Answered AMLS Post Test 2023

(Answered) AMLS Post Test 2023

• A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint

pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next?

• Initiate an IV and administer naloxone
• Supplemental oxygen and suction
• Obtain a blood glucose level
• Begin BVM ventilations - Correct Answer b. Supplemental oxygen and suction
• Patients with a history of COPD that present with an acute onset of shortness of

breath are likely to have what condition?

• Pulmonary embolism
• Angina pectoris
• Angioedema
• Hypertensive crisis - Correct Answer a. Pulmonary embolism
• During compensatory shock, the renin-angiotensin-aldosterone system is activated to

cause a/an:

• Increase in preload, afterload, and re-absorption of sodium
• Decrease in preload, afterload, and re-absorption of sodium
• Hypotension and bradycardia
• Vasodilation and sodium retention - Correct Answer a. Increase in preload, afterload,

and re-absorption of sodium

• What clinical findings are most commonly associated with a pulmonary embolus?
• Clear breath sounds with tachypnea
• Rhonchi auscultated bilaterally with hypercarbia
• Crackles heard in the bases with bradycardia
• Fever, tachycardia, and tachypnea with increased work of breathing - Correct Answer
• Clear breath sounds with tachypnea
• What condition is most likely to cause respiratory acidosis?

• Anxiety/panic attack
• Narcotic overdose
• Methanol ingestion
• Diabetic ketoacidosis - Correct Answer b. Narcotic overdose
• A 55-year-old complains of an 'aching' chest discomfort that persists over several

days. The patient has a temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis?

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• Pain is relieved when supine
• Pulsus alternans is present
• S3 gallop is auscultated
• ST-segment elevation in all leads - Correct Answer d. ST-segment elevation in all

leads

• Anaphylaxis is most associated with which physiological event?

• Hemorrhage
• Vasodilation
• Bradycardia
• Hypertension - Correct Answer b. Vasodilation
• Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological

change?

• Excessive mucous production
• Inflammation of the visceral pleura
• Breakdown of the alveolar-capillary membrane
• Accumulation of fluid between the pleural layers - Correct Answer c. Breakdown of

the alveolar-capillary membrane

• Continuous positive airway pressure would be most beneficial in treating which

patient?

• A 43yo with a decreased LOC with respiratory difficulty
• A 22yo with severe asthma who is not responding to nebulizer treatments
• A 38yo with carpal pedal spasms, clear lung sounds, and respirations of 40/min
• A 55yo with jugular vein distension and a BP of 90/60 - Correct Answer b. A 22yo

with severe asthma who is not responding to nebulizer treatments

• What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic

nonketotic coma (HHNC)?

• Crystalloid IV fluid administration
• Administration of dextrose
• Administration of insulin
• Fluid bolus of 5% dextrose in water (D5W) - Correct Answer a. Crystalloid IV fluid

administration

• Your patient has had a seizure secondary to a nerve agent exposure. What

medication would be best to diminish the seizure?

• Atropine
• Diphenhydramine
• Midazolam
• Pralidoxime - Correct Answer c. Midazolam
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