AMLS PRETEST ACTUAL VERSION 3
1. A 22 year old male has recently undergone a surgical procedure to repair aninjury to the thoracic
vertebrae T1-T2. Assessment indicates the patient is an alert and oriented, bradycardia,
hypotensive, and has warm dry skin. which type of shock is most likely occurring?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Neurogenic
Answer: Neurogenic
2. An elderly COPD patient complains of difficulty breathing upon exertion. She has a 1 week
history of productive cough. She has pursed lip breathing. Sheis prescribed a bronchodilator as
needed. Vitals are BP 132/70, P 88, R 20 withrhonchi. What should you suspect?
A. Chronic bronchitis
B. Pulmonary embolims
C. Epiglottitis
D. CHF
Answer: Chronic Bronchitis
3. A 27 year old male is breathing fast and deep. He works at a preschooland believes that the
children plan to harm him. Which of the following statements is most helpful when treating
this patient?
A. please calm yourself. have you talked to your supervisor?
B. Concentrate on staying calm.This is all in your imagination. Children can'thurt adults.
C. Your difficulty breathing is most important.What medications do you take?
D. I understand that you are concerned. Please tell me more about why you feelthis way.
Answer: I understand that you are concerned. Please tell me more about whyyou feel this way.
4. a 41 year old female has returned from missionary work in south africa. She reports night
sweats, chest discomfort, and a persistent cough for the past several weeks. what should you suspect?
A. Respiratory syncytial virus
B. Mononucleosis
C. Cytomegalovirus
D. Tuberculosis
Answer: Tuberculosis
5. An 18 year old male nearly drowned at a local lake after treading water for25 mins. He is
shivering uncontrollably and complains of nausea and weakness. Vital signs are BP 122/62, R 18, P
136 and his temp is 93.2. What should you suspect?
, A. Water intoxications
B. Severe hypothermia
C. Acute pulmonary edema
D. Mild hypothermia
Answer: Mild hypothermia
6. a 13 year old male has been skateboarding in temperatures of 100 and has been drinking
caffeinated soft drinks. He complains of palpitations. the cardiacmonitor displays narrow QRS
tachycardia at a rate of 150 bpm. Vitals are BP 108/62, R 24. what should you do?
A. Obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers.
B. Suggest that the father drive his son to the clinic because vital signs areWNL.
C. Perform vagal maneuvers and if unsuccessful, administer adenosine.
D. Transport the patient by ambulance monitor closely and administer fluids enroute.
Answer: Transport the patient by ambulance monitor closely and administerfluids en route.
7. An 82 year old female complains of foul smelling diarrhea, abdominalcramping and loss
of appetite. She developed an infection following kneesurgery 2 weeks ago. She is prescribed
antibiotics. What should you sus- pect?
A. Escherichia Coli
B. Methicillin resistant staphylococcus aureus
C. Clostridium difficile
D. Streptococcus pyogenes
Answer: Clostridium difficile
8. Which of the following is a hallmark sign of tricyclic antidepressanttoxicity?
A. Rash
B. Hyperventilation
C. Dysrhythmias
D. Drooling
Answer: Dysrhythmias
9. A 26 year old male has abdominal pain. He is able to pinpoint exactlywhere it hurts,
experiences rebound tenderness on physical exam, and guards the affected area. Which type
of pain should you suspect?
A. Visceral
B. Referred
C. Somatic
D. Radiating
Answer: Somatic
1. A 22 year old male has recently undergone a surgical procedure to repair aninjury to the thoracic
vertebrae T1-T2. Assessment indicates the patient is an alert and oriented, bradycardia,
hypotensive, and has warm dry skin. which type of shock is most likely occurring?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Neurogenic
Answer: Neurogenic
2. An elderly COPD patient complains of difficulty breathing upon exertion. She has a 1 week
history of productive cough. She has pursed lip breathing. Sheis prescribed a bronchodilator as
needed. Vitals are BP 132/70, P 88, R 20 withrhonchi. What should you suspect?
A. Chronic bronchitis
B. Pulmonary embolims
C. Epiglottitis
D. CHF
Answer: Chronic Bronchitis
3. A 27 year old male is breathing fast and deep. He works at a preschooland believes that the
children plan to harm him. Which of the following statements is most helpful when treating
this patient?
A. please calm yourself. have you talked to your supervisor?
B. Concentrate on staying calm.This is all in your imagination. Children can'thurt adults.
C. Your difficulty breathing is most important.What medications do you take?
D. I understand that you are concerned. Please tell me more about why you feelthis way.
Answer: I understand that you are concerned. Please tell me more about whyyou feel this way.
4. a 41 year old female has returned from missionary work in south africa. She reports night
sweats, chest discomfort, and a persistent cough for the past several weeks. what should you suspect?
A. Respiratory syncytial virus
B. Mononucleosis
C. Cytomegalovirus
D. Tuberculosis
Answer: Tuberculosis
5. An 18 year old male nearly drowned at a local lake after treading water for25 mins. He is
shivering uncontrollably and complains of nausea and weakness. Vital signs are BP 122/62, R 18, P
136 and his temp is 93.2. What should you suspect?
, A. Water intoxications
B. Severe hypothermia
C. Acute pulmonary edema
D. Mild hypothermia
Answer: Mild hypothermia
6. a 13 year old male has been skateboarding in temperatures of 100 and has been drinking
caffeinated soft drinks. He complains of palpitations. the cardiacmonitor displays narrow QRS
tachycardia at a rate of 150 bpm. Vitals are BP 108/62, R 24. what should you do?
A. Obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers.
B. Suggest that the father drive his son to the clinic because vital signs areWNL.
C. Perform vagal maneuvers and if unsuccessful, administer adenosine.
D. Transport the patient by ambulance monitor closely and administer fluids enroute.
Answer: Transport the patient by ambulance monitor closely and administerfluids en route.
7. An 82 year old female complains of foul smelling diarrhea, abdominalcramping and loss
of appetite. She developed an infection following kneesurgery 2 weeks ago. She is prescribed
antibiotics. What should you sus- pect?
A. Escherichia Coli
B. Methicillin resistant staphylococcus aureus
C. Clostridium difficile
D. Streptococcus pyogenes
Answer: Clostridium difficile
8. Which of the following is a hallmark sign of tricyclic antidepressanttoxicity?
A. Rash
B. Hyperventilation
C. Dysrhythmias
D. Drooling
Answer: Dysrhythmias
9. A 26 year old male has abdominal pain. He is able to pinpoint exactlywhere it hurts,
experiences rebound tenderness on physical exam, and guards the affected area. Which type
of pain should you suspect?
A. Visceral
B. Referred
C. Somatic
D. Radiating
Answer: Somatic
