Abnormal gaze
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A 33-year-old male has right lower quadrant abdominal pain and vomiting. Five
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vminutes after you administer a dose of ondansetron, he vomits forcefully. His
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vvitals are now BP 102/72, P 52, R 20. The alteration in his vital signs is likely
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vrelated to: v
- ANSWER- Vagal stimulation
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A 40-year-old male has chest pain reported as an "elephant sitting on my chest."
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He confides that he snorted cocaine 5 minutes before his pain began. You should
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first administer: - ANSWER- Lorazepam, 2 mg IV
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A 42-year-old male complains of a gnawing, sever pain in the epigastric area
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that radiates to his back. His vital signs are T 102*F, BP 94/68, P 128, R 24.
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Your highest priority intervention would be to administer: - ANSWER- Normal
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saline, 250 mL bolus
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