AMLS QUESTIONS WITH 100% CORRECT ANSWERS 2022

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: - ANSWER-Clinical reasoning When approaching the patient in an apartment that has been secured by LE, 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: - ANSWER-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 of 118 beats/min and regular, respirations, 20 breaths/min and unlabored; and a BP, 102/68 mm Hg. which diagnostic test would most likely narrow your differential diagnoses? - ANSWER-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? - ANSWER-Increase in systolic blood pressure After ensuring the scene or situation is a safe environment, the provider's highest priority is to: - ANSWER-Identify and manage life threats When initially approaching the patient, the provider uses which of the following relevant questions to form an initial impression? - ANSWER-"Is this patient likely to die now?" One of the essential components in the intial observation of the AMLS assessment pathway is identification of the: - ANSWER-cardinal presentation/ chief complaint The provider finds an unconscious patient with no gag reflex. Which would be most appropriate device to being to manage the airway? - ANSWER-Oropharyngeal airway The provider performs a focused physical exam and observes an implanted vascular access device. this finding is most indicative of: - ANSWER-Chemotherapy regimens The provider is assessing a smoker who presents with dyspnea, chest discomfort, and a productive cough. The patient exhibits pedal edema and coarse, scattered rhonchi. The patient's oxygen saturation is 88% and his respiratory rate is 28 breaths/min. Which working diagnosis would be most likely considered to begin immediate treatment? - ANSWER-Chronic obstructive pulmonary disease Which of the following is most likely to impair ventilation? - ANSWER-Anaphylaxis Which sign or symptom indicates impending respiratory failure in a patient who is having an asthma attack? - ANSWER-Sleepiness A 65 year old woman has progressive onset of dyspnea over several days. the patient's temperature is 102.2 F. her prescription medications include Accupril, spironolactone, lanoxin, ipratropium, and salbutamol. which of the following would be included in your differential diagnosis? - ANSWER-Pneumonia Which diagnostic test will quickly detect poor ventilation? - ANSWER-Capnography A patient presents with fever, sore throat, and swollen lower jaw. which should be included in your differential diagnosis? - ANSWER-Ludwig's Angina A 62 year old man has a sudden onset of dyspnea after a bout of coughing. lung sounds are diminished on the right side. which element of the past medical history would help confirm the diagnosis of spontaneous pneumothorax? - ANSWER-Tobacco smoker Which sign or symptom may develop as a result of pulmonary embolism, COPD, or pulmonary hypertension? - ANSWER-Jugular venous distension You have administered albuterol and parenteral epinephrine to a 21 year old woman who is having an asthma attack. the patient's PCO2 level is now 55 mm Hg. What additional treatment is indicated? - ANSWER-Apply oxygen A 24 year old male was diagnosed with guillan-barre syndrome 1 week ago. which complication should you anticipate? - ANSWER-Pneumonia The risk of barotrauma for a patient with asthma who is receiving mechanical ventilation increases if you decrease the: - ANSWER-Expiratory time The most common sign or symptom found in patients with pulmonary embolism is: - ANSWER-Increased respiratory rate A 52 year old man with a history of alcholism complains of pleuritic chest pain. he reports recent vomiting and states the pain increases when he swallows. he appears very ill and has subcutaneous emphysema around his neck. you suspect: - ANSWERBoerhaave's Syndrome A 73 year old man awakens suddenly, complaining of dyspnea. You find him in the tripod position. Crackles are audible around his scapulae. He has a history of hypertension. You suspect his symptoms are realted to: - ANSWER-Left sided heart failure A 70 year old man suspected to have a dissecting aortic aneurysm has a blood pressure of 170/102 mm Hg. This sign may indicate: - ANSWER-The renal arteries are involved. Which of the following patients is at highest risk for pericardial tamponade? - ANSWER55 year old with end stage lung cancer If you administer nitroglycerin to a patient with ST-elevation in leads II, III and aVF, you should be prepared to: - ANSWER-Administer a bolus of normal saline if the blood pressure drops A 45 year old man with a history of hypertension complains of chest "pressure" that he rates about a 5 on a pain scale of 1-10, for 20 minutes. He just "wants to be checked out". Vital signs and 12 lead ECG are normal. you have already administered oxygen and aspirin. You should next: - ANSWER-Administer nitroglycerin, 0.4 mg sublingually An 82 year old woman complains of chest heaviness. She has sinus tachycardia. Her vital signs include a blood pressure of 108/72 mm Hg (equal in both arms); pulse rate 98 beats/min; and respirations, 20 breaths/min. Her breath sounds are clear in all fields. Aside from myocardial infarction, which diagnosis should you suspect? - ANSWERPulmonary embolism A 40 year old has chest pain described as an "elephant sitting on my chest." He confides that he snorted cocaine 5 minutes before his pain begain. You should administer? - ANSWER-Lorazepam, 2 mg IV A 65 year old woman complains of chest pain that feels like "aching" in her chest. It has become progressively worse over several days. her temperature is 101 F (38.3C). which finding will help you narrow your differential diagnosis to pericarditis? - ANSWERST-segment elevation apparent in every lead A 44 year old man presents with a history of vomiting bright red and coffee ground colored emesis. His initial vital signs included a blood pressure of 118/78 mm Hg; pulse rate 126 beats/min; and respirations, 22 breaths/min. which of the following findings on repeat assessment would indicate that shock is developing? - ANSWER-Pulse pressure, 32 mm Hg Which response is directly responsible for vasoconstriction in shock? - ANSWERAngiotensin II which of the following is predictive of septic shock? - ANSWER-PaCO2 level 32 mm