lOMoARcPSD|25701531
lOMoAR cPSD| 33052882
AMLS PRE TEST LATEST
SEMESTER 1 2024 (SOLVED)
A patient presents with mildly decreased mental status, slow respirations,
bradycardia, hypotension, has a blood sugar 42 mg/dl. This is most likely caused
from excessive ingestion of: - CORRECT ANSWER- beta blockers
A patient with a history of Grave's disease presents with anxiety, profuse sweating
and a palpable goiter. Vitals are P151, R35 and labored, BP 84/42. Which working
diagnosis is most likely? - CORRECT ANSWER- Thyrotoxicosis
A patient with suspected gallbladder disease is asked to take a deep breath while
the provider presses upward into the upper right quadrant. If the patient ceases
inspiration due to increase pain while being examined, this is known as: -
CORRECT ANSWER- Murphy's sign
According to the AMLS Assessment Pathway, determining whether a patient is
"Sick or Not Sick" is initially done which component of the assessment process? -
CORRECT ANSWER- First impression
Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change? - CORRECT ANSWER- Breakdown of the alveolar-capillary
membrane
An 82 year-old alcoholic complains of nausea, non-bloody vomiting and severe
epigastric and right upper quadrant pain that radiates to the back. Palpation reveals
epigastric tenderness without peritoneal signs. What working diagnosis should be
considered most likely? - CORRECT ANSWER- Acute pancreatitis
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 anterior
throat area and tongue. What diagnosis is most likely? - CORRECT ANSWER-
Ludwig's angina
An autoimmune disease which produces antibodies that mimic the role of TSH and
cause an increase in thyroid hormones is: - CORRECT ANSWER- Grave's disease
An elderly patient is an assisted living presents 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? - CORRECT ANSWER- Distributive
, lOMoARcPSD|25701531
lOMoAR cPSD| 33052882
Anaphylaxis is most associated with which physiological event? - CORRECT
ANSWER-Vasodilation
Clinical reasoning requires the healthcare provider to: - CORRECT
ANSWER- Processrelevant information, filter out irrelevant information
Continuous positive airway pressure would be most appropriate in treating which
patient? - CORRECT ANSWER- 22 year old with severe asthma and not
responding to nebulizer treatments
During compensatory shock, the renin-angiotensin-aldosterone system is activate
to cause a/an: - CORRECT ANSWER- increase in preload, afterload and
reabsorption of sodium
During what period of the communicable disease process will antibodies begin to
reach detectable levels and the infected blood will test positive for exposure to a
pathogen? - CORRECT ANSWER- incubation
Glucagon may not be effective treatment for a patient with hypoglycemia if they
also have which underlying illness? - CORRECT ANSWER- alcoholism
Healthcare providers are assessing a patient with pronounced jugular vein
distention and muffled heart tones. Vitals are P128, R26, BP 74/52. What
classification of shock should be suspected? - CORRECT ANSWER-
Obstructive
Healthcare providers are managing a patient presenting with substernal chest
discomfort. They describe the pain as "pressure-like" and it radiates to the jaw and
left arms. The discomfort subsides with rest, oxygen and administration of
nitroglycerin. What is the most likely working diagnosis? - CORRECT ANSWER-
Angina pectoris
Healthcare providers are treating an unresponsive patient who overdosed on
lorazepam. What intervention should be initiated? - CORRECT ANSWER-
Airway support
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads? - CORRECT ANSWER- II, III, aVF
Organophosphate poisoning will present with which signs and symptoms? -
CORRECT ANSWER- Salivation and incontinence of urine and liquid
stool
, lOMoARcPSD|25701531
lOMoAR cPSD| 33052882
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is: - CORRECT ANSWER-
Administer PEEP
Patients with a history of chronic bronchitis that present with shortness of breath
are likely to have which condition? - CORRECT ANSWER- Pulmonary
embolism
Example of a communication barrier that impairs an efficient and thorough
assessment process. - CORRECT ANSWER- The patient can't find his hearing aid
The determination of a working diagnosis is dependent on the provider's
assessment, critical thinking and skills. - CORRECT ANSWER- Pattern
recognition
The patient complains of a deep burning discomfort diffusely throughout the
epigastrium. This is an example of which type of pain? - CORRECT ANSWER-
Referred
The patient is alert and oriented presenting with hypotension, bradycardia, normal
capillary refill and warm, dry skin. These are cardinal signs of which type of
distributive shock? - CORRECT ANSWER- Neurogenic
The patient presents with a history of headache, weight loss, chest discomfort,
night sweats and a persistent cough for several weeks. Which infectious disease is
most likely occurring? - CORRECT ANSWER- Tuberculosis
What component of a patient's past medical history is most helpful in considering
myocardial infarction as a working diagnosis? - CORRECT ANSWER- Familial
heart diseasehistory
What condition is most likely to cause respiratory acidosis? - CORRECT
ANSWER- Narcoticoverdose
What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)? - CORRECT ANSWER-
Crystalloid IV fluidresuscitation
What is the most effective treatment for an unconscious patient in respiratory
acidosis? - CORRECT ANSWER- Assisted bag-mask ventilation
What is the sign on the ECG that will indicate a patient is experiencing
hyperkalemia? - CORRECT ANSWER- Peaked T waves
lOMoAR cPSD| 33052882
AMLS PRE TEST LATEST
SEMESTER 1 2024 (SOLVED)
