AMLS Questions and Answers Already Graded A

AMLS Questions and Answers Already Graded A 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 102°F (38.8°C). What treatment should be performed? Supplemental oxygen and immediate transport A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to the touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What diagnosis is suspected? Appendicitis A 24 year old has completed a triathlon 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? hyponatremia A 28 year old female is being evaluated for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for which complication? seizure 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? adrenal insufficiency 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? supplemental oxygen and suction A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and blood-streaked emesis. The patient has a temperature of 101.9°F (38.8°C) and severe abdominal tenderness. What underlying diagnosis should be suspected? pancreatitis A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP 130/80. He admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting signs and symptoms? anticholinergic A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and radiates to the jaw. He self administered 1 nitroglycerin tablet without relief and the 12 lead reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working diagnosis is most likely? inferior wall myocardial infarctions A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of taste and no extremity weakness. The patient has a history of Lyme's disease. What condition is the patient likely experiencing? Bell's palsy A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol poisoning has occurred? 2 A patient presents with mildly decreased mental status, slow respirations, bradycardia, hypotension, has a blood sugar of 42mg/dl (2.3 mmol/L). This is most likely caused from excessive ingestion of: Beta blockers A patient with a history of Grave's disease presents with anxiety, profuse sweating and a palpable goiter. Vitals are P 151, R 35 and labored, BP 84/42. Which working diagnosis is most likely? thyrotoxicosis A patient with suspected gallbladder disease is asked to take a deep breath while the provider presses upward into the upper right quadrant. If the patient ceases inspiration due to increase pain while being examined, this is known as: murphy's sign According to the AMLS Assessment Pathway, determining whether a patient is "Sick or Not Sick" is initially done which component of the assessment process? first impression Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? breakdown of the alveolar-capillary membrane An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric and right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness without peritoneal signs. What working diagnosis should be considered most likely? acute pancreatitis 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? ludwig's angina An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in thyroid hormones is: grave's disease An elderly patient in an assisted living facility presents with a diminished level of consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient most likely experiencing? distributive Anaphylaxis is most associated with which physiological event? vasodilation Clinical reasoning requires the healthcare provider to: process relevant information, filter out irrelevant information Continuous positive airway pressure would be most appropriate in treating which patient? 22 year old with severe asthma and not responding to nebulizer treatments During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an increase in preload, afterload and re-absorption of sodium During what period of the communicable disease process will antibodies begin to reach detectable levels and the infected blood will test positive for exposure to a pathogen? incubation Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which underlying illness? alcoholism 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? obstructive Healthcare providers are managing a patient presenting with substernal chest discomfort. They describe the pain as "pressure-like" and it radiates to the jaw and left arm. The discomfort subsides with rest, oxygen and administration of nitroglycerin. What is the most likely working diagnosis? angina pectoris Healthcare providers are treating an unresponsive patient who overdosed on lorazepam. What intervention should be initiated? airway support Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads? II, III, aVF Organophosphate poisoning will present with which signs and symptoms? salivation and incontinence of urine and liquid stool Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is: administer PEEP Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? pulmonary embolism an example of a communication barrier that impairs an efficient and thorough assessment process the patient can't find his hearing aid The determination of a working diagnosis is dependent on the provider's assessment, critical thinking and skills. pattern recognition The patient complains of a deep burning discomfort diffusely throughout the epigastrium. This is an example of which type of pain? referred The patient is alert and oriented presenting with hypotension, bradycardia, normal capillary refill and warm, dry skin. These are cardinal signs of which type of distributive shock? neurogenic The patient presents with a history of headache, weight loss, chest discomfort, night sweats and a persistent cough for several weeks. Which infectious disease is most likely occurring? tuberculosis What component of a patient's past medical history is most helpful in considering myocardial infarction as a working diagnosis? familial heart disease What condition is most likely to cause respiratory acidosis? narcotic overdose What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)? crystalloid IV fluid resuscitation What is the most effective treatment for an unconscious patient in respiratory acidosis? assisted bag-mask ventilation What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia? peaked t-waves What medication classification should be administered to an uncooperative, agitated patient? benzodiazepine When performing a patient assessment, what information provides the most essential information in determining a working diagnosis? medical history Which best practices help to prevent the spread of infectious disease? alcohol based antimicrobial equipment cleaning and handwashing Which component of the history is most crucial when assessing a potential stroke patient? time of onset Which condition should the healthcare provider consider to usually be a non-emergent, non-life threatening illness? thoracic outlet syndrome Which infectious disease must have oxygen present to survive? tuberculosis Which is a high-risk factor for intracerebral hemorrhage? cocaine drug abuse