AMLS QUESTIONS AND ANSWERS GRADED A+

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AMLS QUESTIONS AND ANSWERS GRADED A+ Anaphylaxis is most commonly associated with which physiological event? A. Hypertension B. Vasodilation C. Bradycardia D. Hemmorrhage ✔✔Vasodilation A p... atient complains of nausea and is passing black, tarry stools. What should you suspect? A. Bowel obstruction B. Cholecystisis C. Upper GI bleeding D. Lower GI bleeding ✔✔Upper GI bleeding A 45 year old female reports a headache, vertigo, and leg cramps after exercising. Vital signs are BP 108/62, P 124, R 18, Temp 100.6, and SPo2 98%. What should you do? A. remove patients clothes B. Place ice packs in the axilla C. provide oral fluid replacements D. administer 25 g of D50 ✔✔Provide oral fluid replacement A confused 67 year old male has vomited multiple times prior to EMS arrival. He was involved in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost coordination since the crash. vital sings are BP 150/88, P 72, R 18, BGL 92 mg/dL. What should you suspect? A. Epidural Hematoma B. Subdural hematoma C. Carotid dissection D. Absence seizure ✔✔Subdural Hematoma A 44 year old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP 152/92, P 104, R 16, SpO2 98%. What is the most likely cause? A. Diverticulitis B. Crohn's disease C. Acute hepatitis D. Kidney Stones ✔✔Kidney Stones A 45 year old male complains of SOB. He has a history of alcohol abuse and present with severe ascites. Vitals are BP 142/78, P 104, R 24 with crackles. What should you suspect? A. Cholecystitis B. Gastroenteritis C. Liver failure D. Congestive heart failure ✔✔Liver Failure An alert 49 year old male complains of a headache. He has tremors in his hands and has been in the detoxification unit for 38 hours. He has a history of alcoholism. Vitals are BP 168/96, P 104, R 22. What is he most at risk for? A. MI B. Stroke C. Seizure D. Hypoglycemia ✔✔Seizure What references is the most beneficial to obtain for a suspected stroke? A. Daily aspirin dose B. PMH C. Last known well D. Last oral intake ✔✔Last known well A 22 year old male has recently undergone a surgical procedure to repair an injury to the thoracic vertebrae T1-T2. Assessment indicates the patient is an alert and oriented, bradycardia, hypotensive, and has warm dry skin. which type of shock is most likely occurring? A. Cardiogenic B. Obstructive C. Hypovolemic D. Neurogenic ✔✔Neurogenic An elderly COPD patient complains of difficulty breathing upon exertion. She has a 1 week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vitals are BP 132/70, P 88, R 20 with rhonchi. What should you suspect? A. Chronic bronchitis B. Pulmonary embolims C. Epiglottitis D. CHF ✔✔Chronic Bronchitis A 27 year old male is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statements is most helpful when treating this patient? A. please calm yourself. have you talked to your supervisor? B. Concentrate on staying calm. This is all in your imagination. Children can't hurt adults. C. Your difficulty breathing is most important. What medications do you take? D. I understand that you are concerned. Please tell me more about why you feel this way. ✔✔I understand that you are concerned. Please tell me more about why you feel this way. a 41 year old female has returned from missionary work in south africa. She reports night sweats, chest discomfort, and a persistent cough for the past several weeks. what should you suspect? A. Respiratory syncytial virus B. Mononucleosis C. Cytomegalovirus D. Tuberculosis ✔✔Tuberculosis An 18 year old male nearly drowned at a local lake after treading water for 25 mins. He is shivering uncontrollably and complains of nausea and weakness. Vital signs are BP 122/62, R 18, P 136 and his temp is 93.2. What should you suspect? A. Water intoxications B. Severe hypothermia C. Acute pulmonary edema D. Mild hypothermia ✔✔Mild hypothermia a 13 year old male has been skateboarding in temperatures of 100 and has been drinking caffeinated soft drinks. He complains of palpitations. the cardiac monitor displays narrow QRS tachycardia at a rate of 150 bpm. Vitals are BP 108/62, R 