AMLS EXAMS EVALUATION TIPS QUESTIONS AND
ANSWERS MARKED A+
✔✔The provider finds an unconscious patient with no gag reflex. Which airway would
be most appropriate device to being to manage the airway? - ✔✔Oropharyngeal airway
✔✔The provider performs a focused physical exam and observes an implanted vascular
access device. This finding is most indicative of: - ✔✔Chemotherapy regimens
✔✔The provider is assessing a smoker who presents with dyspnea, chest discomfort,
and a productive cough. The patient exhibits pedal edema and coarse, scattered
rhonchi. The patient's oxygen saturation is 88% and his respiratory rate is 28
breaths/min. Which working diagnosis would be most likely considered to begin
immediate treatment? - ✔✔Chronic obstructive pulmonary disorder
✔✔Which of the following is most likely to impair ventilation?
A. Anaphylaxis
B. Carbon monoxide poisoning
C. Congestive heart failure
D. Pneumonia - ✔✔Anaphylaxis
✔✔Which sign or symptom indicates impending respiratory failure in a patient who is
having an asthma attack?
A. End-tidal CO2 of 32 mmHG
B. Increased respiratory rate
C. S3 heart sounds
D. Sleepiness - ✔✔Sleepiness
✔✔A 65-year-old woman has progressive onset of dyspnea over several days. The
patient's temperature is 102.2 degrees F (39C). Her prescription medications include
Accupril (quinapril), spironolactone, Lanoxin (digoxin), ipratropium, and salbutamol.
Which of the following would be included in your differential diagnosis?
A. Pneumonia
B. Pulmonary edema
C. Spontaneous pneumothorax
D. Status asthmaticus - ✔✔Pneumonia
✔✔Which diagnostic test will quickly detect poor ventilation? - ✔✔Capnography
✔✔An adult patient presents with fever, sore throat, and swollen lower jaw. Which
should be included in your differential diagnosis? - ✔✔Ludwig's angina
, ✔✔A 62-year-old man has a sudden onset of dyspnea after a bout of coughing. Lung
sounds are diminished on the right side. Which element of the past medical history
would help confirm the diagnosis of spontaneous pneumothorax?
A. Heroin abuse
B. Pneumonia within 5 years
C. Tobacco smoker
D. Treatment with warfarin - ✔✔Tobacco smoker
✔✔What sign of symptom may develop as a result of pulmonary embolism, COPD, or
pulmonary hypertension? - ✔✔Jugular venous distention
✔✔You have administered albuterol and parenteral epinephrine to a 21-year-old woman
who is having an asthma attack. The patient's PCO2 level is now 55 mmHg. What
additional treatment is indicated? - ✔✔Apply oxygen and allow the patient's body to
reverse the bronchospasm and hypercarbia.
✔✔A 24-year-old man was diagnosed with Guillain-Barré syndrome 1 week ago. Which
complication should you anticipate? - ✔✔Pneumonia
✔✔The risk of barotrauma for a patient with asthma who is receiving mechanical
ventilation increases if you decrease the: - ✔✔Expiratory time
✔✔The most common sign or symptom found in patients with pulmonary embolism is: -
✔✔Increased respiratory rate
✔✔A 52-year-old man with a history of alcoholism complains of pleuritic chest pain. He
reports recent vomiting and states the pain increases when he swallows. He appears
very ill and has subcutaneous emphysema around his neck. You suspect: -
✔✔Boerhaave's syndrome
✔✔A 73-year-old man awakens suddenly, complaining of dyspnea. You find him in the
tripod position. Crackles are audible around his scapulae. He has a history of
hypertension. You suspect his symptoms are related to: - ✔✔Left-sided heart failure
✔✔A 70-year-old man suspected to have a dissecting aortic aneurysm has a blood
pressure of 170/102 mm Hg. This sign may indicate: - ✔✔The renal arterioles are
involved
✔✔Which of the following patients is at highest risk for pericardial tamponade?
