AMLS PRETEST ACTUAL VERSION 2
1. An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric
and right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness
without peritoneal signs. Whatworking diagnosis should be considered most likely?
Answer: Acute pancreatitis
-Chapter 7
2. A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain
that has worsened over 3 days. A physical exam revealsunilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102°F (38.8°C). What
treatment should be per- formed?
Answer: Supplemental Oxygen and immediate transport
-Chapter 3
3. A patient with suspected gallbladder disease is asked to take a deep breath while the provider
presses upward into the upper right quadrant. If thepatient ceases inspiration due to increase pain
while being examined, this is known as:
Answer: Murphy's Sign
-Chapter 7
4. The patient is alert and oriented presenting with hypotension, bradycar- dia,normal capillary refill
and warm, dry skin. These are cardinal signs of which type of distributive shock?
Answer: Neurogenic
-Chapter 4
5. During what period of the communicable disease process will antibodies begin to reach
detectable levels and the infected blood will test positive for exposure to a pathogen?
Answer: Incubation
-Chapter 8
6. The patient presents with a history of headache, weight loss, chest discomfort, night
sweats and a persistent cough for several weeks. Whichinfectious disease is most likely
occurring?
Answer: Tuberculosis
-Chapter 8
7. A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP 130/80. He
, admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting
signs and symptoms?
Answer: Anti- cholinergic
-Chapter 9
8. Organophosphate poisoning will present with which signs and symp-toms?
Answer: Salivation and incontinence of urine and liquid stool
-Chapter 9
9. What medication classification should be administered to an uncooper-ative, agitated
patient?
Answer: Benzodiazepine
-Chapter 9
10. A patient presents with mildly decreased mental status, slow respira- tions,bradycardia,
hypotension, has a blood sugar of 42mg/dl (2.3 mmolL). This is most likely caused from excessive
ingestion of:
Answer: Beta blockers
-Chapter 9
11. The patient complains of a deep burning discomfort diffusely throughout theepigastrium. This is
an example of which type of pain?
Answer: Visceral
-Chapter7
12. A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to the
touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What diagnosis
is suspected?
Answer: Appendicitis
-Chapter 7
13. A known chronic alcoholic complains of the constant, severe mid-epigas- tric pain, nausea and
blood-streaked emesis. The patient has a temperature of 101.9°F (38.8°C) and severe abdominal
tenderness. What underlying diag- nosis should be suspected?
Answer: Pancreatitis
-Chapter 7
14. What component of a patient's past medical history is most helpful inconsidering
myocardial infarction as a working diagnosis?
1. An 82 year old alcoholic complains of nausea, non-bloody vomiting and severe epigastric
and right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness
without peritoneal signs. Whatworking diagnosis should be considered most likely?
Answer: Acute pancreatitis
-Chapter 7
2. A 23 year old male complains of a productive cough, fever, chills and pleuritic chest pain
that has worsened over 3 days. A physical exam revealsunilateral wheezing with shallow
respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102°F (38.8°C). What
treatment should be per- formed?
Answer: Supplemental Oxygen and immediate transport
-Chapter 3
3. A patient with suspected gallbladder disease is asked to take a deep breath while the provider
presses upward into the upper right quadrant. If thepatient ceases inspiration due to increase pain
while being examined, this is known as:
Answer: Murphy's Sign
-Chapter 7
4. The patient is alert and oriented presenting with hypotension, bradycar- dia,normal capillary refill
and warm, dry skin. These are cardinal signs of which type of distributive shock?
Answer: Neurogenic
-Chapter 4
5. During what period of the communicable disease process will antibodies begin to reach
detectable levels and the infected blood will test positive for exposure to a pathogen?
Answer: Incubation
-Chapter 8
6. The patient presents with a history of headache, weight loss, chest discomfort, night
sweats and a persistent cough for several weeks. Whichinfectious disease is most likely
occurring?
Answer: Tuberculosis
-Chapter 8
7. A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP 130/80. He
, admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting
signs and symptoms?
Answer: Anti- cholinergic
-Chapter 9
8. Organophosphate poisoning will present with which signs and symp-toms?
Answer: Salivation and incontinence of urine and liquid stool
-Chapter 9
9. What medication classification should be administered to an uncooper-ative, agitated
patient?
Answer: Benzodiazepine
-Chapter 9
10. A patient presents with mildly decreased mental status, slow respira- tions,bradycardia,
hypotension, has a blood sugar of 42mg/dl (2.3 mmolL). This is most likely caused from excessive
ingestion of:
Answer: Beta blockers
-Chapter 9
11. The patient complains of a deep burning discomfort diffusely throughout theepigastrium. This is
an example of which type of pain?
Answer: Visceral
-Chapter7
12. A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to the
touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What diagnosis
is suspected?
Answer: Appendicitis
-Chapter 7
13. A known chronic alcoholic complains of the constant, severe mid-epigas- tric pain, nausea and
blood-streaked emesis. The patient has a temperature of 101.9°F (38.8°C) and severe abdominal
tenderness. What underlying diag- nosis should be suspected?
Answer: Pancreatitis
-Chapter 7
14. What component of a patient's past medical history is most helpful inconsidering
myocardial infarction as a working diagnosis?
