AMLS POSTTEST(3 LATEST VERSIONS ) ADVANCED MEDICALLIFE SUPPORT, AMLS PRETESTEXAM(AGRADE) AMLS (Advanced Medical Life Support)

AMLS POSTTEST(3 LATEST VERSIONS ) ADVANCED MEDICALLIFE SUPPORT, AMLS PRETESTEXAM(AGRADE) AMLS (Advanced Medical Life Support) Pretest & post test VERSION A What condition is most likely to cause respiratory acidosis? - ANSWER- In largerdoses narcotics induce respiratorydepressionandeventually respiratoryarrest. AMLS Page 95 A 65-year-old female complains of chest pain that feels like "aching" in her chest.It has become progressively worse over several days. Her temperature is 38.3 degrees C (100 F). Which finding will help narrow your differential diagnosis to pericarditis? - ANS- 12 lead ECG will demonstrate global STsegment elevationinalmost every lead. AMLS Page 128 During compensatory shock, the renin-angiotensin-aldosterone system is activatedto cause a/an: - ANS- This selective perfusion occurs during the ischemic phase of shock. AMLS Page 146 (To stop kidneys from excreting fluid and keeping it in the vasculature, therefore increasing BP) lntrabdominalbleeds, like pancreatitis,oftenpresent with discolorationorbruisingaround the umbilicus. This physical exam finding is known as: - ANS- Cullen's sign is a bluediscoloration around theumbilicus. AMLS Page235 What clinical findings are most commonly associated with a pulmonary embolus? -ANS- Clear breath sounds with tachypnea. Signs and Symptoms AMLS Page 113 A 50 year old female has called 911. She complains of shortness of breath mfort. Assessment reveals herskin is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regular. Whichtypeof shock is most likelyoccurring? - ANS- Thepatient's respiratory rate is increased,and crackles causedbypulmonaryedemacanbeheard on auscultation. Cardiogenic Shock Signs and Symptoms.AMLS Page 164 Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have which condition? - ANS- Elements of patient historythat suggest PE include acute onsetof shortness of breath. AMLS Page114 Anelderlypatient witha 1 weekhistoryofproductive coughand wheezingnoticesan increase in difficulty in breathing when grocery shopping. Further assessment reveals pursed lip breathing, rhonchi, and minimal jugular vein distention. Which diagnosis should the healthcare provider suspect? - ANS- Signs and Symptoms of COPD. AMLS Page 85 A 45 year old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action should be implemented next? - ANS- This is self explanatory(Suction Airway) A 20 year old female presents with a 2-day history of dyspnea, non-productive cough, chest tightness audible wheezing. Further exam reveals no fever or strider. Thepatienthas rapidrespirations with difficultyexhaling. Whichdiagnosis is mostlikely? - ANS- These are textbooksigns of asthma Signs and Symptoms.AMLS Page 83 Anaphylaxis is most associated with which physiological event? - ANS- Thecutaneous reaction may be observed as flushed, warm skin resulting from vasodilation anduticarea. AMLS Page 162 An elderly patient is receiving care at home while recuperating from recent kneesurgery. She developedpostaoperative infectionandhas beenonantibiotics forquite sometime. She is complaining of foul smelling diarrhea, and abdominal cramping and loss of appetite. Based on this presentation, the provider should suspect?- ANS- Signs and Symptoms Patients with this illnesshave diarrheathat isnotbloodybuthas acharacteristicfoul odor. Abdominal pain and cramping are present in about 22% of patients. AMLS Page 319 (C-DIFF) Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - ANSPathophysiology AMLS Page 88 (Caused bydiffuse damage to the alveoli, perhaps as a result of shock, aspiration of gastric contents, pulmonary edema or hypoxic event. Begins with a breakdown of the alveolar-capillaryborder thatallows fluidtoseepintothealveoli,decreasinggasexchange in the lungs. Healthcare providers are responding to a near-drowning at a local lake. The patientis experiencing uncontrollableshiveringandcomplains ofnauseaand weakness. The patient had been treading water for 25 minutes and now presents with tachycardia andrapid respirations. Corebodytemperature is 93.2°F (34°C). Whichdiagnosis is most likely? - ANS- 89.6F - 95.0F (Mild Hypothermia) AMLS Page 338 Continuous positiveairwaypressure wouldbe mostappropriatein treating whichpatient? - ANS- 22 year old with severe asthma and not responding to nebulizer treatments AMLS Page 72 A localbusinesswoman has returned from missionary work in South Africa. Sheiscomplaining ofnight sweats,chest discomfortandapersistentcoughforseveral weeks. Whichunderlyingdiagnosisis most likely causing these symptoms? - ANS- Signs and symptoms of TBinclude persistent cough for 2-3 weeks, night sweats, headache, weight loss,hemoptysis,and chestpain. AMLS Page 301 What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Non-ketotic Syndrome (HHNS)? - ANS- The patient may have significant volume depletion. Begin IV fluid resuscitation immediately. The initial fluidofchoiceis 0.9% normalsaline(crystalloidsolution). AMLS Page270 When assessing geriatric patients, infectious disease is more difficult to identify for all the following reasons EXCEPT - ANS- Older Adult Patients. AMLS Page325 Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - ANS- If seizures developadminister diazepam (Valium) or lorazepam (Ativan). AMLS Page 424 (Treat seizure before treating for the exposuretothenerve agent)