AMLS Pretest v 1.11 Review Revision.

A 28 year old female is being evaluated for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for which complication? - correct answer Seizure A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action should be implemented next? - correct answer Supplemental oxygen and suction Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? - correct answer Pulmonary embolism Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - correct answer Breakdown of the alveolar-capillary membrane An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the patient has a firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is most likely? - correct answer Ludwig's angina Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is: - correct answer Administer PEEP 7.) Anaphylaxis is most associated with which physiological event? - correct answer Vasodilation An elderly patient in an assisted living facility presents with a diminished level of consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient most likely experiencing? - correct answer Distributive Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected? - correct answer Obstructive During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: - correct answer Increase in preload, afterload and re-absorption of sodium A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the past two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected? - correct answer Adrenal insuffiency Which condition should the healthcare provider consider to usually be a non-emergent, non-life threatening illness? - correct answer Thoracic outlet syndrome Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads? - correct answer II, III, aVF