AMLS POST TEST (3 LATEST VERSIONS )2023-2024 REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS /ADVANCED MEDICAL LIFE SUPPORT, AMLS PRETEST EXAM(AGRADE)

      AMLS POST TEST (3 LATEST VERSIONS )2023-2024
      REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS
      /ADVANCED MEDICAL LIFE SUPPORT, AMLS PRETEST
      EXAM(AGRADE)
      VERSION A
      What condition is most likely to cause respiratory acidosis? - ANSWER- In larger
      doses narcotics induce respiratory depression and eventually respiratory arrest.
      AMLS Page 95
      A 65-year-old female complains of chest pain that feels like "aching" in her chest.
      It has become progressively worse over several days. Her temperature is 38.3
      degrees C (100 F). Which finding will help narrow your differential diagnosis to
      pericarditis? - ANSWER- 12 lead ECG will demonstrate global ST-segment
      elevation in almost every lead. AMLS Page 128
      During compensatory shock, the renin-angiotensin-aldosterone system is activated
      to cause a/an: - ANSWER- This selective perfusion occurs during the ischemic
      phase of shock. AMLS Page 146 (To stop kidneys from excreting fluid and
      keeping it in the vasculature, therefore increasing BP)
      lntrabdominal bleeds, like pancreatitis, often present with discoloration or bruising
      around the umbilicus. This physical exam finding is known as: - ANSWERCullen's sign is a blue discoloration around the umbilicus. AMLS Page 235
      What clinical findings are most commonly associated with a pulmonary embolus? -
      ANSWER- Clear breath sounds with tachypnea.
      Signs and Symptoms AMLS Page 113
      A 50 year old female has called 911. She complains of shortness of breath and
      chest. discomfort. Assessment reveals her skin
      is pale, moist and cool. BP is 102/68, R 24, labored with crackles, P of 130 and
      regular. Which type of shock is most likely occurring? - ANSWER- The patient's

      respiratory rate is increased, and crackles caused by pulmonary edema can be
      heard on auscultation.
      Cardiogenic Shock Signs and Symptoms.
      AMLS Page 164
      Patients with a history of COPD that present with an acute onset of shortness of
      breath are likely to have which condition? - ANSWER- Elements of patient history
      that suggest PE include acute onset of shortness of breath. AMLS Page 114
      An elderly patient with a 1 week history of productive cough and wheezing notices
      an increase in difficulty in breathing when grocery shopping. Further assessment
      reveals pursed lip breathing, rhonchi, and minimal jugular vein distention. Which
      diagnosis should the healthcare provider suspect? - ANSWER- Signs and
      Symptoms of COPD. AMLS Page 85
      A 45 year old patient is found supine on the floor. Healthcare providers note
      pinpoint pupils, shallow respirations and vomitus in and around the mouth. What
      course of action should be implemented next? - ANSWER- This is self explanatory
      (Suction Airway)
      A 20 year old female presents with a 2-day history of dyspnea, non-productive
      cough, chest tightness audible wheezing. Further exam reveals no fever or strider.
      The patient has rapid respirations with difficulty exhaling. Which diagnosis is most
      likely? - ANSWER- These are textbook signs of asthma
      Signs and Symptoms.AMLS Page 83
      Anaphylaxis is most associated with which physiological event? - ANSWER- The
      cutaneous reaction may be observed as flushed, warm skin resulting from
      vasodilation and uticarea. AMLS Page 162
      An elderly patient is receiving care at home while recuperating from recent knee
      surgery. She developed post a operative infection and has been on antibiotics for
      quite sometime. She is complaining of foul smelling diarrhea, and abdominal
      cramping and loss of appetite. Based on this presentation, the provider should
      suspect? - ANSWER- Signs and Symptoms
      Patients with this illness have diarrhea that is not bloody but has a characteristic
      foul odor. Abdominal pain and cramping are present in about 22% of patients.
      AMLS Page 319 (C-DIFF)

      Acute Respiratory Distress Syndrome (ARDS) is characterized by what
      pathological change? - ANSWER- Pathophysiology AMLS Page 88 (Caused by
      diffuse damage to the alveoli, perhaps as a result of shock, aspiration of gastric
      contents, pulmonary edema or hypoxic event. Begins with a breakdown of the
      alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gas
      exchange in the lungs.
      Healthcare providers are responding to a near-drowning at a local lake. The patient
      is experiencing uncontrollable shivering and complains of nausea and weakness.
      The patient had been treading water for 25 minutes and now presents with
      tachycardia and rapid respirations. Core body temperature is 93.2°F (34°C). Which
      diagnosis is most likely? - ANSWER- 89.6F - 95.0F (Mild Hypothermia)
      AMLS Page 338
      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 AMLS Page 72
      A local businesswoman has returned from missionary work in South Africa. She is
      complaining of night sweats,chest
      discomfort and a persistent cough for several weeks. Which underlying diagnosis
      is most likely causing these symptoms? - ANSWER- Signs and symptoms of TB
      include persistent cough for 2-3 weeks, night sweats, headache, weight loss,
      hemoptysis, and chest pain. AMLS Page 301
      What is the initial treatment for a patient experiencing Hyperosmolar
      Hyperglycemic Non-ketotic Syndrome (HHNS)? - ANSWER- The patient may
      have significant volume depletion. Begin IV fluid resuscitation immediately. The
      initial fluid of choice is 0.9% normal saline (crystalloid solution). AMLS Page 270
      When assessing geriatric patients, infectious disease is more difficult to identify for
      all the following reasons EXCEPT - ANSWER- Older Adult Patients. AMLS Page
      325
      Your patient has had a seizure secondary to a nerve agent exposure. What
      medication would be best to diminish the seizure? - ANSWER- If seizures develop
      administer diazepam (Valium) or lorazepam (Ativan). AMLS Page 424 (Treat
      seizure before treating for the exposure to the nerve agent)


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