Exam (elaborations)
AMLS Pretest questions and answers (all correct) 2021/2022.
AMLS (Advanced Medical Life Support) AMLS Pretest questions and answers (all correct) 2021/2022.
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AMLS Pretest Questions 2021/2022 (answered) 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 P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare pro vider should observe for which complication? - 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? - Supplemental oxygen and suction Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? - Pulmonary embolism Acute Respiratory Distress Syndrome (ARDS) is characteriz ed by what pathological change? - 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? - Ludwig's angina Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous plugging. The best treatment for this is: - Administer PEEP 7.) Anaphylaxis is most associated with which physiological event? - 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 catherter with dark colored urine. Vital signs are P132, R 38 and shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient most likely experiencing? - Distributive Healthcare providers are assessing a patie nt 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? - Obstructive During compensatory shock, the renin -angiotensin -aldosterone system is activated to cause a/an: - 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 two weeks, she complains of chronic fatigue, weakness, and loss of appetite with weig ht loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected? - Adrenal insuffiency Which condition should the healthcare provider consider to usually be a non -emergent, non-life threatening illness? - Thoracic outle t syndrome Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads? - II, III, aVF Which is a high -risk factor for intracerebral hemorrhage? - Cocaine drug abuse 15. )What is the initial treatme nt for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)? - Crystalloid IV fluid resuscitation 16.) What condition is most likely to cause respiratory acidosis? - narcotic overdose What is the most effective treatment for an un conscious patient in respiratory acidosis? - Assisted bag -mask ventilation An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in thyroid hormones is: - Grave's disease Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which underlying illness? - 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? -Hyponatremia What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia? - Peaked T waves 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 m ost likely? - Acute pancreatitis 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 14 4/88, SpO2 90%, and T 102°F (38.8°C). What treatment should be performed? - 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 quad rant. If the patient ceases inspiration due to increase pain while being examined, this is known as: - Muphy's signThe benefits of buying summaries with Stuvia:
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