AMLS Exam With 100% Correct And Verified Answers 2024, Exams of Advanced Education

Download AMLS Exam With 100% Correct And Verified Answers 2024 and more Exams Advanced Education in PDF only on Docsity! AMLS Exam With 100% Correct And Verified Answers 2024 While performing a comprehensive assessment, the provider recognizes the patient's assessment and diagnostic findings are similar to patient complaints she has treated in the past. Integrating new patient presentation information with past experiences to determine management strategies can be defined as: - Correct Answer-Clinical reasoning When approaching the patient in an apartment that has been secured by LE, the providers find a semiconscious patient who has a needle in her arm. the patient moans with verbal stimulation, pupils are pinpoint, and respirations are noted as shallow at 4 breaths/min. the initial observation indicates the patient's presentation is: - Correct Answer-A life threat An 18 year old adolescent male has a syncopal episode with tremors in his upper extremities. he is currently alert and oriented and denies any significant medical history. his skin is cool and diaphoretic. his vital signs include a pulse rate of 118 beats/min and regular, respirations, 20 breaths/min and unlabored; and a BP, 102/68 mm Hg. which diagnostic test would most likely narrow your differential diagnoses? - Correct Answer- Blood glucose analysis Geriatric patients experience a reduction in vessel elasticity. this would likely cause which change in the patient's signs and/or symptoms? - Correct Answer-Increase in systolic blood pressure After ensuring the scene or situation is a safe environment, the provider's highest priority is to: - Correct Answer-Identify and manage life threats When initially approaching the patient, the provider uses which of the following relevant questions to form an initial impression? - Correct Answer-"Is this patient likely to die now?" One of the essential components in the intial observation of the AMLS assessment pathway is identification of the: - Correct Answer-cardinal presentation/ chief complaint The provider finds an unconscious patient with no gag reflex. Which would be most appropriate device to being to manage the airway? - Correct Answer-Oropharyngeal airway The provider performs a focused physical exam and observes an implanted vascular access device. this finding is most indicative of: - Correct Answer-Chemotherapy regimens The provider is assessing a smoker who presents with dyspnea, chest discomfort, and a productive cough. The patient exhibits pedal edema and coarse, scattered rhonchi. The patient's oxygen saturation is 88% and his respiratory rate is 28 breaths/min. Which working diagnosis would be most likely considered to begin immediate treatment? - Correct Answer-Chronic obstructive pulmonary disease Which of the following is most likely to impair ventilation? - Correct Answer-Anaphylaxis Which sign or symptom indicates impending respiratory failure in a patient who is having an asthma attack? - Correct Answer-Sleepiness A 65 year old woman has progressive onset of dyspnea over several days. the patient's temperature is 102.2 F. her prescription medications include Accupril, spironolactone, lanoxin, ipratropium, and salbutamol. which of the following would be included in your differential diagnosis? - Correct Answer-Pneumonia Which diagnostic test will quickly detect poor ventilation? - Correct Answer- Capnography A patient presents with fever, sore throat, and swollen lower jaw. which should be included in your differential diagnosis? - Correct Answer-Ludwig's Angina A 62 year old man has a sudden onset of dyspnea after a bout of coughing. lung sounds are diminished on the right side. which element of the past medical history would help confirm the diagnosis of spontaneous pneumothorax? - Correct Answer- Tobacco smoker Which sign or symptom may develop as a result of pulmonary embolism, COPD, or pulmonary hypertension? - Correct Answer-Jugular venous distension You have administered albuterol and parenteral epinephrine to a 21 year old woman who is having an asthma attack. the patient's PCO2 level is now 55 mm Hg. What additional treatment is indicated? - Correct Answer-Apply oxygen A 24 year old male was diagnosed with guillan-barre syndrome 1 week ago. which complication should you anticipate? - Correct Answer-Pneumonia The risk of barotrauma for a patient with asthma who is receiving mechanical ventilation increases if you decrease the: - Correct Answer-Expiratory time The most common sign or symptom found in patients with pulmonary embolism is: - Correct Answer-Increased respiratory rate A 52 year old man with a history of alcholism complains of pleuritic chest pain. he reports recent vomiting and states the pain increases when he swallows. he appears questions may help you narrow your differential diagnosis? - Correct Answer-Did he fall or hit his head recently? A 56 year old woman experiences a sudden onset of headache and blurred vision during yoga class. Her right eyelid is drooping and the pupil on that side is small compared to the left pupil. You should take her to a hospital with: - Correct Answer- Specialized neurologic and vascular capability a 32 year old man complains of headache and dizziness. He vomited once and is walking with a staggering gait. His blood pressure is 148/72 mm Hg; pulse, 92 beats/min; and respirations, 20 breaths/min. He has a steady stare up toward his right ear. Which sign or symptom makes you consider an intracerebral hemorrhage more strongly than a migraine headache as a cause of his emergency? - Correct Answer- Abnormal gaze Which is the most reliable indicator that ventilation should be assisted in a patient with altered mental status? - Correct Answer-End-tidal CO2 of 60 mm Hg a 24 year old man complains of a sudden explosive