A. 55-year-old with end-stage lung cancer
B. 62-year-old dialysis patient
C. 45-year-old with influenza
D. 72-year-old who takes warfarin - ✔✔55-year-old with end-stage lung cancer
ANSWERS MARKED A+
✔✔The provider finds an unconscious patient with no gag reflex. Which airway would
be most appropriate device to being to manage the airway? - ✔✔Oropharyngeal airway
✔✔The provider performs a focused physical exam and observes an implanted vascular
access device. This finding is most indicative of: - ✔✔Chemotherapy regimens
✔✔The provider is assessing a smoker who presents with dyspnea, chest discomfort,
and a productive cough. The patient exhibits pedal edema and coarse, scattered
rhonchi. The patient's oxygen saturation is 88% and his respiratory rate is 28
breaths/min. Which working diagnosis would be most likely considered to begin
immediate treatment? - ✔✔Chronic obstructive pulmonary disorder
✔✔Which of the following is most likely to impair ventilation?
A. Anaphylaxis
B. Carbon monoxide poisoning
C. Congestive heart failure
D. Pneumonia - ✔✔Anaphylaxis
✔✔Which sign or symptom indicates impending respiratory failure in a patient who is
having an asthma attack?
A. End-tidal CO2 of 32 mmHG
B. Increased respiratory rate
C. S3 heart sounds
D. Sleepiness - ✔✔Sleepiness
✔✔A 65-year-old woman has progressive onset of dyspnea over several days. The
patient's temperature is 102.2 degrees F (39C). Her prescription medications include
Accupril (quinapril), spironolactone, Lanoxin (digoxin), ipratropium, and salbutamol.
Which of the following would be included in your differential diagnosis?
A. Pneumonia
B. Pulmonary edema
C. Spontaneous pneumothorax
D. Status asthmaticus - ✔✔Pneumonia
✔✔Which diagnostic test will quickly detect poor ventilation? - ✔✔Capnography
✔✔An adult patient presents with fever, sore throat, and swollen lower jaw. Which
should be included in your differential diagnosis? - ✔✔Ludwig's angina
, ✔✔A 62-year-old man has a sudden onset of dyspnea after a bout of coughing. Lung
sounds are diminished on the right side. Which element of the past medical history
would help confirm the diagnosis of spontaneous pneumothorax?
A. Heroin abuse
B. Pneumonia within 5 years
C. Tobacco smoker
D. Treatment with warfarin - ✔✔Tobacco smoker
✔✔What sign of symptom may develop as a result of pulmonary embolism, COPD, or
pulmonary hypertension? - ✔✔Jugular venous distention
✔✔You have administered albuterol and parenteral epinephrine to a 21-year-old woman
who is having an asthma attack. The patient's PCO2 level is now 55 mmHg. What
additional treatment is indicated? - ✔✔Apply oxygen and allow the patient's body to
reverse the bronchospasm and hypercarbia.
✔✔A 24-year-old man was diagnosed with Guillain-Barré syndrome 1 week ago. Which
complication should you anticipate? - ✔✔Pneumonia
✔✔The risk of barotrauma for a patient with asthma who is receiving mechanical
ventilation increases if you decrease the: - ✔✔Expiratory time
✔✔The most common sign or symptom found in patients with pulmonary embolism is: -
✔✔Increased respiratory rate
✔✔A 52-year-old man with a history of alcoholism complains of pleuritic chest pain. He
reports recent vomiting and states the pain increases when he swallows. He appears
very ill and has subcutaneous emphysema around his neck. You suspect: -
✔✔Boerhaave's syndrome
✔✔A 73-year-old man awakens suddenly, complaining of dyspnea. You find him in the
tripod position. Crackles are audible around his scapulae. He has a history of
hypertension. You suspect his symptoms are related to: - ✔✔Left-sided heart failure
✔✔A 70-year-old man suspected to have a dissecting aortic aneurysm has a blood
pressure of 170/102 mm Hg. This sign may indicate: - ✔✔The renal arterioles are
involved
✔✔Which of the following patients is at highest risk for pericardial tamponade?
A. 55-year-old with end-stage lung cancer
B. 62-year-old dialysis patient
C. 45-year-old with influenza
D. 72-year-old who takes warfarin - ✔✔55-year-old with end-stage lung cancer
