AMLS Post Test 2024/2025 LATEST 3rd Edition..Latest, Exams of Health sciences

Download AMLS Post Test 2024/2025 LATEST 3rd Edition..Latest and more Exams Health sciences in PDF only on Docsity! 1 [Date] AMLS Post Test 2024/2025 LATEST 3rd Edition..Latest Which of the following may cause primary respiratory alkalosis? Correct Answer: Fever A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is warm and his urine is dark, yellow and cloudy. Vital signs are BP 86/68, P-128, R-24, temp 101.2 F (38degrees C). Which type of shock should you suspect? Correct Answer: Septic A 20-year-old male college student complains of acute onset of fever, headache, vomiting, and malaise. He appears ill and has a petechial rash on his extremities. What should you suspect? Correct Answer: Meningitis A 20-year-old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? Correct Answer: Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause which of the following? Correct Answer: Increase in preload, after load, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What should you suspect? Correct Answer: Epiglottitis An anxious 32-year-old female complains of chest pains with palpitations. She has a history of Grave's disease. She reports she was seen in the ED earlier that day and had a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F (38.6 C). Vital signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should you administer? Correct Answer: Normal Saline What statement is correct regarding responding to a suspected nerve agent exposure? Correct Answer: Patients should be treated in a well-ventilated area 2 [Date] What reference is the MOST beneficial to obtain for a suspected stroke? Correct Answer: Last Known Well 5 [Date] Vital signs are BP-122/62, R-28, P-136, and his temperature is 93.2 F (34 C). What should you suspect? Correct Answer: Mild hypothermia A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse and presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles. What should you suspect? Correct Answer: Liver Failure A 22-year old male has recently undergone a surgical procedure to repair an injury to thoracic vertebrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely occurring? Correct Answer: Neurogenic It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial droop, and altered mental status. At 0400 hours, her husband heard her go to the bathroom. At 2300 hours they went to bed and everything was "fine." How should you report the last time she was known normal? Correct Answer: 2300 hrs Continuous positive airway pressure would be most beneficial in treating which of the following patients? Correct Answer: A 22-year-old with severe asthma that is unresponsive to albuterol treatments A 27-year-old male is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statements is the most helpful when treating this patient? Correct Answer: " I understand why you are concerned. Please tell me more about why you feel this way." A 15-year-old male complains of lower abdominal pain with nausea. He is in the fetal position and states, "it hurts to walk." What should you suspect? Correct Answer: Appendicitis A 26-year-old male has abdominal pain. He is able to pinpoint exactly where it hurts, experiences rebound tenderness on physical exam, and guards the affected area. Which type of pain should you suspect? Correct Answer: Somatic 6 [Date] A 52-year-old male is suffering from acute chest pain after physical exercises. He is pale, cool, and clammy. Vital signs are BP-88/40, P-110, R-22, SpO2 96%. What should you do? Correct Answer: Acquire a 12-lead ECG An elderly patient has COPD. What clinical finding should concern you the most? Correct Answer: Respiratory rate of 36/min 7 [Date] Metabolic acidosis is best described by which arterial blood gas results? Correct Answer: pH decreased, Pco2 decreased, H2CO3 low What type of shock is caused by cardiac tamponade? Correct Answer: Obstructive A 41-year-old female has returned from a missionary work in South Africa. She reports night sweats, chest discomfort, and a persistent cough for the past several weeks. What should you suspect? Correct Answer: Tuberculosis What respiratory changes are common in obese patients? Correct Answer: Decreased tidal volume A 30-year-old female complains of acute chest tightness, shortness of breath, and a non productive cough. She states that this happens frequently and usually resolves after using her "inhaler." What should you suspect? Correct Answer: Asthma A 44-year-old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP-152/94, P-104, R-16, SpO2-98%. What is the most likely cause? Correct Answer: Kidney Stones A 13-year-old male has been skateboarding in temperatures of 100F (37.7 C) and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 150 beats/minute. Vital signs are BP-108/62, R-24. What should you do? Correct Answer: Transport the patient by ambulance, monitor closely, and administer fluids en route An 82-year-old female complains of foul-smelling diarrhea, abdominal cramping, and a loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? Correct Answer: Clostridium difficile 10 [Date] A 49-year-old make presents in a tripod position with audible stridor and marked respiratory distress. His skin is flushed, and he complains of dysphagia. What should you suspect? Correct Answer: Epiglottitis 11 [Date] A patient complains of nausea and is passing black, tarry stools. What should you suspect? Correct Answer: Upper GI bleeding An alert 49-year-old male complains of a headache. He has tremors in his hands and has been in the detoxification unit for 38 hours. He has a history of alcoholism. Vital signs are BP-168/96, P- 104, R-22. What is he most at risk for? Correct Answer: Seizure A 27-year old male is agitated and talks continuously. His pupils are dilated. He admits to being awake for 36 hours straight. Vital signs are BP-188/98, P-140, R- 30. What type of overdose should you suspect? Correct Answer: Bath Salts