headache. He asks you to lower the lights. He has vomited once. Which of these findings would increase your index of suspicion for subarachnoid hemorrhage? - Correct Answer-Stiff neck Which of the following findings indicates the need to increase the rate of ventilation in an intubated patient you suspect to have an epidural hematoma? - Correct Answer- Unilateral blown pupil A 25 year old woman who was wearing a helmet was thrown from a horse. She is complaining of weakness in her upper extremities. You ask her to close her eyes and identify whether you are moving her thumb up or down. She is unable to do so. This indicates she does not have normal: - Correct Answer-Proprioception A 44 year old man is postictal after a witnessed grand mal seizure. He reacts to light and pain and is presently snoring. His vital signs include a blood pressure of 142/86 mm Hg; pulse, 120 beats/min; respirations 20 breaths/min; and SpO2, 98%. You should: - Correct Answer-Insert a nasopharyngeal airway a 33 year old man has right lower quadrant abdominal pain and vomiting. Five minutes after you adminsiter a dose of ondansetron, he vomits forcefully. His vital signs are now a blood pressure of 102/72; pulse rate of 52 beats/min; and respiratons of 20 breaths/min. The alteration in his vital signs is likely related to: - Correct Answer-Vagal stimulation Your patient is complaining of a cramping pain around her umbilical area that won't let up. This is most suggestive of disease involving the: - Correct Answer-Appendix A 43 year old man with diffuse amdbomnal pain and vomiting has a yellowish discoloration of his sclera. This indicates he has excess serum: - Correct Answer- Billirubin A 42 year old man complains of a gnawing, severe pain in the epigastric area that radiates to his back. His vital signs include a temperature of 102 F, a blood prssure of 94/68, a pulse rate of 128/min, and respirations are 24/min. your highest priority intervention would be to administer: - Correct Answer-Normal saline, 250 mL bolus A 22 year old woman at a restaurant is complaining of abdominal pain and diarrhea. Her skin is flushed, and she feels faint. Her vital signs include a blood pressure of 98/50 mm Hg, a pulse rate of 124 beats, and respirations are 24/min. Which finding in her SAMPLER history is most likely to guide your differential diagnosis for this patient? - Correct Answer-Illness began about 10 minutes after eating a 45 year old woman complains of right upper quadrant abdominal pain. TO help confirm your differential diagnosis if you suspect cholecystitis you should: - Correct Answer-Ask her to take a deep breath as you press upward into her right upper quadrant An 18 year old, 35 kg adolescent female is vomiting copious amounts of bright red blood. The most likely diagnosis would be: - Correct Answer-Mallory-Weiss Syndrome An 88 year old woman complains of nausea, vomiting, and constipation. Her abdomen is tender to palpation and appears distended. Her lungs are clear, and her vital signs include a blood pressure of 104/76, a pulse of 120, and respirations of 20. An appropriate action would be to: - Correct Answer-Infuse normal saline at 250 ml/h A 45 year old man complains of severe epigastric pain radiating to his back. He has vomited several times. His history is significant for alcohol abuse and hypertnsion. You suspect an inflammatory condition of a gastric accessory organ. To confirm your differential diagnosis on physical exam you should assess for: - Correct Answer-Grey Turner Sign When you are assessing your patient's medication history, which would indicate the patient may have a preexisting ulcer? - Correct Answer-Famotidine (pepcid) Your patient complains of discomfort in his hand as you inflate the cuff to assess the blood pressure. You note flexion of the wrist and adduction of his fingers. Which endocrine disorder do you suspect? - Correct Answer-Hypoparathyroidism A 47 year old woman is anxious and complaining of heart palpitations. She reports a recent diagnosis of "thyroid problems." On exam you note exophthalmos. Her vital signs include a blood pressure of 108/72, pulse of 128, and respirations 20. Interventions should include administration of: - Correct Answer-Intravenous fluids Which assessment finding(s) should you anticipate in a patient who has myxedema? - Correct Answer-Dry, yellow skin Which treatment should you anticipate in a patient with a history of Addison's disease who has the following vital signs: blood pressure of 94/58, pulse 124, respirations 20? - Correct Answer-Hydrocortisone Which finding should you anticipate on the physical examination of a patient with Cushing's syndrome? - Correct Answer-Blood glucose, 180 mg/dL When serum glucose levels drop below 70 mg/dL, which of the following occurs? - Correct Answer-Epinephrine secretion increases A 22 yera old man complains of a 2 day history of abdominal pain. his skin is flushed, and he has a fruity odor on his breath. Assessment reveals a blood pressure of 106/54, pulse of 128, and respirations of 28, and glucose level of 568. Your highest priority intervention would be to: - Correct Answer-Infuse normal saline rapid IV which patient would be an appropriate candidate for immediate intravenous adminsitration of sodium bicarbonate? - Correct Answer-a 45 year old who initially complained of chest pain and is now in cardiac arrest and unresponsive to treatment a 72 year old complains of a headache and being depressed, intermittent twitching in the facial muscles, and general weakness over the past 2 weeks. She has a medical history of hypoparathyroidism. The ECG reveals a prolonged QT segment. During transport she has a seizure. Which electrolyte imbalance is most likely? - Correct Answer-Hypocalcemia a 10 year old boy presents with lethargy. His vital signs include a blood pressure of 106/70, pulse of 140, respirations 