AMLS PRE TEST LATEST

AMLS PRE TEST LATEST REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS /ADVANCED MEDICAL LIFE SUPPORT, AMLS PRETEST EXAM(AGRADE) A 19-year-old female is flushed, itchy, and wheezing after eating crab legs. Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which intervention is indicated first? - ANSWER- Epinephrine intramuscular A 2-year-old male is found chewing on berries from a lily of the valley plant. Predict his vital signs. - ANSWER- BP 70/50 P 70 bpm A 22-year-old female is found at a party unresponsive and breathing approximately 8 breaths/min. Her skin is gray. Which of the following signs or symptoms will confirm your suspicion that the opioid toxidrome is causing her emergency? - ANSWER- Pupils 2 mm and equal A 22-year-old male complains of a 2-day history of abdominal pain. His skin is flushed, and he has a fruity odor on his breath. Assessment reveals BP 106/54 mm Hg, P 128, R 28, glucose 568 mg/dL. Your highest priority intervention would be to: - ANSWER- Infuse normal saline rapid IV A 22-year-old patient at a restaurant is complaining of abdominal pain and diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP 98/50, P 124, R 24. Which finding in her SAMPLER history is most likely to guide your differential diagnosis for this patient? - ANSWER- Illness began about 10 minutes after eating A 23-year-old female has an acute onset of left flank pain. You should investigate which of the following regarding her pain? - ANSWER- Dysuria A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP 86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you anticipate. - ANSWER- Seizures A 24-year-old male complains of sudden explosive headache . He asks you to lower the lights. He has vomited once. Which of these findings would increase your index of suspicion for subarachnoid hemorrhage? - ANSWER- Stiff neck A 24-year-old male injuries in a shallow diving incident. Which assessment finding would you anticipate if he is developing neurogenic shock? - ANSWERHeart rate 58 bpm A 25-year-old helmeted female was thrown from a horse. She is complaining of weakness in her upper extremities. You ask her to close her eyes and identify whether you are moving her thumb up or down. She is unable to do so. This indicates she does not have normal: - ANSWER- Proprioception A 25-year-old woman was involved in a motor vehicle collision. Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the following findings on repeat assessment would indicate that she is developing shock? - ANSWER- Pulse pressure 32 mm Hg 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? - ANSWER- Abnormal gaze A 33-year-old male has right lower quadrant abdominal pain and vomiting. Five minutes after you administer a dose of ondansetron, he vomits forcefully. His vitals are now BP 102/72, P 52, R 20. The alteration in his vital signs is likely related to: - ANSWER- Vagal stimulation A 40-year-old male has chest pain reported as an "elephant sitting on my chest." He confides that he snorted cocaine 5 minutes before his pain began. You should first administer: - ANSWER- Lorazepam, 2 mg IV A 42-year-old male complains of a gnawing, sever pain in the epigastric area that radiates to his back. His vital signs are T 102*F, BP 94/68, P 128, R 24. Your highest priority intervention would be to administer: - ANSWER- Normal saline, 250 mL bolus A 43-year-old male with diffuse abdominal pain and vomiting has a yellowish discoloration of his sclera. This indicates he has excess serum: - ANSWERBilirubin A 44-year-old male is postictal after a witnessed grand mal seizure. He is arousable to light pain and is presently snoring. His vital signs are BP 142/86, P 120, R 20, Sa02 98%. You should: - ANSWER- Insert a nasopharyngeal airway A 45-year-old female complains of right upper quadrant abdominal pain. To help confirm your differential if you suspect cholecystitis you should: - ANSWER- Ask her to take a deep breath as you press upward into her right upper quadrant A 45-year-old male complains of severe epigastric pain radiating to his back. He has vomited several times. His history is significant for alcohol abuse and hypertension. You suspect an inflammatory condition of a gastric accessory organ. To confirm your differential on physical exam you should assess for: - ANSWERPsoas sign A 45-year-old male with a history of hypertension complains of chest "pressure," about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked out." Vitals signs and 12-lead ECG are normal. You have already administered oxygen and aspirin. You should next: - ANSWER- Administer nitroglycerin 0.4 mg sublingual. A 47-year-old female is anxious and complaining of heart palpitations. She reports a recent diagnosis of "thyroid problems." On exam you note exophthalmos. Her vital signs are BP 108/72 mm Hg, P 128 bpm, R 20/min. Interventions should include administration of: - ANSWER- Intravenous fluids A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He states the pain increases when he swallows. He appears very ill and has subcutaneous emphysema around his neck. You suspect: - ANSWER- Boerhaave's syndrome 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: - ANSWERSpecialized neurologic and vascular capability