AMLS STUDY GUIDE ACTUAL EXAM WITH
VERIFIED QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
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? - ANS✔✔-This is
hyperglycemic DKA. Patients with DKA are dehydrated and appear ill. They usually
report polydipsia (great thirst), polyphagia (excessive hunger), and polyuria (excessive
urination). Patients with severe cases will exhibit altered mental status, tachycardia,
rapid breathing and orthostatic changes. AMLSPage 268
The healthcare provider is assessing a 60 year-old female patient with complaints of
indigestion and mild upper abdominal discomfort. This presentation should prompt the
provider to: - ANS✔✔-Indigestion and mild upper abdominal pain discomfort should
prompt you to evaluate the patient for acute coronary syndrome. AMLS Page 225
You are dispatched to the home of a 32 year old 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 fever if 101.5. BP 100/62, P156, R 30, Glucose 133. Which of the following
are management considerations for this patient? - ANS✔✔-This is a thyroid storm. The
goals of pharmalogic treatment in the prehospital setting are to block the peripheral
adrenergic hyperactivity the thyroid hormones elicit (tachycardia, fever, anxiety, and
tremors). This can be achieved by administering beta blockers. The drug of choice is
propranolol.
Treatment AMLS Page 261
A patient presents anxious with difficulty in breathing and chest pain. An assessment
reveals hypotension, muffled heart tones and distended neck veins. There is a past
medical history of pericarditis. The provider notes that there is decrease in systolic
blood pressure when the patient inhales. Which diagnosis would be considered with this
presentation? - ANS✔✔-The signs and symptoms are usually described in a triad
including hypotension (low CO), distended neck veins (high right sided heart pressures),
and muffled heart tones (fluid outside the heart)
Signs and Symptom AML Page 119
, What clinical findings are most commonly associated with a pulmonary embolus? -
ANS✔✔-Clear breath sounds with tachypnea.
Signs and Symptoms AMLS Page 113
A 50 year old female has called 911. She complains of shortness of breath and chest.
discomfort. Assessment reveals her skin
is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regular.
Which type of shock is most likely occurring? - ANS✔✔-The patient's respiratory rate is
increased, and crackles caused by pulmonary edema can be heard on auscultation.
Cardiogenic Shock Signs and Symptoms.
AMLS Page 164
Patients with a history of COPD that present with an acute onset of shortness of breath
are likely to have which condition? - ANS✔✔-Elements of patient history that suggest
PE include acute onset of shortness of breath. AMLS Page 114
An elderly patient with a 1 week history of productive cough and wheezing notices an
increase in difficulty in breathing when grocery shopping. Further assessment reveals
pursed lip breathing, rhonchi, and minimal jugular vein distention. Which diagnosis
should the healthcare provider suspect? - ANS✔✔-Signs and Symptoms of COPD.
AMLS Page 85.
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 implemented next? - ANS✔✔-This is self explanatory
A 20 year old female presents with a 2-day history of dyspnea, non-productive cough,
chest tightness audible wheezing. Further exam reveals no fever or strider. The patient
has rapid respirations with difficulty exhaling. Which diagnosis is most likely? - ANS✔✔-
These are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event? - ANS✔✔-The
cutaneous reaction may be observed as flushed, warm skin resulting from vasodilation
and uticarea. AMLS Page 162
An elderly patient is receiving care at home while recuperating from recent knee
surgery. She developed post a operative infection and has been on antibiotics for quite
sometime. She is complaining of foul smelling diarrhea, and abdominal cramping and
loss of appetite. Based on this presentation, the provider should suspect - ANS✔✔-
Signs and Symptoms
Patients with this illness have diarrhea that is not bloody but has a characteristic foul
odor. Abdominal pain and cramping are present in about 22% of patients. AMLS Page
319
VERIFIED QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
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? - ANS✔✔-This is
hyperglycemic DKA. Patients with DKA are dehydrated and appear ill. They usually
report polydipsia (great thirst), polyphagia (excessive hunger), and polyuria (excessive
urination). Patients with severe cases will exhibit altered mental status, tachycardia,
rapid breathing and orthostatic changes. AMLSPage 268
The healthcare provider is assessing a 60 year-old female patient with complaints of
indigestion and mild upper abdominal discomfort. This presentation should prompt the
provider to: - ANS✔✔-Indigestion and mild upper abdominal pain discomfort should
prompt you to evaluate the patient for acute coronary syndrome. AMLS Page 225
You are dispatched to the home of a 32 year old 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 fever if 101.5. BP 100/62, P156, R 30, Glucose 133. Which of the following
are management considerations for this patient? - ANS✔✔-This is a thyroid storm. The
goals of pharmalogic treatment in the prehospital setting are to block the peripheral
adrenergic hyperactivity the thyroid hormones elicit (tachycardia, fever, anxiety, and
tremors). This can be achieved by administering beta blockers. The drug of choice is
propranolol.
Treatment AMLS Page 261
A patient presents anxious with difficulty in breathing and chest pain. An assessment
reveals hypotension, muffled heart tones and distended neck veins. There is a past
medical history of pericarditis. The provider notes that there is decrease in systolic
blood pressure when the patient inhales. Which diagnosis would be considered with this
presentation? - ANS✔✔-The signs and symptoms are usually described in a triad
including hypotension (low CO), distended neck veins (high right sided heart pressures),
and muffled heart tones (fluid outside the heart)
Signs and Symptom AML Page 119
, What clinical findings are most commonly associated with a pulmonary embolus? -
ANS✔✔-Clear breath sounds with tachypnea.
Signs and Symptoms AMLS Page 113
A 50 year old female has called 911. She complains of shortness of breath and chest.
discomfort. Assessment reveals her skin
is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and regular.
Which type of shock is most likely occurring? - ANS✔✔-The patient's respiratory rate is
increased, and crackles caused by pulmonary edema can be heard on auscultation.
Cardiogenic Shock Signs and Symptoms.
AMLS Page 164
Patients with a history of COPD that present with an acute onset of shortness of breath
are likely to have which condition? - ANS✔✔-Elements of patient history that suggest
PE include acute onset of shortness of breath. AMLS Page 114
An elderly patient with a 1 week history of productive cough and wheezing notices an
increase in difficulty in breathing when grocery shopping. Further assessment reveals
pursed lip breathing, rhonchi, and minimal jugular vein distention. Which diagnosis
should the healthcare provider suspect? - ANS✔✔-Signs and Symptoms of COPD.
AMLS Page 85.
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 implemented next? - ANS✔✔-This is self explanatory
A 20 year old female presents with a 2-day history of dyspnea, non-productive cough,
chest tightness audible wheezing. Further exam reveals no fever or strider. The patient
has rapid respirations with difficulty exhaling. Which diagnosis is most likely? - ANS✔✔-
These are textbook signs of asthma
Signs and Symptoms.AMLS Page 83
Anaphylaxis is most associated with which physiological event? - ANS✔✔-The
cutaneous reaction may be observed as flushed, warm skin resulting from vasodilation
and uticarea. AMLS Page 162
An elderly patient is receiving care at home while recuperating from recent knee
surgery. She developed post a operative infection and has been on antibiotics for quite
sometime. She is complaining of foul smelling diarrhea, and abdominal cramping and
loss of appetite. Based on this presentation, the provider should suspect - ANS✔✔-
Signs and Symptoms
Patients with this illness have diarrhea that is not bloody but has a characteristic foul
odor. Abdominal pain and cramping are present in about 22% of patients. AMLS Page
319