32, SpO2 98%, and temperature 99F. Which of the following is most consistent with a diagnosis of DKA? - Correct Answer-Glucose 406, ETCO2 25 mm Hg which of the following is an example of a pandemic? - Correct Answer-Thousands die or become ill from an influenza outbreak on all 7 continents You are treating a patient who has been diagnosed with Mycobacterium pulmonary tuberculosis. He has a persistent cough, night sweats, a headache, and chest pain. He has received an inital dose of isoniazid. He is in which of stage of the communicable disease? - Correct Answer-Communicability period What action can a provider take to decrease the chance of becoming infected when caring for patients with communicable diseases? - Correct Answer-Participate in vaccination/immunization programs Antibodies are produced in response to exposure to? - Correct Answer-Antigens You respond to a warehouse for "multiple patients with difficulty breathing." From a hallway, you see your patient lying in a room with two other people who don't seem to be breathing. He calls out to you, saying he can't breathe. You should first: - Correct Answer-Stage at a safe area A 28 year old female is being evaluate for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P 112, R 22 and regular, BP 144/88, SPO2 95%, and T 102.3F. The healthcare provider should observe for which complication? - Correct Answer-Seizure 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? - Correct Answer- Supplemental oxygen and suction Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? - Correct Answer-Pulmonary embolism Acute respiratory distress syndrome (ARDS) is characterized by what pathologic change? - Correct Answer-Breakdown of the alveolar capillary membrane 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 throat area and tongue. What diagnosis is most likely? - Correct Answer-Ludwig's Angina Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is: - Correct Answer-Administer PEEP Anaphylaxis is most associated with which physiological event? - Correct Answer- Vasodilation An elderly patient in an assisted living facility 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 P 132, R 38 and shallow, BP 78/46, SPO2 91% and T 100.8F. What classification of shock is the patient most likely experiencing? - Correct Answer-Distributive Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected? - Correct Answer-Obstructive During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an: - Correct Answer-Increase in preload, afterload, and re-absorption of sodium A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. OVer the past 2 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? - Correct Answer-Adrenal insufficiency which condition should the healthcare provider consider usually to be a nonemergent, non life threatening illness? - Correct Answer-Thoracic outlet syndrome Healthcare providers should use extreme caution with nitro when ST elevation is present in which ECG leads? - Correct Answer-II, III, aVF Which is a high-risk factor for intracerebral hemorrhage? - Correct Answer-cocaine abuse What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic nonketotic Coma? - Correct Answer-Crystalloid IV fluid resuscitation What condition is most likely to cause respiratory acidosis? - Correct Answer-narcotic overdose What is the most effective treatment for an unconscious patient in respiratory acidosis? - Correct Answer-Assisted BVM An autoimmune disease that produces antibodies that mimic the role of TSH and cause an increase in thyroid hormone is: - Correct Answer-Graves' disease Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which underlying illness? - Correct Answer-Alcoholism 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? - Correct Answer-Hyponatremia What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia? - Correct Answer-peaked T waves An 82 year old alcoholic complains of nausea, nonbloody 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 A 23 year old male coplains 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%, T 102 F. what treatment should be performed? - Correct Answer-Supplemental oxygen and immediate transport 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 increased pain while being examined, this is known as: - Correct Answer- Murphy's sign The patient is alert and oriented, presenting with hypotension, bradycardia, normal capillary refill, and warm, dry pink skin. these are cardinal signs of which type of distributive shock? - Correct Answer-Neurogenic 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 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 A lethargic patient presents with dilated pupils and vital signs of P 122, R 26 and BP 130/80. He admits to excessive ingestion of diphenhydramine. What response is the cause for the presenting signs and symptoms? - Correct Answer-Anticholinergic Organophosphate poisoning will present with which signs and symptoms? - Correct Answer-salivation and incontinence of urine and liquid stool what medication classification should be administered to an uncooperative, agitated patient? - Correct Answer-Benzodiazepine A patient presents with mildly decreased mental status, slow respirations, bradycardia, hypotension, and has a blood glucose level of 42 mg/dL. This is most likely caused from excessive ingestion of: - Correct Answer-Beta blockers The patient complains of a deep burning discomfort diffusely throughout the epigastrium. This is an example of which type of pain? - Correct Answer-Visceral A 24 year old female presents with lower right quadrant abdominal pain. Her skin is hot to the touch and she exhibits a Psoas sign. She complains of nausea and vomiting for 2 days. What diagnosis is suspected? - Correct Answer-Appendicitis 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? - Correct Answer-Pancreatitis