AMLS Questions and Answers 100% correct 2023

AMLS Questions and Answers 100% correct 2023 A 20 year old female is being evaluated for an acute onset of an alteration in mentation. She She complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular BP 144/88, SpO2 95% and T 102.3F. The healthcare provider should observe for which complication? A. Sepsis B. Seizure C. Cardiac arrest D. Internal bleeding B. Seizure A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action should be implemented next? A. Initiate an IV and administer naloxone B. Supplemental oxygen and suction C. Obtain a blood glucose level D. Being bag-mask ventilation B. Supplemental O2 and suction Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? A. Pulmonary embolism B. Angina pectoris C. Angioedema D. Hypertensive crisis A. Pulmonary Embolism Acute respiratory distress syndrome (ARDS) is characterized by what pathological change? A. Excessive mucus production B. Inflammation of the visceral pleura C. Breakdown of the alveolar-capillary membrane D. Accumulation of fluid between the pleural layers C. Breakdown of the alveolar-capillary membrane An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. The patient has a firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is most likely? A. Croup B. Tonsilitis C. Angioedema D. Ludwig's Angina D. Ludwig's angina Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is: A. Increase oxygen concentration to 100% B. Increase tidal volume C. Increase respiratory rate D. Administer PEEP D. Administer PEEP Anaphylaxis is most associated with which physiological event? A. Hemorrhage B. Vasodilation C. Bradycardia D. Hypotension B. Vasodilation An elderly patient in an assisted living facility present with a diminished level of consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a urinary catheter with dark colored urine. Vital signs are P132, R38 and shallow, BP 78/46, SpO2 91% and T 100.8F. What classification of shock is the patient most likely experiencing? A. Hypovolemic B. Cardiogenic C. Distributive D. Obstructive C. Distributive Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected? A. Hypovolemic B. Cardiogenic C. Distributive D. Obstructive D. Obstructive During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: A. Increase in preload, afterload and re-absorption of sodium B. Decrease in preload, afterload and re-absorption of sodium C. Increase in myocardial contractility D. Vasodilation and sodium retention A. Increase in preload, afterload and re-absorption of sodium A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected? A. Adrenal insufficiency B. Diabetic ketoacidosis C. Hypothyroidism D. Rhabdomyolysis A. Adrenal insufficiency Which condition should the healthcare provider consider to usually be a non-emergent, non-life threatening illness? A. Acute coronary syndrome B. Thoracic outlet syndrome C. Esophageal rupture D. Aortic dissection B. Thoracic outlet syndrome Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads? A. V1, V2 B. V3, V4 C. 1, aVL D. II, III, aVF D. II, III, aVF Which is a high-risk factor for intracerebral hemorrhage? A. Marijuana B. Coronary artery syndrome C. Bradycardia D. Cocaine drug abuse D. Cocaine drug abuse What is the initial treatment for a patient experiencing HHNS? A. Crystalloid IV fluid resuscitation B. Administration of dextrose C. Administration of insulin D. Fluid bolus of 5% dextrose in water (D5W) A. Crystalloid IV fluid resuscitation What condition is most likely to cause respiratory acidosis? A. Ansiety/panic attack B. Narcotic Overdose C. Methanol ingestion D. DKA B. Narcotic overdose What is the most effective treatment for an unconscious patient in respiratory acidosis? A. Assisted bag-mask ventilation B. Sodium bicarbonate C. Supportive care D. IV fluid bolus A. assisted bag-mask ventilation An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in thyroid hormones is: A. Addison's disease B. Myxedema coma C. Grave's disease D. DKA C. Grave's disease Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which underlying illness? A. Alcoholism B. Cholecystitis C. Pancreatitis D. Hypothyroidism A. Alcoholism A 24 year old has completed a triathalon on a hot, humid day. The athlete complains of a severe headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete becomes lethargic. What underlying electrolyte disturbance should the healthcare provider most likely suspect? A. Magnesemia B. Hyponatremia C. Hypocalcemia D. Hypokalemia B. Hyponatremia What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia? A. Flattened T waves B. Peaked T waves C. Narrowing QRS complex D. Presence of Osborne waves B. Peaked T waves An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and right upper quadrant pain the radiates to the back. Palpation reveals epigatric tenderness without peritoneal signs. What working diagnosis should be considered most likely? A. Acute pancreatitis B. Intestinal (bowel) obstruction C. Peptic ulcer D. Mallory-Weiss syndrome A. Acute pancreatitis A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain that has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102F. What treatment should be performed? A. 12 lead B. Beta blockers C. Initiate STEMI protocols D. Supplemental O2 and immediate transport D. Supplemental oxygen and immediate transport