Amls Exam Questions and Answers

which of the following items would help differentiate the patient in diabetic ketoacidosis from hyperosmolar hyperglycemic nonketotic coma - ANSWER Deka presence with kussmaul respirations while HH NC does not you are ...

which of the following items would help differentiate the patient in diabetic ketoacidosis from hyperosmolar hyperglycemic nonketotic coma - ANSWER Deka presence with kussmaul respirations while HH NC does not you are assessing a 74 year old confused female patient in respiratory distress your primary survey indicates a patent Airway labored respirations and strong radio pulses the skin is warm and diaphoretic with a capillary refill time less than 2 seconds her vital signs are post 108 blood pressure 110 over 62 and respirations 3203 leyshon of the lungs reveals rales and rhonchi in the left lower lobe which of the following is the most likely cause of respiratory distress - ANSWER pneumonia Health Care Providers are responding to a possible drowning at a local Lake the patient is experiencing controllable shivering and complains of nausea and weakness the patient has been treading water for 25 minutes and now presents with tachycardia and Rapid respirations core body temperature is 93.2 which diagnosis is most likely - ANSWER mild hypothermia a 22 year old female presents with a headache and has been that has been present for 2 days on assessing the patient you note fever diaphoresis and nausea accompanied by next if sniffed if you suspect - ANSWER meningitis of the following statements was it which is true concerning the treatment of chest pain - ANSWER chest bench be treated as a serious condition until proven otherwise you are called to an apartment for chest pain patient on arrival a 52 year old male states that he is now pain-free which of the following would lead you to suspect the presence of angina instead of an acute myocardial infraction - ANSWER the pain was alleviated by rest and nitroglycerin I 56 year old man complains of abdominal pain and diarrhea for 7 days but refuses transport to a local hospital on the basis of the patient's history your best advice for the patient will be - ANSWER accept medical treatment as diarrhea can alter electrolyte balances 46 year old male patient complains of steady dull pain in the right upper quadrant and similar pain in the right shoulder the patient denies any recent trauma you suspect - ANSWER the shoulder pain is referred from the spleen true regarding oxygen Administration - ANSWER nonrebreathing face mask with reservoirs deliver a hundred percent oxygen you're right on the scene of a 21 year old female who has had a seizure and find the patient laying on the bed the patient responds to painful stimuli with a moan and exhibit snoring respiration's family members join you that and inform you that it is the only medical problem has a history of seizures that he only had one today the blood glucose levels 94 the patience to currents that is would be described as - ANSWER postictal the patient presents with a history of headache weight loss chest discomfort night sweats and a persistent blood-tinged call for several weeks which infectious disease is most likely - ANSWER tuberculosis you're presented with a patient complaining of bilateral upper quadrant abdominal pain for their assessment reveals a distant adapt men Global bruising and jaundice to the sclera you would suspect which of the following - ANSWER liver failure signs and symptoms are indicators of neurological dysfunction - ANSWER dysarthria a 62 year old male with a history of emphysema States a sudden onset of respiratory distress accompanied by pleuritic chest pain he appears this apneic with a respiratory rate of 26 his skin is warm and non diaphoretic on osculation you not the breath sounds are diminished on the right side - ANSWER pneumothorax an elderly female takes aspirin daily as prescribed for coronary artery disease she states the president of a gradually worsening headache over the past two weeks additionally she cites intermittent problems and walking and speaking both new to her during the history she states she fell in charge 3 weeks ago and hit her head the hospital stated that she had no injuries she exhibits an immediate life threats you would suspect which of the following - ANSWER subdural hematoma which of the following is the most clinically significant difference between a simple pneumothorax and a tension pneumothorax - ANSWER signs and symptoms of shock a 63 year old male with a cardiac history presents with lethargy and confusion the patient states he has chest pains and feels sweaty his vital signs are Post 40 blood pressure is 84 over palp respiratory 28 and labored auscultation of the lungs Orville's crackles in the lower lobes which of the following conditions is most likely responsible for the patients confusion - ANSWER cardiac conditions which of the following describes the overriding goal in the formation of differential diagnosis for abdominal pain - ANSWER differentiate acute life threats from non-life threads you suspect that a weak confused patient is suffering from undiagnosed diabetes which of the following signs and symptoms would best serve to confirm your suspicions - ANSWER increased thirst and urination you are assisting your LS partner with a patient presenting with a diagnosed Hemorrhage of the large intestine it you are providing oxygen and IV fluids the patient presents with the following vitals Post 104 BP 106 / 62 respiratory 20 which of the following would best indicate that your management of the patient is effective - ANSWER decreasing pulse rate to 76 beats per minute you're transporting a 24 year old female who is complaining of a