AMLS FINAL EXAM QUESTIONS VERSION 3
1. A 38-year-old presents with mild chest tightness and urticaria after mow-ingthe 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 andclear
lung sounds. The healthcare provider should - Answer : Initiate an IV with0.9% normal saline
and administer 0.5mg of epinephrine
2. Healthcare providers are treating a patient complaining of substernal chestpain accompanied
with nausea and one episode of vomiting. The pa- tient hashad two cardiac stents placed within the
last year. He has a familialhistory of heart disease and takes a baby aspirin daily. What information
is most concerning? - Answer : Recent stent placement
3. The patient complains of sharp chest pain that worsens when supine. Heisbed ridden due to
complications from a recent hip surgery. The patient
is tachypneic adn the ECG reveals sinus tachycardia. What is the patient'sworking diagnosis? - Answer
: Pulmonary embolism
4. A patient is a resident in an assisted-living facility to obtain physical therapy after a knee
replacement surgery. She complains of a rash that is redandhas small bumps. She has been feeling ill
for several days. What is the most likely working diagnosis? - Answer : Methicillin-resistant
Staphylococcus aureus
5. A foreign exchange university student is found by his roommate and EMSis dispatched.The
patient presents with an unusual flat red rash on his chestand arms. He has been ill with fever,
nausea, and vomiting. Physical exam revealsstiffness of the neck. The healthcare provider will
anticipate which diagnosis?
- Answer : Meningitis
, 6. Healthcare providers are treating a 49-year-old male complaining of dif-fuse abdominal
cramping. He has been ill with vomiting for 3 days. What working diagnosis is most probable? -
Answer : Gastroenteritis
7. While assessing your patient, you note he involuntarily flexes the legsinresponse to flexing
the neck. The patient is presenting with - Answer : A positiveBrudzinski's sign indicating
possible meningitis
8. Healthcare providers are assessing an obese 49-year-old who is lethargic and has not been feeling
well for several days. His family reports a history of extreme thirst. Vital signs are P 143, R 14, and BP
88/58. He takes medication for type 2 diabetes daily. What is the most probably working diagnosis? -
Answer : Hy- perosmolar hyperglycemic nonketotic coma
9. A fire fighter has been working a fire for 4 hours on a humid, hot day. He suddenly becomes
nauseated and restless. The provider observes pupildilation and an almond odor to his breath. The
vital signs are P 56, R 22,
BP 140/86. The ECG reveals sinus bradycardia with occasional PACs. Which toxin exposure has
occurred? - Answer : Cyanide poisoning
10. Healthcare providers are treating a patient that has taken an unknown amount of a
prescribed pain medicine along with an over-the-counter anal-gesic numerous times over the
last 36 hours for chronic lumbar pain. The
patient is experiencing abdominal pain, nausea, and vomiting. The providersnotepallor, and diaphoresis.
Blood glucose level is 42mg/dL (2.3mmol/L). What toxin overdose is suspected? - Answer :
Acetaminophen
11. 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? - Answer : Supplemental oxygenand suction
12. Patients with a history of COPD that present with an acute onset of shortness of breath are likely
to have which condition? - Answer : Pulmonary embolism
1. A 38-year-old presents with mild chest tightness and urticaria after mow-ingthe 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 andclear
lung sounds. The healthcare provider should - Answer : Initiate an IV with0.9% normal saline
and administer 0.5mg of epinephrine
2. Healthcare providers are treating a patient complaining of substernal chestpain accompanied
with nausea and one episode of vomiting. The pa- tient hashad two cardiac stents placed within the
last year. He has a familialhistory of heart disease and takes a baby aspirin daily. What information
is most concerning? - Answer : Recent stent placement
3. The patient complains of sharp chest pain that worsens when supine. Heisbed ridden due to
complications from a recent hip surgery. The patient
is tachypneic adn the ECG reveals sinus tachycardia. What is the patient'sworking diagnosis? - Answer
: Pulmonary embolism
4. A patient is a resident in an assisted-living facility to obtain physical therapy after a knee
replacement surgery. She complains of a rash that is redandhas small bumps. She has been feeling ill
for several days. What is the most likely working diagnosis? - Answer : Methicillin-resistant
Staphylococcus aureus
5. A foreign exchange university student is found by his roommate and EMSis dispatched.The
patient presents with an unusual flat red rash on his chestand arms. He has been ill with fever,
nausea, and vomiting. Physical exam revealsstiffness of the neck. The healthcare provider will
anticipate which diagnosis?
- Answer : Meningitis
, 6. Healthcare providers are treating a 49-year-old male complaining of dif-fuse abdominal
cramping. He has been ill with vomiting for 3 days. What working diagnosis is most probable? -
Answer : Gastroenteritis
7. While assessing your patient, you note he involuntarily flexes the legsinresponse to flexing
the neck. The patient is presenting with - Answer : A positiveBrudzinski's sign indicating
possible meningitis
8. Healthcare providers are assessing an obese 49-year-old who is lethargic and has not been feeling
well for several days. His family reports a history of extreme thirst. Vital signs are P 143, R 14, and BP
88/58. He takes medication for type 2 diabetes daily. What is the most probably working diagnosis? -
Answer : Hy- perosmolar hyperglycemic nonketotic coma
9. A fire fighter has been working a fire for 4 hours on a humid, hot day. He suddenly becomes
nauseated and restless. The provider observes pupildilation and an almond odor to his breath. The
vital signs are P 56, R 22,
BP 140/86. The ECG reveals sinus bradycardia with occasional PACs. Which toxin exposure has
occurred? - Answer : Cyanide poisoning
10. Healthcare providers are treating a patient that has taken an unknown amount of a
prescribed pain medicine along with an over-the-counter anal-gesic numerous times over the
last 36 hours for chronic lumbar pain. The
patient is experiencing abdominal pain, nausea, and vomiting. The providersnotepallor, and diaphoresis.
Blood glucose level is 42mg/dL (2.3mmol/L). What toxin overdose is suspected? - Answer :
Acetaminophen
11. 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? - Answer : Supplemental oxygenand suction
12. Patients with a history of COPD that present with an acute onset of shortness of breath are likely
to have which condition? - Answer : Pulmonary embolism
