AMLS ACTUAL EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A
▶ Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have which condition? Answer: Pulmonary
embolism
▶ During compensatory shock, the renin-angiotensine-aldosterone system
is activated to cause a/an: Answer: Increase in preload, afterload, and re-
absorption of sodium
▶ What clinical findings are most commonly associated with a pulmonary
embolus? Answer: Clear breath sounds with tachypnea
▶ What condition is most likely to cause respiratory acidosis? Answer:
Narcotic overdose
▶ A 55-year-old complains of an "aching" chest discomfort that persists
over several days. The patient has a temperature of 101*F (38.3*C). Which
finding will help narrow the diagnosis to pericarditis? Answer: ST-segment
elevation in all leads
▶ Anaphylaxis is most associated with which physiological event? Answer:
Vasodilation
▶ Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathologic change? Answer: Breakdown of the alveolar-capillary
membrane
▶ Continuous positive airway pressure would be most beneficial in treating
which patient? Answer: A 22-year-old with severe asthma who is not
responding to nebulizer treatments
, ▶ What is the initial treatment for a patient experiencing hyperosmolar
hyperglycemic nonketotic coma (HHNC)? Answer: Crystalloid IV fluid
administration
▶ Your patient has had a seizure secondary to a nerve agent exposure.
What medication would be best to diminish the seizure? Answer:
Midazolam
▶ Respiratory alkalosis may occur as a result of: Answer: Fever and
anxiety
▶ An age-related change that increases the risk of respiratory compromise
is: Answer: Decrease in lung compliance
▶ Paroxysmal nocturnal dyspnea is most common in patients with a history
of: Answer: Left-sided heart failure
▶ The patient presents with a history of fever and an upper respiratory
infection. Historical information reveals increasing water intake, orthostatic
hypotension, and an increase in urination. You suspect these symptoms
are caused by: Answer: Hyperglycemia
▶ You are dispatched to the home of a 32-year-old patient with a history of
Graves' disease. The patient was in the ER earlier today for some "tests for
my ulcers." He received contrast and was discharged. He is now
complaining of not feeling well, chest pain, and palpitations. You note an
anxious patient with fine tremors. He is diaphoretic and has a temperature
of 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose level 133.
Which of the following are management considerations for this patient?
Answer: Beta Blockers
▶ Metabolic acidosis is best described by which arterial blood gas
interpretation? Answer: pH decreased, pCO2 decreased, H2CO3 low
▶ The AMLS Assessment Pathway first advises safety and initial
observations of the scene. The second process described in this pathway
asks the healthcare provider to: Answer: Identify and manage life-threats
▶ Observing a patient's body positioning can be an early indicator that the
patient is: Answer: Sick or not sick
QUESTIONS WITH SOLUTIONS GRADED A
▶ Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have which condition? Answer: Pulmonary
embolism
▶ During compensatory shock, the renin-angiotensine-aldosterone system
is activated to cause a/an: Answer: Increase in preload, afterload, and re-
absorption of sodium
▶ What clinical findings are most commonly associated with a pulmonary
embolus? Answer: Clear breath sounds with tachypnea
▶ What condition is most likely to cause respiratory acidosis? Answer:
Narcotic overdose
▶ A 55-year-old complains of an "aching" chest discomfort that persists
over several days. The patient has a temperature of 101*F (38.3*C). Which
finding will help narrow the diagnosis to pericarditis? Answer: ST-segment
elevation in all leads
▶ Anaphylaxis is most associated with which physiological event? Answer:
Vasodilation
▶ Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathologic change? Answer: Breakdown of the alveolar-capillary
membrane
▶ Continuous positive airway pressure would be most beneficial in treating
which patient? Answer: A 22-year-old with severe asthma who is not
responding to nebulizer treatments
, ▶ What is the initial treatment for a patient experiencing hyperosmolar
hyperglycemic nonketotic coma (HHNC)? Answer: Crystalloid IV fluid
administration
▶ Your patient has had a seizure secondary to a nerve agent exposure.
What medication would be best to diminish the seizure? Answer:
Midazolam
▶ Respiratory alkalosis may occur as a result of: Answer: Fever and
anxiety
▶ An age-related change that increases the risk of respiratory compromise
is: Answer: Decrease in lung compliance
▶ Paroxysmal nocturnal dyspnea is most common in patients with a history
of: Answer: Left-sided heart failure
▶ The patient presents with a history of fever and an upper respiratory
infection. Historical information reveals increasing water intake, orthostatic
hypotension, and an increase in urination. You suspect these symptoms
are caused by: Answer: Hyperglycemia
▶ You are dispatched to the home of a 32-year-old patient with a history of
Graves' disease. The patient was in the ER earlier today for some "tests for
my ulcers." He received contrast and was discharged. He is now
complaining of not feeling well, chest pain, and palpitations. You note an
anxious patient with fine tremors. He is diaphoretic and has a temperature
of 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose level 133.
Which of the following are management considerations for this patient?
Answer: Beta Blockers
▶ Metabolic acidosis is best described by which arterial blood gas
interpretation? Answer: pH decreased, pCO2 decreased, H2CO3 low
▶ The AMLS Assessment Pathway first advises safety and initial
observations of the scene. The second process described in this pathway
asks the healthcare provider to: Answer: Identify and manage life-threats
▶ Observing a patient's body positioning can be an early indicator that the
patient is: Answer: Sick or not sick
