Final Amls Post Test Actual Exam

Final Amls Post Test Actual Exam 1. 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 taken next? - CORRECT ANSWER-b. Supplemental oxygen and suction 2. Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have what condition? - CORRECT ANSWER-a. Pulmonary embolism 3. During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: - CORRECT ANSWER-a. Increase in preload, afterload, and re-absorption of sodium 4. What clinical findings are most commonly associated with a pulmonary embolus? - CORRECT ANSWER-a. Clear breath sounds with tachypnea 5. What condition is most likely to cause respiratory acidosis? - CORRECT ANSWERb. Narcotic overdose 6. A 55-year-old complains of an 'aching' chest discomfort that persists over several days. The patient has a temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis? - CORRECT ANSWER-d. ST-segment elevation in all leads 7. Anaphylaxis is most associated with which physiological event? - CORRECT ANSWER-b. Vasodilation 8. Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - CORRECT ANSWER-c. Breakdown of the alveolar-capillary membrane 9. Continuous positive airway pressure would be most beneficial in treating which patient? - CORRECT ANSWER-b. A 22yo with severe asthma who is not responding to nebulizer treatments 10. What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)? - CORRECT ANSWER-a. Crystalloid IV fluid administration 11. Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - CORRECT ANSWER-c. Midazolam 12. Respiratory alkalosis may occur as a result of: - CORRECT ANSWER-a. Fever and anxiety 13. An age-related change that increases the risk of respiratory compromise is: - CORRECT ANSWER-c. Decrease in lung compliance 14. Paroxysmal nocturnal dyspnea is most common in patients with a history of: - CORRECT ANSWER-a. Left-sided heart failure (?) 15. The patient presents with a history of fever and an upper respiratory infection. Historical information reveals increasing water intake, orthostatic hypotension, and an increase in urination. You suspect these symptoms are caused by: - CORRECT ANSWER-a. Hyperglycemia 16. You are dispatched to the home of a 32yo patient with a history of Graves' disease. The patient was in the ER earlier today for some "tests for my ulcers." He received contrast and was discharged. He is now complaining of not feeling well, chest pain, and palpitations. You note an anxious patient with fine tremors. He is diaphoretic and has a temperature of 101.5F, BP 100/62, P 15