Amls Final Test Exam (Questions And Answers) 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 -Supplemental oxygen and suction Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have which condition? - CORRECT ANSWER -Pulmonary embolism During compensatory shock, the renin -angiotensine -aldosterone system is activated to cause a/an: - CORRECT ANSWER -Increase in preload, afterload, and re -absorption of sodium What clinical findings are most commonly associated with a pulmonary embolus? - CORRECT ANSWER -Clear breath sounds with tachypnea What condition is most likely to cause respiratory acidosis? - CORRECT ANSWER -
Narcotic overdose A 55-year-old complains of an "aching" chest discomfort that persists over several days. The patient has a temperature of 101*F (38.3*C). Which finding will help narrow the diagnosis to pericarditis? - CORRECT ANSWER -ST-segment elevation in all leads Anaphylaxis is most associated with which physiological event? - CORRECT ANSWER -
Vasodilation Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? - CORRECT ANSWER -Breakdown of the alveolar -capillary membrane Continuous positive airway pressure would be most beneficial in treating which patient? - CORRECT ANSWER -A 22-year-old with severe asthma who is not responding to nebulizer treatments What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)? - CORRECT ANSWER -Crystalloid IV fluid administration Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - CORRECT ANSWER -Midazolam Respiratory alkalosis may occur as a result of: - CORRECT ANSWER -Fever and anxiety An age -related change that increases the risk of respiratory compromise is: - CORRECT ANSWER -Decrease in lung compliance Paroxysmal nocturnal dyspnea is most common in patients with a history of: - CORRECT ANSWER -Left-sided heart failure 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 -
Hyper glycemia You are dispatched to the home of a 32 -year-old 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 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose level 133. Which of the following are management considerations for this patient? - CORRECT ANSWER -Beta Blockers Metabolic acidosis is best described by which arterial blood gas interpretation? - CORRECT ANSWER -pH decreased, pCO2 decreased, H2CO3 low The AMLS Assessment Pathway first advises safety and initial observations of the scene. The second process described in this pathway asks the healthcare provider to: - CORRECT ANSWER -Identify and manage life -threats Observing a patient's body positioning can be an early indicator that the patient is: - CORRECT ANSWER -Sick or not sick Which assessment finding is crucial to obtain from a patient suspected of a stroke? - CORRECT ANSWER -Onset of symptoms A 62-year-old patient presents with a severe headache. It is described as a "thunderclap" accompanied with nausea, blurred vision, and an elevated blood pressure. What neurologic condition is most likely causing this patient's presentation? - CORRECT ANSWE R-Subarachnoid hemorrhage A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He felt a "sting" in his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20 with a normal work of breathing and clear lung sounds. The health care provider should: - CORRECT ANSWER -Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine Healthcare providers are treating a patient complaining of substernal chest pain accompanied with nausea and one episode of vomiting. The patient has had two cardiac stents placed within the last year. He has a familial history of heart disease and
Narcotic overdose A 55-year-old complains of an "aching" chest discomfort that persists over several days. The patient has a temperature of 101*F (38.3*C). Which finding will help narrow the diagnosis to pericarditis? - CORRECT ANSWER -ST-segment elevation in all leads Anaphylaxis is most associated with which physiological event? - CORRECT ANSWER -
Vasodilation Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? - CORRECT ANSWER -Breakdown of the alveolar -capillary membrane Continuous positive airway pressure would be most beneficial in treating which patient? - CORRECT ANSWER -A 22-year-old with severe asthma who is not responding to nebulizer treatments What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)? - CORRECT ANSWER -Crystalloid IV fluid administration Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - CORRECT ANSWER -Midazolam Respiratory alkalosis may occur as a result of: - CORRECT ANSWER -Fever and anxiety An age -related change that increases the risk of respiratory compromise is: - CORRECT ANSWER -Decrease in lung compliance Paroxysmal nocturnal dyspnea is most common in patients with a history of: - CORRECT ANSWER -Left-sided heart failure 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 -
Hyper glycemia You are dispatched to the home of a 32 -year-old 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 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose level 133. Which of the following are management considerations for this patient? - CORRECT ANSWER -Beta Blockers Metabolic acidosis is best described by which arterial blood gas interpretation? - CORRECT ANSWER -pH decreased, pCO2 decreased, H2CO3 low The AMLS Assessment Pathway first advises safety and initial observations of the scene. The second process described in this pathway asks the healthcare provider to: - CORRECT ANSWER -Identify and manage life -threats Observing a patient's body positioning can be an early indicator that the patient is: - CORRECT ANSWER -Sick or not sick Which assessment finding is crucial to obtain from a patient suspected of a stroke? - CORRECT ANSWER -Onset of symptoms A 62-year-old patient presents with a severe headache. It is described as a "thunderclap" accompanied with nausea, blurred vision, and an elevated blood pressure. What neurologic condition is most likely causing this patient's presentation? - CORRECT ANSWE R-Subarachnoid hemorrhage A 38-year-old presents with mild chest tightness and urticaria after mowing the lawn. He felt a "sting" in his left lower leg and states the symptoms came on suddenly. BP 130/82, P 100, R 20 with a normal work of breathing and clear lung sounds. The health care provider should: - CORRECT ANSWER -Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine Healthcare providers are treating a patient complaining of substernal chest pain accompanied with nausea and one episode of vomiting. The patient has had two cardiac stents placed within the last year. He has a familial history of heart disease and
