Exam (elaborations)
Advanced Medical Life Support AMLS
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Advanced Medical Life Support AMLS
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Advanced Medical Life Support AMLS Review1.Pattern recognition: As you obtain historical information regarding your patient, you
note that the patient's presentation and responses are very similar to several patient
complaints you have treated in the past. Integrating this information from past experience
to this current experience is known as:
2.A barking dog has been secured in a kennel in the yard.: In which situation has the
threat to your personal safety been reduced most significantly?
3.all of the above; Safety concerns, Room Temp, Assistive devices: You eval- uate the
patient's environment to assess for:
4.Differential diagnosis: An unresponsive patient has a needle in his arm when you
arrive. His pupils are pinpoint, and he is breathing four times per minute. You are
preparing to administer naloxone. At this point, opioid overdose is your initial:
5.Blood glucose analysis: An 18-year-old male had a tonic-clonic seizure. Coworkers
report no known seizure history. You can arouse him to voice. P 118, R 20, BP 102/68.
The diagnostic test most likely to narrow your differential diagnosis would be:
6.Dysuria: A 23-year-old female has an acute onset of left flank pain. You should
investigate which of the following regarding her pain?
7.Let the patient write her answers, and have the interpreter restate them so you
will have a recored of her statements for your report. (yeah right): When you use an
interpreter to question a 42-year-old female about her abdominal pain, what is the best
way to ensure information has been conveyed accurately and completely?
8.Rule out immediate life threats: After you ensure scene safety, your highest
priority is to:
9.Respiratory rate is 8 and irregular.: Which of the following physical findings
points most specifically to increased intracranial pressure?
10.Magnesium sulfate: You are transferring a 65-year-old female with renal failure from
the nursing home. She has a history of "abnormal lab values" and is drowsy and weak. You
note the following lab values: serum calcium 10.0 mg/dL (0.55 mmol/L), pH 7.28,
potassium 6.1 mEq/L. The patient goes into cardiac arrest after you load her into the
ambulance. After epinephrine, you should first consider giving her:
11.Is drowsy and slow to respond to questions after awakening from a nap.: - Which
of the following describes a behavior that represents normal mental status? A person who:
12.Cincinnati Prehospital Stroke Scale: Which assessment evaluates at least one
aspect of cranial nerve function?
13.Did he fall or hit his head recently?: A 72-year-old male had a syncopal episode in
church. His wife said he has been complaining of a headache for about a week. He has
early Alzheimer's disease. Home medicines include Lipitor and Exelon
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, Advanced Medical Life Support AMLS Review
(rivastigmine). Which of the following questions may help narrow your differential
diagnosis?
14.Specialized neurologic and vascular capability: A 56-year-old female expe- riences
a sudden onset of headache and blurred vision during yoga class. Her right eyelid is
drooping, and the pupil on that side is small compared to the left pupil. You should take
her to a hospital with:
15.Abnormal gaze: A 32-year-old complains of headache and dizziness. He vom- ited
once and is walking with a staggering gait. His blood pressure is 148/72, pulse 92,
respirations 20. He has a steady stare up toward his right ear. Which sign or symptom
makes you consider intracerebral hemorrhage more strongly than migraine headache as a
cause of his emergency?
16.End-tidal CO2 is 60 mm Hg: Which is the most reliable indicator that ventilation
should be assisted in a patient with altered mental status?
17.Stiff neck: A 24-year-old male complains of sudden explosive headache . He asks
you to lower the lights. He has vomited once. Which of these findings would increase
your index of suspicion for subarachnoid hemorrhage?
18.Unilateral blown pupil: Which of the following findings indicates the need to
increase the rate of ventilation in a intubated patient you suspect to have an epidural
hematoma?
19.Proprioception: A 25-year-old helmeted female was thrown from a horse. She is
complaining of weakness in her upper extremities. You ask her to close her eyes and
identify whether you are moving her thumb up or down. She is unable to do so. This
indicates she does not have normal:
20.Insert a nasopharyngeal airway: A 44-year-old male is postictal after a wit- nessed
grand mal seizure. He is arousable to light pain and is presently snoring. His vital signs are
BP 142/86, P 120, R 20, Sa02 98%. You should:
21.Pulse pressure 32 mm Hg: A 25-year-old woman was involved in a motor vehicle
collision. Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min.
Which of the following findings on repeat assessment would indicate that she is
developing shock?
22.Pituitary: Which gland is responsible for some of the vasoconstriction in shock?
23.Widespread inflammatory response: The primary mechanism for septic shock is:
24.Heart rate 58 bpm: A 24-year-old male injuries in a shallow diving incident.
Which assessment finding would you anticipate if he is developing neurogenic shock?
25.Maintain normal body temperature: Which intervention for patient in shock
prevents an increase in myocardial oxygen demand?
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