AMLS CORRECT EXAMS ANSWERS AND QUESTIONS
SET A+
✔✔Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting. The patient has had two
cardiac stents placed within the last year. He has a familial history of heart disease and
takes a baby aspirin daily. What information is most concerning? - ✔✔Recent stent
placement
✔✔The patient complains of sharp chest pain that worsens when supine. He is bed
ridden due to complications from a recent hip surgery. The patient is tachypneic adn the
ECG reveals sinus tachycardia. What is the patient's working diagnosis? -
✔✔Pulmonary embolism
✔✔A patient is a resident in an assisted-living facility to obtain physical therapy after a
knee replacement surgery. She complains of a rash that is red and has small bumps.
She has been feeling ill for several days. What is the most likely working diagnosis? -
✔✔Methicillin-resistant Staphylococcus aureus
✔✔A foreign exchange university student is found by his roommate and EMS is
dispatched. The patient presents with an unusual flat red rash on his chest and arms.
He has been ill with fever, nausea, and vomiting. Physical exam reveals stiffness of the
neck. The healthcare provider will anticipate which diagnosis? - ✔✔Meningitis
✔✔Healthcare providers are treating a 49-year-old male complaining of diffuse
abdominal cramping. He has been ill with vomiting for 3 days. What working diagnosis
is most probable? - ✔✔Gastroenteritis
✔✔While assessing your patient, you note he involuntarily flexes the legs in response to
flexing the neck. The patient is presenting with: - ✔✔A positive Brudzinski's sign
indicating possible meningitis
, ✔✔Healthcare providers are assessing an obese 49-year-old who is lethargic and has
not been feeling well for several days. His family reports a history of extreme thirst. Vital
signs are P 143, R 14, and BP 88/58. He takes medication for type 2 diabetes daily.
What is the most probably working diagnosis? - ✔✔Hyperosmolar hyperglycemic
nonketotic coma
✔✔A fire fighter has been working a fire for 4 hours on a humid, hot day. He suddenly
becomes nauseated and restless. The provider observes pupil dilation and an almond
odor to his breath. The vital signs are P 56, R 22, BP 140/86. The ECG reveals sinus
bradycardia with occasional PACs. Which toxin exposure has occurred? - ✔✔Cyanide
poisoning
✔✔Healthcare providers are treating a patient that has taken an unknown amount of a
prescribed pain medicine along with an over-the-counter analgesic numerous times
over the last 36 hours for chronic lumbar pain. The patient is experiencing abdominal
pain, nausea, and vomiting. The providers note pallor, and diaphoresis. Blood glucose
level is 42mg/dL (2.3mmol/L). What toxin overdose is suspected? - ✔✔Acetaminophen
✔✔A patient complains of nausea and is passing black, tarry stools rectally. This patient
is most likely suffering from: - ✔✔Upper GI bleed
✔✔The provider assesses a patient suffering from fever, nausea, vomiting, and peri-
umbilical pain. Further evaluation reveals right lower quadrant pain and lower back pain.
A physical exam reveals an increase in right lower quadrant pain when the patient's
right leg is extended from the hip. Which working diagnosis is most appropriate? -
✔✔Appendicitis
✔✔Intra-abdominal bleeds, like pancreatitis, often present with discoloration or bruising
around the umbilicus. This physical exam finding is known as: - ✔✔Cullen's sign
✔✔Which of the following is a hallmark sign of tricyclic antidepressant toxicity? -
✔✔Dysrhythmias
✔✔A daughter states that her 72-year-old mother has a history of hypertension, high
cholesterol, and rheumatoid arthritis. Daily medications include aspirin, Tenormin,
Plaquenil, and Plavix. She is concerned as her mother has mixed up her medications
and is now lethargic with diminished respirations. Vital signs are P 58 and regular, R 10
and shallow, and BP 90/74. Blood glucose level is 52mg/dL (2.8mmol/L). Which
medication toxicity would be indicative of this presentation? - ✔✔Beta Blocker
✔✔If untreated, a cardiac tamponade will present with signs and symptoms of which
type of shock? - ✔✔Obstructive
SET A+
✔✔Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting. The patient has had two
cardiac stents placed within the last year. He has a familial history of heart disease and
takes a baby aspirin daily. What information is most concerning? - ✔✔Recent stent
placement
✔✔The patient complains of sharp chest pain that worsens when supine. He is bed
ridden due to complications from a recent hip surgery. The patient is tachypneic adn the
ECG reveals sinus tachycardia. What is the patient's working diagnosis? -
✔✔Pulmonary embolism
✔✔A patient is a resident in an assisted-living facility to obtain physical therapy after a
knee replacement surgery. She complains of a rash that is red and has small bumps.
