AMLS POST TEST (3 LATEST VERSIONS ) 2024
REAL EXAM 200 QUESTIONS AND CORRECT
ANSWERS /ADVANCED MEDICAL LIFE
SUPPORT, AMLS PRETEST EXAM(AGRADE)
VERSION A
When assessing geriatric patients, infectious disease is more difficult to identify for all the following reasons EXCEPT - ANSWER✔✔Older Adult Patients. AMLS Page 325 Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? - ANSWER✔✔If seizures develop administer diazepam (Valium) or lorazepam (Ativan).AMLS Page 424 (Treat seizure before treating for the exposure to the nerve agent) A caregiver for a quadriplegic patient notes an onset of difficulty in breathing and anxiousness in her patient. Further assessment shows a temperature of 101.2°F (38"C), P 128, BP 86/68, and R 24. Physical exam shows the skin is warm and urine in the Foley catheter is dark yellow and cloudy. This patient is most likely experiencing what type of shock? - ANSWER✔✔AMLS Page 159, Table 4-11 (Septic Shock) 1 / 4
Respiratory Alkalosis may occur as a result of? - ANSWER✔✔Some causes of primary respiratory alkalosis include aspirin overdose, anxiety reaction, and pulmonary embolism. See table AMLS Page 272.A 22-year old male has recently undergone a surgical procedure to repair an injury to the thoracic vertebrae T4-T6. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive and has warm dry skin which type of shock is most likely occurring? - ANSWER✔✔In neurogenic shock the patient is often both bradycardic and hypotensive. AMLS Page 149.Warm, dry, pink skin, decreased BP, alert, normal capillary refill. AMLS Page 157 table 4-9 An age related change that increases the risk of respiratory compromise is
- ANSWER✔✔Reduced lung compliance due to calcification of cartilage in
the trachea and bronchioles and calcification of interstitial tissue. AMLS P.98 A patient complaining of a 3-day history of left, lower abdominal pain describes it as sharp in nature and, during the focused physical exam, the pain intensifies during palpation over the site. Differentials should include - 2 / 4
ANSWER✔✔Ectopic pregnancy or diverticulitis (Question does not state the PT is female, but pick ectopic pregnancy) Paroxysmal Nocturnal Dyspnea is most common in patients with a history of? - ANSWER✔✔AMLS Page 60 Table 2-1 (Left-sided heart failure) The most common underlying medical conditions found in patients with acute pancreatitis is - ANSWER✔✔The disease is thought to be caused by cholelithiasis (gall stones) or alcohol abuse in more than 90% of cases.AMLS Page 235 The patient presents with a history of fever and an upper respiratory infection. Historical Information reveals increasing water intake, orthostatic hypotension and an Increase in urination. You suspect these symptoms are caused by? - ANSWER✔✔This is hyperglycemic DKA. Patients with DKA are dehydrated and appear ill. They usually report polydipsia (great thirst), polyphagia (excessive hunger), and polyuria (excessive urination). Patients with severe cases will exhibit altered mental status, tachycardia, rapid breathing and orthostatic changes. AMLSPage 268 The healthcare provider is assessing a 60 year-old female patient with complaints of indigestion and mild upper abdominal discomfort. This 3 / 4
presentation should prompt the provider to: - ANSWER✔✔Indigestion and
mild upper abdominal pain discomfort should prompt you to evaluate the patient for acute coronary syndrome. AMLS Page 225 You are dispatched to the home of a 32 year old patient with a history of Graves disease. The patient was in the ER earlier today for some "tests for my ulcers". He received contrast and was discharged. He is now complaining of not feeling well, chest pain and palpitations. You note an anxious patient with fine tremors. He is diaphoretic and has a fever if 101.5.BP 100/62, P156, R 30, Glucose 133. Which of the following are management considerations for this patient? - ANSWER✔✔This is a thyroid storm. The goals of pharmalogic treatment in the prehospital setting are to block the peripheral adrenergic hyperactivity the thyroid hormones elicit (tachycardia, fever, anxiety, and tremors). This can be achieved by administering beta blockers. The drug of choice is propranolol.Treatment AMLS Page 261 A patient presents anxious with difficulty in breathing and chest pain. An assessment reveals hypotension, muffled heart tones and distended neck veins. There is a past medical history of pericarditis. The provider notes that there is decrease in systolic blood pressure when the patient inhales.
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