AMLS REVIEW - ADVANCED MEDICAL LIFE SUPPORT
1. Which gland is responsible for some of the vasoconstriction in shock?-
Answer: Pituitary
2. The primary mechanism for septic shock is:
Answer: Widespread inflammatoryresponse
3. A 24-year-old male injuries in a shallow diving incident. Which assessment finding would
you anticipate if he is developing neurogenic shock?
Answer: -Heart rate 58 bpm
4. Which intervention for patient in shock prevents an increase in myocar-dialoxygen demand?
Answer: Maintain normal body temperature
5. Which diagnostic test most accurately assesses the presence and mag-nitude of anaerobic
metabolism?
Answer: Lactic acid
6. Which patient is at highest risk for non traumatic obstructive shock?
Answer: -22-year-old who is 38 weeks pregnant
7. 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?
Answer: Epinephrine intramuscular
8. A 62-year-old male is vomiting coffee-ground emissions. Which of hishome medicines
may make it more difficult to control his bleeding?
Answer: Plavix
9. Shock related to tension pneumothorax is most directly secondary to:
Answer: -Decreased preload
10. The most common sign or symptom found in patients with pulmonaryembolism is:
Answer: increased respiratory rate
11. A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He states
the pain increases when he swallows. He appears veryilland has subcutaneous emphysema around
his neck. You suspect:
, Answer: Boer-haave's syndrome
12. A 73-year-old male awakens suddenly at 0200 complaining of dyspnea. You find him in tripod
position. Crackles are audible around his scapulae. Hehasa history of hypertension.You suspect his
symptoms are related to:
Answer: Leftheart failure
13. A 70-year-old male suspected to have a dissecting aortic aneurysm has ablood pressure of
170/102 mm Hg. This sign may indicate:
Answer: The renal arteriesare involved
14. Which of the following patients is at highest risk for pericardial tampon-ade?
Answer: 55-year-old with end-stage lung cancer
15. If you administer nitroglycerin to a patient with ST-elevation in leads II, IIIand aVF, you should
be prepared to:
Answer: Administer a bolus of normal saline if theblood pressure drops
16. A 45-year-old male with a history of hypertension complains of chest "pressure," about a 5 on
a scale of 1 to 10, for 20 minutes. He just "wants tobechecked out." Vitals signs and 12-lead ECG
are normal. You have already administered oxygen and aspirin. You should next:
Answer: Administer nitroglycerin
0.4 mg sublingual.
17. An 82-year-old female complains of chest heaviness. She has sinus tachycardia. Her vital signs
are BP 108/72 (equal in both arms), P 98, R 20. Herbreath sounds are clear in all fields. Aside from
myocardial infarction, what should you suspect her chest pain could be related to?
Answer: Pulmonary embolism
18. A 40-year-old male has chest pain reported as an "elephant sitting on my chest." He confides that
he snorted cocaine 5 minutes before his pain began. Youshould first administer:
Answer: Lorazepam, 2 mg IV
19. A 65-year-old female complains of chest pain that feels like "aching" inher chest. It has
become progressively worse over several days. Her temperature is 38.3 degrees C (101F). Which
finding will help narrow yourdifferential diagnosis to pericarditis?
Answer: ST-segment elevation in everylead
20. Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132 bpm, and R
20/min. Her pupils are dilated, and her hands are trembling. These signs and symptoms may be
associated with:
Answer: Alcohol withdrawal
1. Which gland is responsible for some of the vasoconstriction in shock?-
Answer: Pituitary
2. The primary mechanism for septic shock is:
Answer: Widespread inflammatoryresponse
3. A 24-year-old male injuries in a shallow diving incident. Which assessment finding would
you anticipate if he is developing neurogenic shock?
Answer: -Heart rate 58 bpm
4. Which intervention for patient in shock prevents an increase in myocar-dialoxygen demand?
Answer: Maintain normal body temperature
5. Which diagnostic test most accurately assesses the presence and mag-nitude of anaerobic
metabolism?
Answer: Lactic acid
6. Which patient is at highest risk for non traumatic obstructive shock?
Answer: -22-year-old who is 38 weeks pregnant
7. 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?
Answer: Epinephrine intramuscular
8. A 62-year-old male is vomiting coffee-ground emissions. Which of hishome medicines
may make it more difficult to control his bleeding?
Answer: Plavix
9. Shock related to tension pneumothorax is most directly secondary to:
Answer: -Decreased preload
10. The most common sign or symptom found in patients with pulmonaryembolism is:
Answer: increased respiratory rate
11. A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He states
the pain increases when he swallows. He appears veryilland has subcutaneous emphysema around
his neck. You suspect:
, Answer: Boer-haave's syndrome
12. A 73-year-old male awakens suddenly at 0200 complaining of dyspnea. You find him in tripod
position. Crackles are audible around his scapulae. Hehasa history of hypertension.You suspect his
symptoms are related to:
Answer: Leftheart failure
13. A 70-year-old male suspected to have a dissecting aortic aneurysm has ablood pressure of
170/102 mm Hg. This sign may indicate:
Answer: The renal arteriesare involved
14. Which of the following patients is at highest risk for pericardial tampon-ade?
Answer: 55-year-old with end-stage lung cancer
15. If you administer nitroglycerin to a patient with ST-elevation in leads II, IIIand aVF, you should
be prepared to:
Answer: Administer a bolus of normal saline if theblood pressure drops
16. A 45-year-old male with a history of hypertension complains of chest "pressure," about a 5 on
a scale of 1 to 10, for 20 minutes. He just "wants tobechecked out." Vitals signs and 12-lead ECG
are normal. You have already administered oxygen and aspirin. You should next:
Answer: Administer nitroglycerin
0.4 mg sublingual.
17. An 82-year-old female complains of chest heaviness. She has sinus tachycardia. Her vital signs
are BP 108/72 (equal in both arms), P 98, R 20. Herbreath sounds are clear in all fields. Aside from
myocardial infarction, what should you suspect her chest pain could be related to?
Answer: Pulmonary embolism
18. A 40-year-old male has chest pain reported as an "elephant sitting on my chest." He confides that
he snorted cocaine 5 minutes before his pain began. Youshould first administer:
Answer: Lorazepam, 2 mg IV
19. A 65-year-old female complains of chest pain that feels like "aching" inher chest. It has
become progressively worse over several days. Her temperature is 38.3 degrees C (101F). Which
finding will help narrow yourdifferential diagnosis to pericarditis?
Answer: ST-segment elevation in everylead
20. Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132 bpm, and R
20/min. Her pupils are dilated, and her hands are trembling. These signs and symptoms may be
associated with:
Answer: Alcohol withdrawal
