AMLS - STUDY GUIDE QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
A 19-year-old female is flushed, itchy, and wheezing after eating
crab legs. Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24
breaths/min. Which intervention is indicated first? - correct
answer- Epinephrine intramuscular
A 2-year-old male is found chewing on berries from a lily of the
valley plant. Predict his vital signs. - correct answer- BP
70/50 P 70 bpm
A 22-year-old female is found at a party unresponsive and
breathing approximately 8 breaths/min. Her skin is gray. Which
of the following signs or symptoms will confirm your suspicion
that the opioid toxidrome is causing her emergency? - correct
answer- Pupils 2 mm and equal
A 22-year-old male complains of a 2-day history of abdominal
pain. His skin is flushed, and he has a fruity odor on his breath.
Assessment reveals BP 106/54 mm Hg, P 128, R 28, glucose 568
mg/dL. Your highest priority intervention would be to: -
correct answer- Infuse normal saline rapid IV
,A 22-year-old patient at a restaurant is complaining of
abdominal pain and diarrhea. Her skin is flushed, and she feels
faint. Her vital signs are: BP 98/50, P 124, R 24. Which finding in
her SAMPLER history is most likely to guide your differential
diagnosis for this patient? - correct answer- Illness began
about 10 minutes after eating
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 reveals unilateral 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 performed? -
correct answer- Supplemental oxygen and immediate
transport
A 23-year-old female has an acute onset of left flank pain. You
should investigate which of the following regarding her pain? -
correct answer- Dysuria
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? - correct answer-
Appendicitis
,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 patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance
should the healthcare provider most likely suspect? - correct
answer- Hyponatremia
A 24-year-old female took 24 diphenhydramine tablets. Her vital
signs are BP 86/54 mm Hg, P 110 bpm, R 20/min. What other
sign or symptom should you anticipate. - correct answer-
Seizures
A 24-year-old male complains of sudden explosive headache . He
asks you to lower the lights. He has vomited once. Which of
these findings would increase your index of suspicion for
subarachnoid hemorrhage? - correct answer- Stiff neck
A 24-year-old male injuries in a shallow diving incident. Which
assessment finding would you anticipate if he is developing
neurogenic shock? - correct answer- Heart rate 58 bpm
A 25-year-old helmeted female was thrown from a horse. She is
complaining of weakness in her upper extremities. You ask her
, to close her eyes and identify whether you are moving her
thumb up or down. She is unable to do so. This indicates she
does not have normal: - correct answer- Proprioception
A 25-year-old woman was involved in a motor vehicle collision.
Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20
breath/min. Which of the following findings on repeat
assessment would indicate that she is developing shock? -
correct answer- Pulse pressure 32 mm Hg
A 32-year-old complains of headache and dizziness. He vomited
once and is walking with a staggering gait. His blood pressure is
148/72, pulse 92, respirations 20. He has a steady stare up
toward his right ear. Which sign or symptom makes you consider
intracerebral hemorrhage more strongly than migraine
headache as a cause of his emergency? - correct answer-
Abnormal gaze
A 33-year-old male has right lower quadrant abdominal pain and
vomiting. Five minutes after you administer a dose of
ondansetron, he vomits forcefully. His vitals are now BP 102/72,
P 52, R 20. The alteration in his vital signs is likely related to: -
correct answer- Vagal stimulation
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
A 19-year-old female is flushed, itchy, and wheezing after eating
crab legs. Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24
breaths/min. Which intervention is indicated first? - correct
answer- Epinephrine intramuscular
A 2-year-old male is found chewing on berries from a lily of the
valley plant. Predict his vital signs. - correct answer- BP
70/50 P 70 bpm
A 22-year-old female is found at a party unresponsive and
breathing approximately 8 breaths/min. Her skin is gray. Which
of the following signs or symptoms will confirm your suspicion
that the opioid toxidrome is causing her emergency? - correct
answer- Pupils 2 mm and equal
A 22-year-old male complains of a 2-day history of abdominal
pain. His skin is flushed, and he has a fruity odor on his breath.
Assessment reveals BP 106/54 mm Hg, P 128, R 28, glucose 568
mg/dL. Your highest priority intervention would be to: -
correct answer- Infuse normal saline rapid IV
,A 22-year-old patient at a restaurant is complaining of
abdominal pain and diarrhea. Her skin is flushed, and she feels
faint. Her vital signs are: BP 98/50, P 124, R 24. Which finding in
her SAMPLER history is most likely to guide your differential
diagnosis for this patient? - correct answer- Illness began
about 10 minutes after eating
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 reveals unilateral 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 performed? -
correct answer- Supplemental oxygen and immediate
transport
A 23-year-old female has an acute onset of left flank pain. You
should investigate which of the following regarding her pain? -
correct answer- Dysuria
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? - correct answer-
Appendicitis
,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 patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance
should the healthcare provider most likely suspect? - correct
answer- Hyponatremia
A 24-year-old female took 24 diphenhydramine tablets. Her vital
signs are BP 86/54 mm Hg, P 110 bpm, R 20/min. What other
sign or symptom should you anticipate. - correct answer-
Seizures
A 24-year-old male complains of sudden explosive headache . He
asks you to lower the lights. He has vomited once. Which of
these findings would increase your index of suspicion for
subarachnoid hemorrhage? - correct answer- Stiff neck
A 24-year-old male injuries in a shallow diving incident. Which
assessment finding would you anticipate if he is developing
neurogenic shock? - correct answer- Heart rate 58 bpm
A 25-year-old helmeted female was thrown from a horse. She is
complaining of weakness in her upper extremities. You ask her
, to close her eyes and identify whether you are moving her
thumb up or down. She is unable to do so. This indicates she
does not have normal: - correct answer- Proprioception
A 25-year-old woman was involved in a motor vehicle collision.
Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20
breath/min. Which of the following findings on repeat
assessment would indicate that she is developing shock? -
correct answer- Pulse pressure 32 mm Hg
A 32-year-old complains of headache and dizziness. He vomited
once and is walking with a staggering gait. His blood pressure is
148/72, pulse 92, respirations 20. He has a steady stare up
toward his right ear. Which sign or symptom makes you consider
intracerebral hemorrhage more strongly than migraine
headache as a cause of his emergency? - correct answer-
Abnormal gaze
A 33-year-old male has right lower quadrant abdominal pain and
vomiting. Five minutes after you administer a dose of
ondansetron, he vomits forcefully. His vitals are now BP 102/72,
P 52, R 20. The alteration in his vital signs is likely related to: -
correct answer- Vagal stimulation
