AMLS PRETEST 2024 LATEST EXAM WITH
150 QUESTIONS AND CORRECT ANSWERS/
ADVANCED MEDICAL LIFE SUPPORT
PRETEST REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS| AGRADE{COMPLETE}
Which patient is at highest risk for non traumatic obstructive shock? - ANSWER-22-year-old who is 38 weeks pregnant
While treating a trauma patient, you lacerate your hand. Your bleeding hand comes in contact with the blood of the patient. What action is most important to increase your chance of appropriate follow-up? - ANSWER-Notify the receiving facility and your designated infection control officer immediately.
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: - ANSWER-Magnesium
sulfate
You are treating a patient who has been diagnosed with herpes simplex type 1. He exhibits no signs or symptoms at this time. He is in which stage of the communicable disease? - ANSWER-Latent
Which patient would be an appropriate candidate for immediate intravenous administration of sodium bicarbonate? - ANSWER-45-year- old who complained of chest pain and is now in cardiac arrest and unresponsive to treatment
A 23 year-old male complains of a productive cough, fever, chills and pleuritic chest pain that has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102 F. What treatment should be performed? - ANSWER-Supplemental oxygen and immediate transport
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A 24 year-old female presents with lower right quadrant abdominal pain. Her skin is hot to the touch and she exhibits a Psoa Sign. She complains of nausea and vomiting for 2 days. What diagnosis is suspected? - ANSWER-Appendicitis
A 24 year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe headache, muscle cramps and abdominal pain. As the patient history is obtained, the athlete becomes lethargic.What underlying electrolyte disturbance should the healthcare provider most likely suspect? - ANSWER-Hyponatremia
A 28 year-old female is being evaluated for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular, BP 144/88, SpO2 95% and T 102.3 F. The healthcare provider should observe for which complication? - ANSWER-seizure
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? - ANSWER-Adrenal insufficiency
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? - ANSWER-Supplemental oxygen and suction
A known chronic alcoholic complains of the constant, severe mid- epigastric pain, nausea and blood-streaked emesis. The patient has a temperature of 101.9F and severe abdominal tenderness. What underlying diagnosis should be suspected? - ANSWER-pancreatitis
A lethargic patient presents with dilated pupils and vital signs of P122, R26, and BP 130/80. He admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting signs and symptoms? - ANSWER-Anticholinergic
A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and radiates to the jaw. He self-administered 1 nitroglycerin tablet without relief and the 12-lead reveals a normal 2 / 3
sinus rhythm with ST elevation in leads II, III, and aVF. What working diagnosis is most likely? - ANSWER-inferior wall myocardial injury
A patient experiences unilateral facial weakness and droop, garbled speech, altered sense of taste and no extremity weakness. The patient has a history of Lyme's disease. What condition is the patient likely experiencing? - ANSWER-Bell's palsy
A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol poisoning has occurred? - ANSWER-2
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: - 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? - 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: - 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? - ANSWER-First impression
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change? - 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? - ANSWER- Acute pancreatitis
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