AMLS COMPREHENSIVE UPDATED EXAM QUESTIONS AND
ANSWERS MARKED A+
✔✔What is Cushing's syndrome? - ✔✔Condition caused by long-standing exposure to
excessive circulating serum levels of glucocorticoids, particularly cortisol
✔✔Over production in the adrenal cortex leads to what? - ✔✔Hyperadrenalism
✔✔What is primary adrenal insufficiency also known as? - ✔✔Addison's disease
✔✔What is Addison's disease? - ✔✔A metabolic and endocrine ailment caused by a
direct insult to or malfunction of the adrenal cortex
✔✔What conditions can directly harm the adrenal cortex? - ✔✔Autoimmune disorders;
adrenal hemorrhage; infectious diseases such as AIDS, TB, and meningococcemia
✔✔What are the signs and symptoms of Addison's disease? - ✔✔Chronic fatigue;
weakness; loss of appetite and consequent weight loss; hyperpigmentation of the skin
and mucous membranes
✔✔What electrolyte findings correlate Addison's disease? - ✔✔Hyponatremia;
hyperkalemia; hypoglycemia
✔✔What is the most common endocrine disorder? - ✔✔Diabetes mellitus
✔✔What is diabetes mellitus characterized by? - ✔✔Hyperglycemia resulting from
defects in insulin production, insulin action, or both
✔✔What is type 1 diabetes mellitus characterized by? - ✔✔Inability to produce any
insulin due to pancreatic B-cell destruction
✔✔What is type 2 diabetes mellitus characterized by? - ✔✔Progressive cellular insulin
resistance and a gradual failure of pancreatic B-cell insulin production
✔✔What is gestational diabetes characterized by? - ✔✔Glucose intolerance that can
occur among pregnant women
✔✔What do patients with type 1 diabetes usually require daily doses of? - ✔✔Insulin
✔✔What are the three Ps of diabetes mellitus? - ✔✔Polyuria; polydipsia; polyphagia
✔✔What is the definition of hypoglycemia? - ✔✔Blood glucose level < 60 mg/dL
, ✔✔What conditions may elicit fasting hypoglycemia? - ✔✔Severe liver disease;
pancreatic tumors; enzyme defects; drug overdoses; severe infection
✔✔Which lead do you move to quickly create a right sided 12-lead? - ✔✔V4
✔✔What 12-lead findings may draw suspicions of a Pulmonary Embolism? -
✔✔S1Q3T3; an S wave in lead I, Q wave in lead III, and inverted T waves in lead III
✔✔While performing a comprehensive assessment, the provider recognizes the
patient's assessment and diagnostic findings are similar to patient complaints she has
treated in the past. Integrating new patient presentation information with past
experiences to determine management strategies can be defined as? - ✔✔Clinical
reasoning
✔✔When approaching a patient in an apartment that has been secured by law
enforcement, the providers find a semiconscious patient who has a needle in her arm.
The patient moans with verbal stimulation, pupils are pinpoint, and respirations are
noted as shallow at 4 breaths/min. The initial observation indicates the patient's
presentation is: - ✔✔A life threat
✔✔An 18-year-old adolescent male has a syncopal episode with tremors in his upper
extremities. He is currently alert and oriented and denies any significant medical history.
His skin is cool and diaphoretic. His vital signs include a pulse rate o 118 beats/min and
regular; respirations, 20 breaths/min and unlabored; and blood pressure, 102/68 mm
Hg. Which diagnostic test would most likely narrow your differential diagnoses? -
✔✔Blood glucose analysis
✔✔Geriatric patients experience a reduction in vessel elasticity. This would likely cause
which change in the patient's signs and/or symptoms? - ✔✔Increase in systolic blood
pressure
✔✔After ensuring the scene or situation is a safe environment, the provider's highest
priority is to: - ✔✔Identify and manage life threats
✔✔When initially approaching the patient, the provider uses which of the following
relevant questions to form an initial impression? - ✔✔Is this patient likely to die now?