sharp chest pain that had a sudden onset she has rapid respirations and tachycardic she has a history of an emergency appendectomy 3 days ago which of the following would you most expect - ANSWER pulmonary embolism as you conduct your primary survey on an unconscious patient You observe shallow respirations at 6 a minute you should immediately do which of the following - ANSWER administer positive pressure ventilation with a bag valve mask the most objective way to form of field impression when the patient is unconscious and there is no one to provide information is to - ANSWER evaluate the scene using visual and tactile observations your initial assessment of an unconscious 70 year old man patient reveals an abnormal respiratory pattern the breathing pattern is Crescendo decrescendo apnea and it repeats itself this unusual respiratory pattern may indicate which of the following - ANSWER neurologic when palpating the abdomen a patient with abdominal pain States tenderness when you press on the left lower quadrant which of the following conditions may be responsible for the abdominal pain and tenderness - ANSWER diverticulitis which of the following the following is the least cause of seizures - ANSWER chronic obstructive pulmonary disease a 62 year old man complains of an acute onset of tearing pain between the shoulder blades the patient denies any shortness of breath and appears anxious until he takes medication for hypertension which of the following conditions is most likely to cause this - ANSWER aortic dissection a patient with abdominal pain vomiting substance that looks like coffee grounds of the following conditions which one is most likely - ANSWER slow bleed in the stomach patients who suffer from asthma typical describe their breathing difficulty as - ANSWER a feeling of tightness in the chest which of the following might suggest your unconscious patient is experiencing increased pressure within the brain - ANSWER non purposeful posturing flexion or extension a patient with insulin dependent diabetes has suffered a rapid deterioration of his level of Consciousness your strongest suspicion would be - ANSWER hypoglycemia a 54 year old male presents confused with Family reporting a one-week history of vomiting and diarrhea with little dietary or fluid and take your initial assessment reveals week rapid peripheral pulses the school the skin is cool and non diaphoretic was delayed capillary refill the post office Reed not 90% on room air you should suspect which of the following - ANSWER hypovolemic shock which of the following signs would help confirm the suspicions of cardiogenic shock in a patient with myocardial infraction - ANSWER crackles rales When approaching an actively seizing patient what you should do first - ANSWER clear the air furniture and objects what is the most important question to ask when a patient complains of neurological defects - ANSWER when did this begin your evaluating a very confused 36 year old male who has been participating in a marathon on a hot and humid day is going is hot and dry his vitals are post 126 BP 110 over 70 respiratory 40 you should suspect that the patient is suffering - ANSWER heat stroke you are assessing a 59 year old male who is vomiting bright red blood the patient denies shortness of breath and has distended abdomen which of the following differentials would explain the patience current condition - ANSWER increase portal pressure causing leaking esophageal varices Oregon phosphate poisoning presents with which signs and symptoms - ANSWER salivation and incontinence of urine and stool Define us to Poria 72 year old female and obvious respiratory distress the primary survey reveals a patient Airway patent Airway labored respirations and weak poses the skin is cool and diaphoretic the calculator Rafael time is significant delayed vital signs are post 138 blood pressure 60 over palp respiratory 32 with bilateral crackles the patient is suffering from what type of shot - ANSWER cardiogenic an age-related change that increase the risk of respiratory compromise is - ANSWER decrease in lung compliance after the primary survey what assessment component should follow the unresponsive medical patient - ANSWER Baseline vitals female patient is an anaphylactic shock the patient has audible upper Airway noises wheezing in sinuses with a decreasing level of Consciousness the appropriate immediate course of action is - ANSWER prepare to assist with animations you're responding to a call for knowledge and vomiting which of the following is true - ANSWER vomiting is an indication of an underlying optimality a cool clammy patient complains of burning epigastric pain that summly becomes a knife like in his rapidly worsening which of the following conditions is most likely the cause - ANSWER perforated ulcer anaphylaxis is most associated with which physiological vent - ANSWER vasodilation while ministering ventilations with a bag valve mask to a patient breathing 6 times a minute which of the following would help to minimize gastric distention - ANSWER measuring ventilation is just until the chest Rises a patient complains of nausea and is passing black stools rectally this patient is most likely suffering from - ANSWER upper GI bleed you respond for a report of an impetus phetamine overdose your patient is most likely to present with - ANSWER rapid pulse the most common underlying medical conditions found in patients with acute pancreatitis is - ANSWER gallstones and heavy alcohol use a female patient complaining of three day history of left lower abdominal pain describes it as sharp during the focus physical exam the pain intensifies during probation over the site differential should include - ANSWER atopic p