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AMLS Pretest Exam | Questions & Answers -
(All Correct) Latest 2025/ 2026 Update |
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Question:
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 102.3F (39C). The healthcare provider should observe for which complication?
Answer:
Seizure
Question:
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?
Answer:
Supplemental oxygen and suction
Question:
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition?
Answer:
Pulmonary embolism
Question:
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
Answer:
Breakdown of fluid between the alveolar-capillary membrane
Question:
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?
Answer:
Ludwig's angina
Question:
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?
Answer:
Obstructive
Question:
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
Answer:
Increase in preload, afterload and re-absorption of sodium
Question:
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 weight loss. Lab results indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected?
Answer:
Adrenal insufficiency
Question:
Which condition should the healthcare provider consider to usually be a non- emergent, non-life threatening illness?
Answer:
Thoracic outlet syndrome
Question:
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in which ECG leads?
Answer:
II, III, aVF
Question:
Which is a high-risk factor for intracerebral hemorrhage?
Answer:
Cocaine drug abuse
An autoimmune disease which produces antibodies that mimic the role of TSH and cause an increase in thyroid hormones is:
Answer:
Grave's disease
Question:
Glucagon may not be effective treatment for a patient with hypoglycemia if they also have which underlying illness?
Answer:
Alcoholism
Question:
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?
Answer:
Hyponatremia
Question:
What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia?
Answer:
Peaked T waves
Question:
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 most likely?
Answer:
Acute pancreatitis
Question:
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 144/88, SpO2 90%, and T 102°F (38.8°C). What treatment should be performed?
Answer:
Supplemental Oxygen and immediate transport
Question:
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?
Answer:
Tuberculosis
Question:
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?
Answer:
Anticholinergic
Question:
Organophosphate poisoning will present with which signs and symptoms?
Answer:
Salivation and incontinence of urine and liquid stool
Question:
What medication classification should be administered to an uncooperative, agitated patient?
Answer:
Benzodiazepine
Question:
A patient presents with mildly decreased mental status, slow respirations, bradycardia, hypotension, has a blood sugar of 42mg/dl (2.3 mmolL). This is most likely caused from excessive ingestion of:
Answer:
Beta blockers
Question:
The patient complains of a deep burning discomfort diffusely throughout the epigastrium. This is an example of which type of pain?
Answer:
Visceral
Question:
A patient describes an "aching" sensation in his chest. It occurred suddenly while resting and radiates to the jaw. He self administered 1 nitroglycerin tablet without relief and the 12 lead reveals a normal sinus rhythm with ST elevation in leads II, III, and aVF. What working diagnosis is most likely?
Answer:
Inferior wall myocardial injury
Question:
Healthcare providers are managing a patient presenting with substernal chest discomfort. They describe the pain as "pressure-like" and it radiates to the jaw and left arm. The discomfort subsides with rest, oxygen and administration of nitroglycerin. What is the most likely working diagnosis?
Answer:
Angina pectoris
Question:
Which infectious disease must have oxygen present to survive? Tuberculosis
Answer:
Question:
Which best practices help to prevent the spread of infectious disease?
Answer:
Handwashing before and after all patient contact and standard precautions
Question:
Continuous positive airway pressure would be most appropriate in treating which patient?
Answer:
22 year old with severe asthma and not responding to nebulizer treatments
Question:
A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol poisoning has occurred?
Answer:
Question:
The determination of a working diagnosis is dependent on the provider's assessment, critical thinking and ____________________ __________________________ skills.
Answer:
Pattern recognition
Question:
When performing a patient assessment, what information provides the most essential information in determining a working diagnosis?
Answer:
Medical history
Question:
Clinical reasoning requires the healthcare provider to:
Answer:
Process relevant information, filter out irrelevant information
Question:
According to the AMLS Assessment Pathway, determining whether a patient is "Sick or Not Sick" is initially done which component of the assessment process?
Answer:
First impression
Question:
Select an example of a communication barrier that impairs an efficient and thorough assessment process.
Answer:
The patient can't find his hearing aid
Question:
Healthcare providers are treating an unresponsive patient who overdosed on lorazepam. What intervention should be initiated?
Answer:
Airway support