A patient presents with mildly decreased mental status, slow respirations,
bradycardia, hypotension, has a blood sugar 42 mg/dl. This is most likely caused
from excessive ingestion of: - CORRECT ANSWER- beta blockers
A patient with a history of Grave's disease presents with anxiety, profuse sweating
and a palpable goiter. Vitals are P151, R35 and labored, BP 84/42. Which working
diagnosis is most likely? - CORRECT ANSWER- Thyrotoxicosis
A patient with suspected gallbladder disease is asked to take a deep breath while
the provider presses upward into the upper right quadrant. If the patient ceases
inspiration due to increase pain while being examined, this is known as: -
CORRECT ANSWER- Murphy's sign
According to the AMLS Assessment Pathway, determining whether a patient is
"Sick or Not Sick" is initially done which component of the assessment process? -
CORRECT ANSWER- First impression
Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change? - CORRECT ANSWER- Breakdown of the alveolar-capillary
membrane
An 82 year-old alcoholic complains of nausea, non-bloody vomiting and severe
epigastric and right upper quadrant pain that radiates to the back. Palpation reveals
epigastric tenderness without peritoneal signs. What working diagnosis should be
considered most likely? - CORRECT ANSWER- Acute pancreatitis
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 anterior
throat area and tongue. What diagnosis is most likely? - CORRECT ANSWER-
Ludwig's angina
An autoimmune disease which produces antibodies that mimic the role of TSH and
cause an increase in thyroid hormones is: - CORRECT ANSWER- Grave's disease
An elderly patient is an assisted living presents 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? - CORRECT ANSWER- Distributive
, lOMoARcPSD|25701531
lOMoAR cPSD| 33052882
Anaphylaxis is most associated with which physiological event? - CORRECT
ANSWER-Vasodilation
Clinical reasoning requires the healthcare provider to: - CORRECT
ANSWER- Processrelevant information, filter out irrelevant information
Continuous positive airway pressure would be most appropriate in treating which
patient? - CORRECT ANSWER- 22 year old with severe asthma and not
responding to nebulizer treatments
During compensatory shock, the renin-angiotensin-aldosterone system is activate
to cause a/an: - CORRECT ANSWER- increase in preload, afterload and
reabsorption of sodium
During what period of the communicable disease process will antibodies begin to
reach detectable levels and the infected blood will test positive for exposure to a
pathogen? - CORRECT ANSWER- incubation
Glucagon may not be effective treatment for a patient with hypoglycemia if they
also have which underlying illness? - CORRECT ANSWER- alcoholism
Healthcare providers are assessing a patient with pronounced jugular vein
distention and muffled heart tones. Vitals are P128, R26, BP 74/52. What
classification of shock should be suspected? - CORRECT ANSWER-
Obstructive
Healthcare providers are managing a patient presenting with substernal chest
discomfort. They describe the pain as "pressure-like" and it radiates to the jaw and
left arms. The discomfort subsides with rest, oxygen and administration of
nitroglycerin. What is the most likely working diagnosis? - CORRECT ANSWER-
Angina pectoris
Healthcare providers are treating an unresponsive patient who overdosed on
lorazepam. What intervention should be initiated? - CORRECT ANSWER-
Airway support
Healthcare providers should use extreme caution with nitroglycerin when ST
elevation is present in which ECG leads? - CORRECT ANSWER- II, III, aVF
Organophosphate poisoning will present with which signs and symptoms? -
CORRECT ANSWER- Salivation and incontinence of urine and liquid
stool
, lOMoARcPSD|25701531
lOMoAR cPSD| 33052882
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse
from mucous plugging. The best treatment for this is: - CORRECT ANSWER-
Administer PEEP
Patients with a history of chronic bronchitis that present with shortness of breath
are likely to have which condition? - CORRECT ANSWER- Pulmonary
embolism
Example of a communication barrier that impairs an efficient and thorough
assessment process. - CORRECT ANSWER- The patient can't find his hearing aid
The determination of a working diagnosis is dependent on the provider's
assessment, critical thinking and skills. - CORRECT ANSWER- Pattern
recognition
The patient complains of a deep burning discomfort diffusely throughout the
epigastrium. This is an example of which type of pain? - CORRECT ANSWER-
Referred
The patient is alert and oriented presenting with hypotension, bradycardia, normal
capillary refill and warm, dry skin. These are cardinal signs of which type of
distributive shock? - CORRECT ANSWER- Neurogenic
The patient presents with a history of headache, weight loss, chest discomfort,
night sweats and a persistent cough for several weeks. Which infectious disease is
most likely occurring? - CORRECT ANSWER- Tuberculosis
What component of a patient's past medical history is most helpful in considering
myocardial infarction as a working diagnosis? - CORRECT ANSWER- Familial
heart diseasehistory
What condition is most likely to cause respiratory acidosis? - CORRECT
ANSWER- Narcoticoverdose
What is the initial treatment for a patient experiencing Hyperosmolar
Hyperglycemic Nonketotic Syndrome (HHNS)? - CORRECT ANSWER-
Crystalloid IV fluidresuscitation
What is the most effective treatment for an unconscious patient in respiratory
acidosis? - CORRECT ANSWER- Assisted bag-mask ventilation
What is the sign on the ECG that will indicate a patient is experiencing
hyperkalemia? - CORRECT ANSWER- Peaked T waves
