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Advanced Medical Life Support AMLS
Review Exam | Latest 2025/ 2026 Update |
Questions and Answers | 100% Correct |
GRADED A - Xavier
Question:
As you obtain historical information regarding your patient, you note that the patient's presentation and responses are very similar to several patient complaints you have treated in the past. Integrating this information from past experience to this current experience is known as:
Answer:
Pattern recognition
Question:
In which situation has the threat to your personal safety been reduced most significantly?
Answer:
A barking dog has been secured in a kennel in the yard.
Question:
You evaluate the patient's environment to assess for:
Answer:
all of the above; Safety concerns, Room Temp, Assistive devices
Question:
An unresponsive patient has a needle in his arm when you arrive. His pupils are pinpoint, and he is breathing four times per minute. You are preparing to administer naloxone. At this point, opioid overdose is your initial:
Answer:
Differential diagnosis
Question:
An 18-year-old male had a tonic-clonic seizure. Coworkers report no known seizure history. You can arouse him to voice. P 118, R 20, BP 102/68. The diagnostic test most likely to narrow your differential diagnosis would be:
Answer:
Blood glucose analysis
Question:
A 23-year-old female has an acute onset of left flank pain. You should investigate which of the following regarding her pain?
Answer:
Dysuria
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
Question:
Which of the following describes a behavior that represents normal mental status? A person who:
Answer:
Is drowsy and slow to respond to questions after awakening from a nap.
Question:
Which assessment evaluates at least one aspect of cranial nerve function?
Answer:
Cincinnati Prehospital Stroke Scale
Question:
A 72-year-old male had a syncopal episode in church. His wife said he has been complaining of a headache for about a week. He has early Alzheimer's disease. Home medicines include Lipitor and Exelon (rivastigmine). Which of the following questions may help narrow your differential diagnosis?
Answer:
Did he fall or hit his head recently?
Question:
A 56-year-old female 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:
Answer:
Specialized neurologic and vascular capability
Question:
A 32-year-old complains of headache and dizziness. He vomited once and is walking with a staggering gait. His blood pressure is 148/72, pulse 92, respirations
- He has a steady stare up toward his right ear. Which sign or symptom makes you consider intracerebral hemorrhage more strongly than migraine headache as a cause of his emergency?
Answer:
Abnormal gaze
Question:
Which is the most reliable indicator that ventilation should be assisted in a patient with altered mental status?
Answer:
End-tidal CO2 is 60 mm Hg
Question:
A 44-year-old male is postictal after a witnessed grand mal seizure. He is arousable to light pain and is presently snoring. His vital signs are BP 142/86, P 120, R 20, Sa02 98%. You should:
Answer:
Insert a nasopharyngeal airway
Question:
A 25-year-old woman was involved in a motor vehicle collision. Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the following findings on repeat assessment would indicate that she is developing shock?
Answer:
Pulse pressure 32 mm Hg
Question:
Which gland is responsible for some of the vasoconstriction in shock?
Answer:
Pituitary
Question:
The primary mechanism for septic shock is:
Answer:
Widespread inflammatory response
Question:
A 24-year-old male injuries in a shallow diving incident. Which assessment finding would you anticipate if he is developing neurogenic shock?
Answer:
Heart rate 58 bpm
Question:
Which intervention for patient in shock prevents an increase in myocardial oxygen demand?
Answer:
Maintain normal body temperature
Question:
Which diagnostic test most accurately assesses the presence and magnitude of anaerobic metabolism?
Answer:
Lactic acid
Question:
Which patient is at highest risk for non traumatic obstructive shock?
The most common sign or symptom found in patients with pulmonary embolism is:
Answer:
increased respiratory rate
Question:
A 52-year-old male with a history of alcoholism complains of pleuritic chest pain. He states the pain increases when he swallows. He appears very ill and has subcutaneous emphysema around his neck. You suspect:
Answer:
Boerhaave's syndrome
Question:
A 73-year-old male awakens suddenly at 0200 complaining of dyspnea. You find him in tripod position. Crackles are audible around his scapulae. He has a history of hypertension. You suspect his symptoms are related to:
Answer:
Left heart failure
Question:
A 70-year-old male suspected to have a dissecting aortic aneurysm has a blood pressure of 170/102 mm Hg. This sign may indicate:
Answer:
The renal arteries are involved
Question:
Which of the following patients is at highest risk for pericardial tamponade?
