QUESTIONS WITH CORRECT
DETAILED ANSWERS / ADVANCED
MEDICAL LIFE SUPPORT, AMLS
PRETEST
ALREADY GRADED A+
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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?
- 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? - ANSWER
🗸 a. Pulmonary embolism
3. 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 red and has small bumps. She has been feeling ill
, for several days. What is the most likely working diagnosis? -
ANSWER 🗸 c. Methicillin-resistant Staphylococcus aureus
4. A foreign exchange university student is found by his roommate
and EMS is dispatched. The patient presents with an unusual flat
red rash on his chest and arms. He has been ill with fever, nausea,
and vomiting. Physical exam reveals stiffness of the neck. The
healthcare provider will anticipate which diagnosis? - ANSWER 🗸
b. Meningitis
5. Healthcare providers are treating a 49yo male complaining of
diffuse abdominal cramping. He has been ill with vomiting for 3
days. What working diagnosis is most probable? - ANSWER 🗸 d.
Gastroenteritis
6. While assessing your patient, you note he involuntary flexes the
legs in response to flexing his neck. The patient is presenting with:
- ANSWER 🗸 b. A positive Brudzinski's sign indicating possible
meningitis
7. Healthcare providers are assessing an obese 49yo who is lethargic
and has not been feeling well for several days. His family reports a
history of extreme thirst. Vital sings 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 🗸 d. Hyperosmolar
hyperglycemic nonketotic coma
,8. A firefighter has been working a fire for 4 hours on a humid, hot
day. He suddenly becomes nauseated and restless. The provider
observes pupil dilation 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 🗸 d. Cyanide poisoning
9. Healthcare providers are treating a patient that has taken an
unknown amount of a prescribed pain medicine along with an OTC
analgesic numerous times over the last 36 hours for chronic lumbar
pain. The patient is experiencing abdominal pain, nausea, and
vomiting. The providers note pallor and diaphoresis. Blood glucose
is 42. What toxin overdose is suspected? - ANSWER 🗸 b.
Acetaminophen
10. A patient complains of nausea and is passing black, tarry
stools rectally. This patient is most likely suffering from: -
ANSWER 🗸 c. Upper GI bleed
11. The provider assesses a patient suffering from fever, nausea,
vomiting, and per-umbilical pain. Further evaluation reveals RLQ
pain and lower back pain. A physical exam reveals an increase in
RLQ pain when the patient's right leg is extended from the hip
(Psoas Sign). Which working diagnosis is most appropriate? -
ANSWER 🗸 d. Appendicitis
, 12. Intra-abdominal bleeds, like pancreatitis, often present with
discoloration or bruising around the umbilicus. This physical exam
finding is known as: - ANSWER 🗸 a. Cullen's sign
13. Which of the following is a hallmark sign of tricyclic
antidepressant toxicity? - ANSWER 🗸 a. Dysrhythmias
14. A daughter states that her 72yo mother has a history of
hypertension, high cholesterol, and rheumatoid arthritis. Daily
medications include aspirin, Tenormin, Plaquenil, and Plavix. She
is concerned as her mother has mixed up her medications and is
now lethargic with diminished respirations. Vital signs are P 58
and regular, R 10 and shallow, and a BP of 90/74. Blood glucose is
52. Which medication toxicity would be indicative of this
presentation? - ANSWER 🗸 c. Beta blocker
15. If untreated, a cardiac tamponade will present with signs and
symptoms of which type of shock? - ANSWER 🗸 c. Obstructive
16. A patient presents anxious with difficulty in breathing and
chest pain. An assessment reveals hypotension, muffled heart
tones, and distended neck veins. There is a past medical history of
pericarditis. The provider notes that there is a decrease in systolic
blood pressure when the patient inhales. Which diagnosis would be
considered with this presentation? - ANSWER 🗸 b. Cardiac
tamponade (?)