✔✔One of the essential components in the initial observation of the AMLS assessment
pathway is identification of the: - ✔✔Cardinal presentation/chief complaint
✔✔The provider finds an unconscious patient with no gag reflex. Which airway would
be most appropriate device to being to manage the airway? - ✔✔Oropharyngeal airway
ANSWERS MARKED A+
✔✔What is Cushing's syndrome? - ✔✔Condition caused by long-standing exposure to
excessive circulating serum levels of glucocorticoids, particularly cortisol
✔✔Over production in the adrenal cortex leads to what? - ✔✔Hyperadrenalism
✔✔What is primary adrenal insufficiency also known as? - ✔✔Addison's disease
✔✔What is Addison's disease? - ✔✔A metabolic and endocrine ailment caused by a
direct insult to or malfunction of the adrenal cortex
✔✔What conditions can directly harm the adrenal cortex? - ✔✔Autoimmune disorders;
adrenal hemorrhage; infectious diseases such as AIDS, TB, and meningococcemia
✔✔What are the signs and symptoms of Addison's disease? - ✔✔Chronic fatigue;
weakness; loss of appetite and consequent weight loss; hyperpigmentation of the skin
and mucous membranes
✔✔What electrolyte findings correlate Addison's disease? - ✔✔Hyponatremia;
hyperkalemia; hypoglycemia
✔✔What is the most common endocrine disorder? - ✔✔Diabetes mellitus
✔✔What is diabetes mellitus characterized by? - ✔✔Hyperglycemia resulting from
defects in insulin production, insulin action, or both
✔✔What is type 1 diabetes mellitus characterized by? - ✔✔Inability to produce any
insulin due to pancreatic B-cell destruction
✔✔What is type 2 diabetes mellitus characterized by? - ✔✔Progressive cellular insulin
resistance and a gradual failure of pancreatic B-cell insulin production
✔✔What is gestational diabetes characterized by? - ✔✔Glucose intolerance that can
occur among pregnant women
✔✔What do patients with type 1 diabetes usually require daily doses of? - ✔✔Insulin
✔✔What are the three Ps of diabetes mellitus? - ✔✔Polyuria; polydipsia; polyphagia
✔✔What is the definition of hypoglycemia? - ✔✔Blood glucose level < 60 mg/dL
, ✔✔What conditions may elicit fasting hypoglycemia? - ✔✔Severe liver disease;
pancreatic tumors; enzyme defects; drug overdoses; severe infection
✔✔Which lead do you move to quickly create a right sided 12-lead? - ✔✔V4
✔✔What 12-lead findings may draw suspicions of a Pulmonary Embolism? -
✔✔S1Q3T3; an S wave in lead I, Q wave in lead III, and inverted T waves in lead III
✔✔While performing a comprehensive assessment, the provider recognizes the
patient's assessment and diagnostic findings are similar to patient complaints she has
treated in the past. Integrating new patient presentation information with past
experiences to determine management strategies can be defined as? - ✔✔Clinical
reasoning
✔✔When approaching a patient in an apartment that has been secured by law
enforcement, the providers find a semiconscious patient who has a needle in her arm.
The patient moans with verbal stimulation, pupils are pinpoint, and respirations are
noted as shallow at 4 breaths/min. The initial observation indicates the patient's
presentation is: - ✔✔A life threat
✔✔An 18-year-old adolescent male has a syncopal episode with tremors in his upper
extremities. He is currently alert and oriented and denies any significant medical history.
His skin is cool and diaphoretic. His vital signs include a pulse rate o 118 beats/min and
regular; respirations, 20 breaths/min and unlabored; and blood pressure, 102/68 mm
Hg. Which diagnostic test would most likely narrow your differential diagnoses? -
✔✔Blood glucose analysis
✔✔Geriatric patients experience a reduction in vessel elasticity. This would likely cause
which change in the patient's signs and/or symptoms? - ✔✔Increase in systolic blood
pressure
✔✔After ensuring the scene or situation is a safe environment, the provider's highest
priority is to: - ✔✔Identify and manage life threats
✔✔When initially approaching the patient, the provider uses which of the following
relevant questions to form an initial impression? - ✔✔Is this patient likely to die now?
✔✔One of the essential components in the initial observation of the AMLS assessment
pathway is identification of the: - ✔✔Cardinal presentation/chief complaint
✔✔The provider finds an unconscious patient with no gag reflex. Which airway would
be most appropriate device to being to manage the airway? - ✔✔Oropharyngeal airway
