Advanced Medical Life Support AMLS Review Questions and Answers
(With Complete Solution)
As you obtain historical information regarding your patient, you note that the patient's
presentation and responses are very similar to several patient complaints you have treated in the
past. Integrating this information from past experience to this current experience is known as: -
Pattern recognition
In which situation has the threat to your personal safety been reduced most significantly? - A
barking dog has been secured in a kennel in the yard.
You evaluate the patient's environment to assess for: - all of the above; Safety concerns, Room
Temp, Assistive devices
An unresponsive patient has a needle in his arm when you arrive. His pupils are pinpoint, and he is
breathing four times per minute. You are preparing to administer naloxone. At this point, opioid
overdose is your initial: - Differential diagnosis
An 18-year-old male had a tonic-clonic seizure. Coworkers report no known seizure history. You
can arouse him to voice. P 118, R 20, BP 102/68. The diagnostic test most likely to narrow your
differential diagnosis would be: - Blood glucose analysis
A 23-year-old female has an acute onset of left flank pain. You should investigate which of the
following regarding her pain? - Dysuria
When you use an interpreter to question a 42-year-old female about her abdominal pain, what is
the best way to ensure information has been conveyed accurately and completely? - Let the patient
write her answers, and have the interpreter restate them so you will have a recored of her
statements for your report. (yeah right)
After you ensure scene safety, your highest priority is to: - Rule out immediate life threats
, Which of the following physical findings points most specifically to increased intracranial pressure?
- Respiratory rate is 8 and irregular.
You are transferring a 65-year-old female with renal failure from the nursing home. She has a
history of "abnormal lab values" and is drowsy and weak. You note the following lab values: serum
calcium 10.0 mg/dL (0.55 mmol/L), pH 7.28, potassium 6.1 mEq/L. The patient goes into cardiac
arrest after you load her into the ambulance. After epinephrine, you should first consider giving
her: - Magnesium sulfate
Which of the following describes a behavior that represents normal mental status? A person who: -
Is drowsy and slow to respond to questions after awakening from a nap.
Which assessment evaluates at least one aspect of cranial nerve function? - Cincinnati Prehospital
Stroke Scale
A 72-year-old male had a syncopal episode in church. His wife said he has been complaining of a
headache for about a week. He has early Alzheimer's disease. Home medicines include Lipitor and
Exelon (rivastigmine). Which of the following questions may help narrow your differential
diagnosis? - Did he fall or hit his head recently?
A 56-year-old female experiences a sudden onset of headache and blurred vision during yoga class.
Her right eyelid is drooping, and the pupil on that side is small compared to the left pupil. You
should take her to a hospital with: - Specialized neurologic and vascular capability
A 32-year-old complains of headache and dizziness. He vomited once and is walking with a
staggering gait. His blood pressure is 148/72, pulse 92, respirations 20. He has a steady stare up
toward his right ear. Which sign or symptom makes you consider intracerebral hemorrhage more
strongly than migraine headache as a cause of his emergency? - Abnormal gaze
Which is the most reliable indicator that ventilation should be assisted in a patient with altered
mental status? - End-tidal CO2 is 60 mm Hg
(With Complete Solution)
As you obtain historical information regarding your patient, you note that the patient's
presentation and responses are very similar to several patient complaints you have treated in the
past. Integrating this information from past experience to this current experience is known as: -
Pattern recognition
In which situation has the threat to your personal safety been reduced most significantly? - A
barking dog has been secured in a kennel in the yard.
You evaluate the patient's environment to assess for: - all of the above; Safety concerns, Room
Temp, Assistive devices
An unresponsive patient has a needle in his arm when you arrive. His pupils are pinpoint, and he is
breathing four times per minute. You are preparing to administer naloxone. At this point, opioid
overdose is your initial: - Differential diagnosis
An 18-year-old male had a tonic-clonic seizure. Coworkers report no known seizure history. You
can arouse him to voice. P 118, R 20, BP 102/68. The diagnostic test most likely to narrow your
differential diagnosis would be: - Blood glucose analysis
A 23-year-old female has an acute onset of left flank pain. You should investigate which of the
following regarding her pain? - Dysuria
When you use an interpreter to question a 42-year-old female about her abdominal pain, what is
the best way to ensure information has been conveyed accurately and completely? - Let the patient
write her answers, and have the interpreter restate them so you will have a recored of her
statements for your report. (yeah right)
After you ensure scene safety, your highest priority is to: - Rule out immediate life threats
, Which of the following physical findings points most specifically to increased intracranial pressure?
- Respiratory rate is 8 and irregular.
You are transferring a 65-year-old female with renal failure from the nursing home. She has a
history of "abnormal lab values" and is drowsy and weak. You note the following lab values: serum
calcium 10.0 mg/dL (0.55 mmol/L), pH 7.28, potassium 6.1 mEq/L. The patient goes into cardiac
arrest after you load her into the ambulance. After epinephrine, you should first consider giving
her: - Magnesium sulfate
Which of the following describes a behavior that represents normal mental status? A person who: -
Is drowsy and slow to respond to questions after awakening from a nap.
Which assessment evaluates at least one aspect of cranial nerve function? - Cincinnati Prehospital
Stroke Scale
A 72-year-old male had a syncopal episode in church. His wife said he has been complaining of a
headache for about a week. He has early Alzheimer's disease. Home medicines include Lipitor and
Exelon (rivastigmine). Which of the following questions may help narrow your differential
diagnosis? - Did he fall or hit his head recently?
A 56-year-old female experiences a sudden onset of headache and blurred vision during yoga class.
Her right eyelid is drooping, and the pupil on that side is small compared to the left pupil. You
should take her to a hospital with: - Specialized neurologic and vascular capability
A 32-year-old complains of headache and dizziness. He vomited once and is walking with a
staggering gait. His blood pressure is 148/72, pulse 92, respirations 20. He has a steady stare up
toward his right ear. Which sign or symptom makes you consider intracerebral hemorrhage more
strongly than migraine headache as a cause of his emergency? - Abnormal gaze
Which is the most reliable indicator that ventilation should be assisted in a patient with altered
mental status? - End-tidal CO2 is 60 mm Hg
