205 or NAEMT 4th Edi!on AMLS Review 2026
A 27-year-old male is agitated and talks con nuously. His pupils are dilated. He admits to
beingawake for 36 hours straight. Vital signs are BP 188/98, P 140, R 30. What type of
overdoseshould you suspect?
Bath Salts
3 mul!ple choice op!ons
An alert 49-year-old male complains of a headache. He has tremors in his hands and has
beenin the detoxifica on unit for 38 hours. He has a history of alcoholism. Vital signs are BP
168/96,P 104, R 22. What is he most at risk for?
Seizure
3 mul!ple choice op!ons
A pa ent complains of nausea and is passing black, tarry stools. What should you suspect?
Upper GI Bleed
3 mul!ple choice op!ons
A 49-year-oid male presents in a tripod posi on with audible stridor and marked
respiratorydistress. His skin is flushed, and he complains of dysphagia. What should you
suspect?
Epiglo7s
3 mul!ple choice op!ons
60-year-old female complains of indiges on and mild upper abdominal discomfort.
Whatshould you do?
Acquire a 12-lead ECG and transport to a cardiac center.
3 mul!ple choice op!ons
A 45-year-old female reports headache, ver go, and leg cramps a;er exercising. Vital signs
are BP 108/62, P 124, R 18, Temp 100.6ºF (38.1ºC), and SpO2 98%. What should you do?
Provide oral fluid replacement.
3 mul!ple choice op!ons
, An alert 22-year-old male complains of a "lump in his throat" and a hoarse voice a;er a
failedsuicide aDempt. He unsuccessfully aDempted to hang himself with a bed sheet. Vital
signs areBP 150/80, P 120, R 16, SpO2 88%, ETCO2 40 mmHg. What should you do?
Administer oxygen and transport to a trauma center.
3 mul!ple choice op!ons
Which of the following is a hailmark sign of tricyclic an depressant toxicity?
Dysrhythmias
3 mul!ple choice op!ons
A 68-year-old femaie who has a history of COPD may rely on which of the following
breathingmechanics?
A decrease in the oxygen level in the blood as the s mulus to breathe.
3 mul!ple choice op!ons
A 45-year-old female is supine on the floor. Her pupils are pinpoint, and she has vomitus in
andaround her mouth. Vital signs are P 48, R 8 with gurgling. What should you do?
Suc on the airway
3 mul!ple choice op!ons
What is an age-related change that increases the risk of respiratory compromise?
Decrease in lung compliance
3 mul!ple choice op!ons
A 71-year-old female complains of shortness of breath. She has a produc ve cough that
hasincreased in severity over the last week. She speaks in 1- to 2-word broken sentences
withpursed lips. What should you suspect?
COPD
3 mul!ple choice op!ons
A 33-year-old female is threatening suicide because her partner le; her. Which of the
followingwould be an appropriate response?
"What was your plan to kill youself?"
3 mul!ple choice op!ons
A 62-year-old female presents with severe nausea and blurred vision that began while
watchingTV. She describes the headache as the worst headache she has ever had in her life.
Vital signsare BP 194/110, P 98, R 20. What should you suspect?