AMLS POST| QUALIFIED EXAM| LATEST 2024| 100% CORRECT ANSWERS

AMLS POST| QUALIFIED EXAM| LATEST 2024| 100% CORRECT ANSWERS 1. A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next? a. Initiate an IV and administer naloxone b. Supplemental oxygen and suction c. Obtain a blood glucose level d. Begin BVM ventilations -Correct Answer- b. Supplemental oxygen and suction 2. Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have what condition? a. Pulmonary embolism b. Angina pectoris c. Angioedema d. Hypertensive crisis -Correct Answer- a. Pulmonary embolism 3. During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: a. Increase in preload, afterload, and re-absorption of sodium b. Decrease in preload, afterload, and re-absorption of sodium c. Hypotension and bradycardia d. Vasodilation and sodium retention -Correct Answer- a. Increase in preload, afterload, and re-absorption of sodium 4. What clinical findings are most commonly associated with a pulmonary embolus? a. Clear breath sounds with tachypnea b. Rhonchi auscultated bilaterally with hypercarbia c. Crackles heard in the bases with bradycardia d. Fever, tachycardia, and tachypnea with increased work of breathing -Correct Answer- a. Clear breath sounds with tachypnea 5. What condition is most likely to cause respiratory acidosis? a. Anxiety/panic attack b. Narcotic overdose c. Methanol ingestion d. Diabetic ketoacidosis -Correct Answer- b. Narcotic overdose 6. A 55-year-old complains of an 'aching' chest discomfort that persists over several days. The patient has a temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis? a. Pain is relieved when supine b. Pulsus alternans is present c. S3 gallop is auscultated d. ST-segment elevation in all leads -Correct Answer- d. ST-segment elevation in all leads 7. Anaphylaxis is most associated with which physiological event? a. Hemorrhage b. Vasodilation c. Bradycardia d. Hypertension -Correct Answer- b. Vasodilation 8. Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? a. Excessive mucous production b. Inflammation of the visceral pleura c. Breakdown of the alveolar-capillary membrane d. Accumulation of fluid between the pleural layers -Correct Answer- c. Breakdown of the alveolar-capillary membrane 9. Continuous positive airway pressure would be most beneficial in treating which patient? a. A 43yo with a decreased LOC with respiratory difficulty b. A 22yo with severe asthma who is not responding to nebulizer treatments c. A 38yo with carpal pedal spasms, clear lung sounds, and respirations of 40/min d. A 55yo with jugular vein distension and a BP of 90/60 -Correct Answer- b. A 22yo with severe asthma who is not responding to nebulizer treatments 10. What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)? a. Crystalloid IV fluid administration b. Administration of dextrose c. Administration of insulin d. Fluid bolus of 5% dextrose in water (D5W) -Correct Answer- a. Crystalloid IV fluid administration 11. Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? a. Atropine b. Diphenhydramine c. Midazolam d. Pralidoxime -Correct Answer- c. Midazolam 12. Respiratory alkalosis may occur as a result of: a. Fever and anxiety b. Renal failure and dehydration c. Airway obstruction and chest wall pain d. Prolonged vomiting -Correct Answer- a. Fever and anxiety 13. An age-related change that increases the risk of respiratory compromise is: a. Increase of mucus production b. Increase in intrathoracic volume c. Decrease in lung compliance d. Decrease in dead space ventilation -Correct Answer- c. Decrease in lung compliance 14. Paroxysmal nocturnal dyspnea is most common in patients with a history of: a. Left-sided heart failure b. Pneumonia c. Asthma d. Multiple sclerosis -Correct Answer- a. Left-sided heart failure (?) 15. The patient presents with a history of fever and an upper respiratory infection. Historical information reveals increasing water intake, orthostatic hypotension, and an increase in urination. You suspect these symptoms are caused by: a. Hyperglycemia b. Hypoglycemia c. Hypokalemia d. Respiratory acidosis -Correct Answer- a. Hyperglycemia 16. You are dispatched to the home of a 32yo patient with a history of Graves' disease. The patient was in the ER earlier today for some "tests for my ulcers." He received contrast and was discharged. He is now complaining of not feeling well, chest pain, and palpitations. You note an anxious patient with fine tremors. He is diaphoretic and has a temperature of 101.5F, BP 100/62, P 156 (sinus tach), R 30, glucose level 133. Which of the following are management considerations for this patient? a. Aspirin (ASA) b. Fluids restriction c. Amiodarone d. Beta blockers -Correct Answer- d. Beta Blockers 17. Metabolic acidosis is best described by which arterial blood gas interpretation? a. pH elevated, pCO2 elevated, H2CO3 normal range b. pH decreased, pCO2 decreased, H2CO3 low c. pH decreased, pCO2 elevated, H2CO3 normal range d. pH elevated, pCO2 elevated, H2CO3 normal low -Correct Answer- b. pH decreased, pCO2 decreased, H2CO3 low (?) 18. The AMLS Assessment Pathway first advises safety and initial observations of the scene. The second process described in this pathway asks the healthcare provider to: a. Perform a focused physical exam b. Obtain diagnostic information c. Identify and manage life threats d. Reassess and refine the diagnosis -Correct Answer- c. Identify and manage life threats 19. Observing a patient's body positioning can be an early indicator that the patient is: a. Sick or not sick b. Does not speak the same language as the provider c. Has family who can provide historical information d. Diagnosed with multiple underlying medical conditions -Correct Answer- a. Sick or not sick 20. Which assessment finding is crucial to obtain from a patient suspected of a stroke? a. Last oral intake b. Medication allergies c. Onset of symptoms d. Risk factors -Correct Answer- c. Onset of symptoms 21. A 62yo patient presents with a severe headache. It is described as a "thunderclap" accompanied with nausea, blurred vision, and an elevated blood pressure. What neurologic condition is most likely the cause of this patient's presentation?