AMLS Post Test Questions And Answers

AMLS Post Test Questions And
Answers

1. A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow
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respirations, and vomitus in and around the mouth. What course of action should be taken next? - Correct
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Answer - b. Supplemental oxygen and suction
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2. Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have
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what condition? - Correct Answer - a. Pulmonary embolism
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3. During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: -
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Correct Answer - a. Increase in preload, afterload, and re-absorption of sodium
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4. What clinical findings are most commonly associated with a pulmonary embolus? - Correct Answer - a.
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Clear breath sounds with tachypnea
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5. What condition is most likely to cause respiratory acidosis? - Correct Answer - b. Narcotic overdose
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6. A 55-year-old complains of an 'aching' chest discomfort that persists over several days. The patient has a
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temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis? - Correct Answer
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- d. ST-segment elevation in all leads
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7. Anaphylaxis is most associated with which physiological event? - Correct Answer - b. Vasodilation
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8. Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - Correct
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Answer - c. Breakdown of the alveolar-capillary membrane
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9. Continuous positive airway pressure would be most beneficial in treating which patient? - Correct
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Answer - b. A 22yo with severe asthma who is not responding to nebulizer treatments
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10. What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma
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(HHNC)? - Correct Answer - a. Crystalloid IV fluid administration
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11. Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to
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diminish the seizure? - Correct Answer - c. Midazolam
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12. Respiratory alkalosis may occur as a result of: - Correct Answer - a. Fever and anxiety
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13. An age-related change that increases the risk of respiratory compromise is: - Correct Answer - c.
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Decrease in lung compliance
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, 14. Paroxysmal nocturnal dyspnea is most common in patients with a history of: - Correct Answer - a. Left-
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15. The patient presents with a history of fever and an upper respiratory infection. Historical information
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reveals increasing water intake, orthostatic hypotension, and an increase in urination. You suspect these
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symptoms are caused by: - Correct Answer - a. Hyperglycemia
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16. You are dispatched to the home of a 32yo patient with a history of Graves' disease. The patient was in
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the ER earlier today for some "tests for my ulcers." He received contrast and was discharged. He is now
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complaining of not feeling well, chest pain, and palpitations. You note an anxious patient with fine tremors.
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He is diaphoretic and has a temperature of 101.5F, BP 100/62, P 156 (sinus tach), R 30, glucose level 133.
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Which of the following are management considerations for this patient? - Correct Answer - d. Beta Blockers
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17. Metabolic acidosis is best described by which arterial blood gas interpretation? - Correct Answer - b. pH
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decreased, pCO2 decreased, H2CO3 low (?)
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18. The AMLS Assessment Pathway first advises safety and initial observations of the scene. The second
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process described in this pathway asks the healthcare provider to: - Correct Answer - c. Identify and
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manage life threats
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19. Observing a patient's body positioning can be an early indicator that the patient is: - Correct Answer - a.
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Sick or not sick
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20. Which assessment finding is crucial to obtain from a patient suspected of a stroke? - Correct Answer - c.
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Onset of symptoms
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21. A 62yo patient presents with a severe headache. It is described as a "thunderclap" accompanied with
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nausea, blurred vision, and an elevated blood pressure. What neurologic condition is most likely the cause
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of this patient's presentation? - Correct Answer - d. Subarachnoid hemorrhage
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22. A 38yo presents with mild chest tightness and urticaria after mowing the lawn. He felt a "sting" in his left
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lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20 with a normal work of
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breathing and clear lung sounds. The healthcare provider should: - Correct Answer - b. Initiate an IV with
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0.09% NS and monitor the patient carefully
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23. Healthcare providers are treating a patient complaining of substernal chest pain accompanied with
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nausea and one episode of vomiting. The patient has had two cardiac stents placed within the last year. He
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has a familial history of heart disease and takes a baby aspirin daily. What information is most concerning? -
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Correct Answer - b. Recent stent placement
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24. The patient complains of sharp chest pain that worsens when supine. He is bed ridden due to
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complications from a recent hip surgery. The patient is tachypneic and the ECG reveals sinus tachycardia.
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What is the patient's working diagnosis? - Correct Answer - d. Pulmonary embolism
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