2026 AMLS EXAMINATION QUESTIONS AND
ANSWERS SURE A+
✔✔Agitated delirium - ✔✔Initially patient appears to be grossly psychotic and may
exhibit strength out of proportion to your expectations.
Patient may be extremely distraught, hyperstimulated, and uncontrollable.
Attempts to restrain the agitated delirium patient may only worsen these findings.
When restrained physically or with electrical devices (Taser devices), the patient's
violent struggling may suddenly cease.
May then have an irregular respiratory pattern followed shortly (typically within a few
minutes to one hour) by death.
NOTE
If active struggling stops lookout for resp. arrest usually followed by cardiac arrest.
Aggressive airway management and cardiac support may be life saving.
✔✔Syncope - ✔✔Transient loss of consciousness associated with decreased brain
perfusion
✔✔Syncope includes what conditions........... - ✔✔Aortic valve stenosis
Hypertrophic cardiomyopathy
Cardiac dysrhythmia
Hypovolemia (dehydration, ectopic pregnancy rupture, aortic aneurysm rupture)
CNS event (eg subarachnoid hemorrhage)
Pulmonary embolism
Vasovagal reflex (often due to situational or emotional triggers)
✔✔Vertigo - ✔✔Sense of spinning or abnormal sensation of movement
✔✔Seizure causes - ✔✔Epilepsy
Head injury
Stroke
Meningitis
Toxins
, ✔✔Migraine s/s - ✔✔May have photophobia (light sensitivity)
Phonophobia (noise sensitivity)
Perceive flashing lights
✔✔Photophobia - ✔✔Light sensitivity
✔✔Phonophobia - ✔✔Noise sensitivity
✔✔Gait disturbances causes - ✔✔Injury to or pathology of the:
Brain
Spine
Legs
Feet
Inner ear
✔✔Focal neurologic deficit - ✔✔Refers to any localized loss of neurologic function, such
as weakness or numbness in part or all of an extremity or one side of the face
✔✔Expressive aphasia - ✔✔Neurologic insult that hinders speech
✔✔Hypoglycemia possible patient presentation - ✔✔Depressed
Sluggish
Dull-witted
May have focal weakness
May have seizure
May be completely unresponsive
✔✔PaCO2 climbing to dangerous levels is called and causes........ - ✔✔Called CO2
narcosis
CAUSES
Confusion
Drowsiness
Tremors
Convulsions
✔✔Cerebral edema, pressure becomes too high, what happens? - ✔✔Herniation of the
brain into the lower skull or through the foramen magnum may occur.
Often characterized by a unilateral blown pupil and a significant decrease in mental
status or a coma.
Has a high mortality rate
✔✔Causes of Decreased Level of Consciousness
AEIOU-TIPS - ✔✔A Alcohol, anaphylaxis, acute myocardial infarction
E Epilepsy
ANSWERS SURE A+
✔✔Agitated delirium - ✔✔Initially patient appears to be grossly psychotic and may
exhibit strength out of proportion to your expectations.
Patient may be extremely distraught, hyperstimulated, and uncontrollable.
Attempts to restrain the agitated delirium patient may only worsen these findings.
When restrained physically or with electrical devices (Taser devices), the patient's
violent struggling may suddenly cease.
May then have an irregular respiratory pattern followed shortly (typically within a few
minutes to one hour) by death.
NOTE
If active struggling stops lookout for resp. arrest usually followed by cardiac arrest.
Aggressive airway management and cardiac support may be life saving.
✔✔Syncope - ✔✔Transient loss of consciousness associated with decreased brain
perfusion
✔✔Syncope includes what conditions........... - ✔✔Aortic valve stenosis
Hypertrophic cardiomyopathy
Cardiac dysrhythmia
Hypovolemia (dehydration, ectopic pregnancy rupture, aortic aneurysm rupture)
CNS event (eg subarachnoid hemorrhage)
Pulmonary embolism
Vasovagal reflex (often due to situational or emotional triggers)
✔✔Vertigo - ✔✔Sense of spinning or abnormal sensation of movement
✔✔Seizure causes - ✔✔Epilepsy
Head injury
Stroke
Meningitis
Toxins
, ✔✔Migraine s/s - ✔✔May have photophobia (light sensitivity)
Phonophobia (noise sensitivity)
Perceive flashing lights
✔✔Photophobia - ✔✔Light sensitivity
✔✔Phonophobia - ✔✔Noise sensitivity
✔✔Gait disturbances causes - ✔✔Injury to or pathology of the:
Brain
Spine
Legs
Feet
Inner ear
✔✔Focal neurologic deficit - ✔✔Refers to any localized loss of neurologic function, such
as weakness or numbness in part or all of an extremity or one side of the face
✔✔Expressive aphasia - ✔✔Neurologic insult that hinders speech
✔✔Hypoglycemia possible patient presentation - ✔✔Depressed
Sluggish
Dull-witted
May have focal weakness
May have seizure
May be completely unresponsive
✔✔PaCO2 climbing to dangerous levels is called and causes........ - ✔✔Called CO2
narcosis
CAUSES
Confusion
Drowsiness
Tremors
Convulsions
✔✔Cerebral edema, pressure becomes too high, what happens? - ✔✔Herniation of the
brain into the lower skull or through the foramen magnum may occur.
Often characterized by a unilateral blown pupil and a significant decrease in mental
status or a coma.
Has a high mortality rate
✔✔Causes of Decreased Level of Consciousness
AEIOU-TIPS - ✔✔A Alcohol, anaphylaxis, acute myocardial infarction
E Epilepsy
