AND CORRECT ANSWERS /ADVANCED MEDICAL LIFE
SUPPORT, AMLS PRETEST EXAM(AGRADE)
An 82 year-old alcoholic complains of nausea, non-bloody vomi ng and severe epigastric and
right upper quadrant pain that radiates to the back. Palpa on reveals epigastric tenderness
without peritoneal signs. What working diagnosis should be considered most likely? - Correct
Answers Acute pancrea s
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 vomi ng for 2 days. What
diagnosis is suspected? - Correct Answers Appendici s
A 24 year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe
headache, muscle cramps and abdominal pain. As the pa ent history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance should the healthcare provider
most likely suspect? - Correct Answers Hyponatremia
A 28 year-old female is being evaluated for an acute onset of an altera on in menta on. She
complained of a s ff neck and persistent headache. Vital signs are P 112, R22 and regular, BP
144/88, SpO2 95% and T 102.3 F. The healthcare provider should observe for which
complica on? - Correct Answers seizure
A 42 year-old pa ent with a history of rheumatoid arthri s is taking glucocor coids. Over the
past two weeks, she complains of chronic fa gue, weakness, and loss of appe te with weight
loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is
suspected? - Correct Answers Adrenal insufficiency
, A 45 year-old pa ent is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respira ons and vomitus in and around the mouth. What course of
ac on should be implemented next? - Correct Answers Supplemental oxygen and suc on
A known chronic alcoholic complains of the constant, severe mid-epigastric pain, nausea and
blood-streaked emesis. The pa ent has a temperature of 101.9F and severe abdominal
tenderness. What underlying diagnosis should be suspected? - Correct Answers pancrea s
A lethargic pa ent presents with dilated pupils and vital signs of P122, R26, and BP 130/80. He
admits to excessive inges on of diphenhydramine. What response is the cause for the
presen ng signs and symptoms? - Correct Answers An cholinergic
A 23 year-old male complains of a produc ve cough, fever, chills and pleuri c chest pain that
has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow
respira ons. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102 F. What treatment should
be performed? - Correct Answers Supplemental oxygen and immediate transport
A pa ent describes an "aching" sensa on in his chest. It occurred suddenly while res ng and
radiates to the jaw. He self-administered 1 nitroglycerin tablet without relief and the 12-lead
reveals a normal sinus rhythm with ST eleva on in leads II, III, and aVF. What working diagnosis
is most likely? - Correct Answers inferior wall myocardial injury
A pa ent experiences unilateral facial weakness and droop, garbled speech, altered sense of
taste and no extremity weakness. The pa ent has a history of Lyme's disease. What condi on is
the pa ent likely experiencing? - Correct Answers Bell's palsy
A pa ent has a?empted suicide by inges ng ethylene glycol about 20 hours prior to arriving for
treatment. Lung sounds reveal bilateral crackles and respira ons of 30 with symptoms of
pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage
of ethylene glycol poisoning has occurred? - Correct Answers 2