24. what should you do? A. Obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers. B. Suggest that the father drive his son to the clinic because vital signs are WNL. C. Perform vagal maneuvers and if unsuccessful, administer adenosine. D. Transport the patient by ambulance monitor closely and administer fluids en route. ✔✔Transport the patient by ambulance monitor closely and administer fluids en route. An 82 year old female complains of foul smelling diarrhea, abdominal cramping and loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? A. Escherichia Coli B. Methicillin resistant staphylococcus aureus C. Clostridium difficile D. Streptococcus pyogenes ✔✔Clostridium difficile Which of the following is a hallmark sign of tricyclic antidepressant toxicity? A. Rash B. Hyperventilation C. Dysrhythmias D. Drooling ✔✔Dysrhythmias A 26 year old male has abdominal pain. He is able to pinpoint exactly where it hurts, experiences rebound tenderness on physical exam, and guards the affected area. Which type of pain should you suspect? A. Visceral B. Referred C. Somatic D. Radiating ✔✔Somatic What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state (HHS)? A. Thiamine B. Insulin C. Dextrose D. Normal saline ✔✔Normal Saline A 20 year old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? A. Apply an ice pack and administer an opioid B. Apply a hot pack to the area and mark the affected area C. Splint the limb and administer antipyretic D. Wash the area and administer an analgesic ✔✔Wash the area and administer an analgesic What condition causes paroxysmal nocturnal dyspnea? A. Left sided heart failure B. Multiple sclerosis C. Asthma D. Pneumonia ✔✔Left sided heart failure What type of shock is caused by cardiac tamponade? A. Cardiogenic B. Neurogenic C. Hypovolemic D. Obstructive ✔✔Obstructive A 71 year old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1 to 2 word broken sentences with pursed lips. What should you suspect? A. COPD B. Pleurisy C. Costochondritis D. Pulmonary embolism ✔✔COPD What respiratory changes are common in obese patients? A. Increased minute volume B. Chronic tachypnea C. Decreased tidal volume D. Increased tidal volume ✔✔Decreased tidal volume What statement is correct regarding responding to a suspect nerve agent exposure? A. Parking downwind will ensure first responder safety B. Patients should be treated in well ventilated areas C. Nerve agents degrade immediately when exposed to sunlight D. Secondary contamination rarely occurs in nerve agent exposure ✔✔Patients should be treated in well ventilated areas A 21 year old male complains of sharp chest pain and SOB. The symptoms started when he lifted a heavy object. Vital signs are BP 152/96, P 108, R 24 and diminished on the left. What should you suspect? A. Aortic dissection B. Spontaneous pneumothorax C. Pulmonary embolism D. Pectoralis muscle tear ✔✔Spontaneous pneomothorax Metabolic acidosis is best described by which arterial blood gas results? A. pH decreased, PCo2 decreased, H2CO3 low B. pH elevated, PCo2 elevated, H2CO3 low C. pH elevated, PCo2 elevated, H2CO3 normal D. pH decreased, PCo2 elevated, H2CO3 normal ✔✔pH decreased, PCo2 decreased, H2CO3 low An alert 22 year old male complains of a "lump in his throat" and a hoarse voice after a failed suicide attempt. He unsuccessfully attempted to hang himself with a bed sheet. Vitals are BP 150/80, P 120, R 16, SPo2 88%, ETCO2 40 mmHG. What should you do? A. Assist his ventilations with a bag mask device and immobilize him to a long board B. Administer midazolam and transport him to psychiatric facility C. Administer a sedative and intubate, apply cervical collar, and transport D. Administer oxygen and transport to trauma center ✔✔Administer oxygen and transport to trauma center A 27 year old male is agitated and talks continuously. His pupils are dilated. He admits to being awake for 36 hours straight. Vitals BP 188/98, P 140, R 30. What type of overdose should you suspect? A. Bath salts B. Anticholinergic C. Heroin D. Pesticide ✔✔Bath salts A 33 year old female is threatening suicide because her partner left her. Which of the following