Exam (elaborations)
AMLS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AMLS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AMLS QUESTIONS AND ANSWERSWITH SOLUTIONS 2024
A 20 year old female is being evaluated for an acute onset of an alteration in mentation. She She
complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular BP 144/88,
SpO2 95% and T 102.3F. The healthcare provider should observe for which complication?
A. Sepsis
B. Seizure
C. Cardiac arrest
D. Internal bleeding - ANSWER B. 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?
A. Initiate an IV and administer naloxone
B. Supplemental oxygen and suction
C. Obtain a blood glucose level
D. Being bag-mask ventilation - ANSWER B. Supplemental O2 and suction
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have
which condition?
A. Pulmonary embolism
B. Angina pectoris
C. Angioedema
D. Hypertensive crisis - ANSWER A. Pulmonary Embolism
Acute respiratory distress syndrome (ARDS) is characterized by what pathological change?
A. Excessive mucus production
B. Inflammation of the visceral pleura
C. Breakdown of the alveolar-capillary membrane
,D. Accumulation of fluid between the pleural layers - ANSWER C. 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?
A. Croup
B. Tonsilitis
C. Angioedema
D. Ludwig's Angina - ANSWER D. Ludwig's angina
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging.
The best treatment for this is:
A. Increase oxygen concentration to 100%
B. Increase tidal volume
C. Increase respiratory rate
D. Administer PEEP - ANSWER D. Administer PEEP
Anaphylaxis is most associated with which physiological event?
A. Hemorrhage
B. Vasodilation
C. Bradycardia
D. Hypotension - ANSWER B. Vasodilation
An elderly patient in an assisted living facility present with a diminished level of consciousness and
elevated white blood count. Assessment reveals pale, clammy skin and a urinary catheter with dark
colored urine. Vital signs are P132, R38 and shallow, BP 78/46, SpO2 91% and T 100.8F. What
classification of shock is the patient most likely experiencing?
A. Hypovolemic
B. Cardiogenic
C. Distributive
, D. Obstructive - ANSWER C. 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?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive - ANSWER D. Obstructive
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
A. Increase in preload, afterload and re-absorption of sodium
B. Decrease in preload, afterload and re-absorption of sodium
C. Increase in myocardial contractility
D. Vasodilation and sodium retention - ANSWER A. 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?
A. Adrenal insufficiency
B. Diabetic ketoacidosis
C. Hypothyroidism
D. Rhabdomyolysis - ANSWER A. Adrenal insufficiency
Which condition should the healthcare provider consider to usually be a non-emergent, non-life
threatening illness?
A. Acute coronary syndrome
B. Thoracic outlet syndrome
C. Esophageal rupture
D. Aortic dissection - ANSWER B. Thoracic outlet syndrome
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