She has been feeling ill for several days. What is the most likely working diagnosis? -
✔✔Methicillin-resistant Staphylococcus aureus
✔✔A foreign exchange university student is found by his roommate and EMS is
dispatched. The patient presents with an unusual flat red rash on his chest and arms.
He has been ill with fever, nausea, and vomiting. Physical exam reveals stiffness of the
neck. The healthcare provider will anticipate which diagnosis? - ✔✔Meningitis
✔✔Healthcare providers are treating a 49-year-old male complaining of diffuse
abdominal cramping. He has been ill with vomiting for 3 days. What working diagnosis
is most probable? - ✔✔Gastroenteritis
✔✔While assessing your patient, you note he involuntarily flexes the legs in response to
flexing the neck. The patient is presenting with: - ✔✔A positive Brudzinski's sign
indicating possible meningitis
, ✔✔Healthcare providers are assessing an obese 49-year-old who is lethargic and has
not been feeling well for several days. His family reports a history of extreme thirst. Vital
signs are P 143, R 14, and BP 88/58. He takes medication for type 2 diabetes daily.
What is the most probably working diagnosis? - ✔✔Hyperosmolar hyperglycemic
nonketotic coma
✔✔A fire fighter has been working a fire for 4 hours on a humid, hot day. He suddenly
becomes nauseated and restless. The provider observes pupil dilation and an almond
odor to his breath. The vital signs are P 56, R 22, BP 140/86. The ECG reveals sinus
bradycardia with occasional PACs. Which toxin exposure has occurred? - ✔✔Cyanide
poisoning
✔✔Healthcare providers are treating a patient that has taken an unknown amount of a
prescribed pain medicine along with an over-the-counter analgesic numerous times
over the last 36 hours for chronic lumbar pain. The patient is experiencing abdominal
pain, nausea, and vomiting. The providers note pallor, and diaphoresis. Blood glucose
level is 42mg/dL (2.3mmol/L). What toxin overdose is suspected? - ✔✔Acetaminophen
✔✔A patient complains of nausea and is passing black, tarry stools rectally. This patient
is most likely suffering from: - ✔✔Upper GI bleed
✔✔The provider assesses a patient suffering from fever, nausea, vomiting, and peri-
umbilical pain. Further evaluation reveals right lower quadrant pain and lower back pain.
A physical exam reveals an increase in right lower quadrant pain when the patient's
right leg is extended from the hip. Which working diagnosis is most appropriate? -
✔✔Appendicitis
✔✔Intra-abdominal bleeds, like pancreatitis, often present with discoloration or bruising
around the umbilicus. This physical exam finding is known as: - ✔✔Cullen's sign
✔✔Which of the following is a hallmark sign of tricyclic antidepressant toxicity? -
✔✔Dysrhythmias
✔✔A daughter states that her 72-year-old mother has a history of hypertension, high
cholesterol, and rheumatoid arthritis. Daily medications include aspirin, Tenormin,
Plaquenil, and Plavix. She is concerned as her mother has mixed up her medications
and is now lethargic with diminished respirations. Vital signs are P 58 and regular, R 10
and shallow, and BP 90/74. Blood glucose level is 52mg/dL (2.8mmol/L). Which
medication toxicity would be indicative of this presentation? - ✔✔Beta Blocker
✔✔If untreated, a cardiac tamponade will present with signs and symptoms of which
type of shock? - ✔✔Obstructive