would be an appropriate response? A. "I'm sure that there are many people in your life who want you to live" B. "What was your plan to kill yourself?" C. " I understand your feelings. I would be suicidal too" D. Talking with me will be helpful. How long have you been having problems?" ✔✔"What was your plan to kill yourself?" A 52 year old male is suffering from acute chest pain after physical exercises. He is pale, cool, and clammy. Vitals are BP 88/40, P 110, R 22, SPo2 96%. What should you do? A. Apply high flow oxygen B. Administer nitroglycerin C. Acquire a 12 lead ECG D. Request a cardiac stress test ✔✔Acquire a 12 lead ECG What finding is unique to pericarditis? A. Gallop is auscultated B. Global ST segment elevation C. Relieved when supine D. Unknown ✔✔Global ST segment elevation The renin angiotensin aldosterone system is activated during shock in order to cause which of the following? A. Vasodilation and sodium retention B. Increase in preload, afterload, and reabsorption of sodium C. Hypotension and bradycardia D. Decrease in preload, afterload, and reabsorption of sodium ✔✔Increase in preload, afterload, and reabsorption of sodium A 20 year old male college student complains of acute onset of fever, headache, vomiting, and malaise. He appears ill and has a perechial rash on his extremities. What should you suspect? A. Influenza B. Encephalitis C. Meningitis D. Acute gastroenteritis ✔✔Meningitis A 62 year old female presents with severe nausea and blurred vision that began while watching TV. She describes the headache as the worst headache she has ever had in her life. Vitals are BP 194/110, P 98, R 20. What should you suspect? A. Subarachnoid hemorrhage B. Brain abscess C. Cluster headache D. Ischemic stroke ✔✔Subarachnoid hemorrhage A 72 year old female complains of a sudden onset of a burning sensation to the left side go her forehead and blurred vision. She wants to follow up with her primary care physician tomorrow. Vitals are BP 150/70, P 80, R 16. What should you do? A. Obtain a refusal and allow her to follow up with her physician tomorrow B. Explain that she should follow up with her physician later today C. Encourage her to be transported by ambulance to the hospital D. Perform a complete neurological exam and contact her physician ✔✔Encourage her to be transported by ambulance to the hospital A 68 year old female who has a history of COPD may rely on which of the following breathing mechanics? A. An increase in the oxygen level in the blood as the stimulus to breathe B. A decrease in the oxygen level in the blood as the stimulus to breathe C. An increase in the carbon dioxide level in the blood as the stimulus to breath D. A decrease in lactic acid produced from aerobic metabolism ✔✔A decrease in the oxygen level in the blood as the stimulus to breathe An anxious 61 year old male complains of severe shortness of breath and localized chest pain with blood tinged sputum. His dyspnea started when he stood up from watching television all day and increased in severity as he moved around. Vitals are BP 104/60, P 98, R 26 and labored. What should you suspect? A. CHF B. Angina pectoris C. Angioedema D. Pulmonary embolism ✔✔Pulmonary Embolism A 30 year old female complains of acute chest tightness, SOB, and a nonproductive cough. She states this happens frequently and usually resolves after using her "inhaler." What should you suspect? A. Pulmonary embolism B. Simple pneumothorax C. Pneumonia D. Asthma ✔✔Asthma A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is warm and his muring is dark yellow and cloudy. Vitals are BP 86/68, P 128, R 24, Temp 101.2. What type of shock should you suspect? A. Obstructive B. Hypovolemic C. Cardiogenic D. Septic ✔✔Septic CPAP would be most beneficial in treating which of the following patients? ✔✔A 22 year old with severe asthma that is unresponsive to albuterol treatments BLURRY #49 POTENTIALLY Which of the following may cause respiratory alkalosis A. Vomit B. Renal failure C. Fever D. Chest wall pain ✔✔Fever #47 blurry answer is B ✔✔B # 48 blurry answer is C ✔✔C [Show More]

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