Answer:
55 - year-old with end-stage lung cancer
Question:
If you administer nitroglycerin to a patient with ST-elevation in leads II, III and aVF, you should be prepared to:
Answer:
Administer a bolus of normal saline if the blood pressure drops
Question:
A 45-year-old male with a history of hypertension complains of chest "pressure," about a 5 on a scale of 1 to 10, for 20 minutes. He just "wants to be checked out." Vitals signs and 12-lead ECG are normal. You have already administered oxygen and aspirin. You should next:
Answer:
Administer nitroglycerin 0.4 mg sublingual.
Your patient is agitated and sweaty. Her vital signs are BP 107/108 mmHG, P 132 bpm, and R 20/min. Her pupils are dilated, and her hands are trembling. These signs and symptoms may be associated with:
Answer:
Alcohol withdrawal
Question:
Which source provides the most detailed information related to hazardous materials?
Answer:
Material Safety Data Sheets
Question:
A 2-year-old male is found chewing on berries from a lily of the valley plant. Predict his vital signs.
Answer:
BP 70/50 P 70 bpm
Question:
A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP 86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you anticipate.
Answer:
Seizures
Question:
The family of a 72-year-old male is worried about their father. His blood glucose is 80 mg/dL (4.4 mmol/L). His rate and depth of breathing are increased, and he is sleepy and weak. He take metformin (Glucophage). You suspect his signs and symptoms may be related to:
Answer:
Lactic acidosis
Question:
A farmer was spraying his barn when he became ill. His heart rate is 60 bpm, and his blood pressure is 88/50 mm Hg. Tears are streaming down his cheeks, and he is vomiting. What toxidrome does this clinical picture fit?
Answer:
Cholinergic
Question:
Which of the following biological warfare agents causes serious neurologic symptoms that may include paralysis?
Answer:
botulism
Question:
Answer:
OSHA
Question:
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
Question:
Which of the following is an occupational exposure incident?
Answer:
Blood sprays in your face when a child with a face laceration sneezes
Question:
Antibodies that are produced from lymphocytes are known as what kind of immunity?
Answer:
Humoral
Question:
Hepatitis A (HAV) is transmitted by which route?
Answer:
Oral-fecal
Question:
The best measures you can take to reduce your risk of acquiring hepatitis C from an occupations exposure is to:
Answer:
Use standard precautions
Question:
Which sign or symptom can help diagnose headache from meningococcal meningitis?
Answer:
Petechial rash
Question:
A patient infected with which disease should be assessed for pneumonia, encephalitis, and myocarditis?
Answer:
Rubeola
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:
Answer:
Appendix
Question:
A 43-year-old male with diffuse abdominal pain and vomiting has a yellowish discoloration of his sclera. This indicates he has excess serum:
Answer:
Bilirubin
Question:
A 42-year-old male complains of a gnawing, sever pain in the epigastric area that radiates to his back. His vital signs are T 102*F, BP 94/68, P 128, R 24. Your highest priority intervention would be to administer:
Answer:
Normal saline, 250 mL bolus
Question:
A 22-year-old patient at a restaurant is complaining of abdominal pain and diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP 98/50, P 124, R 24. Which finding in her SAMPLER history is most likely to guide your differential diagnosis for this patient?
Answer:
Illness began about 10 minutes after eating
Question:
A 45-year-old female complains of right upper quadrant abdominal pain. To help confirm your differential if you suspect cholecystitis you should:
Answer:
Ask her to take a deep breath as you press upward into her right upper quadrant
Question:
An 18-year-old, 35-kg female is vomiting copious amounts of bright red blood. The most likely diagnosis would be:
Answer:
Mallory-Weiss syndrome
Question:
An 88-year-old female complains of nausea, vomiting, and constipation. Her abdomen is tender to palpation and appears distended. Her lungs are clear, and her vital signs are: BP 104/76, P 120, R 20. An appropriate action would be to:
Answer:
Infuse normal saline at 250 mL/h.
Question:
