AMLS Exam Questions and Answers

Ludwig's angina - ANSWER Deep space infection of the anterior neck just below the mandible AMLS assessment pathway - ANSWER Assessment based algorithm to determining differential diagnosis Clinical decision making ...

Ludwig's angina - ANSWER Deep space infection of the anterior neck just below the mandible AMLS assessment pathway - ANSWER Assessment based algorithm to determining differential diagnosis Clinical decision making - ANSWER Assessment findings combined with evidence backed recommendations deciding on most appropriate treatment Aerobic metabolism - ANSWER Metabolism that can proceed only in the presence of oxygen. Anaerobic metabolism - ANSWER Metabolism that takes place in the absence of oxygen ,creating lactic aicd Acidosis - ANSWER High level of hydrogen ion in the blood Pericarditis - ANSWER Infection of the pericardium( tissue surrounding the hear) global ST elevation on EKG Lou Gehhrig's Disease (ALS) - ANSWER Degeneration of upper and lower motor neurons causes voluntary muscles to weaken or atrophy Korsakoff syndrome - ANSWER Irreversible condition involving congenitive dysfunction especially memory loss due to thiamine deficiency Wernicke's encephalopathy - ANSWER Acute confusion, ataxia and ophthalmologist caused by deficiency of thiamine and vitamin B Fulminant hepatic faliure - ANSWER When hepatitis progresses to hepatic necrosis ( anorexia, vomiting, jaundice, abdominal pain, asterixis- flopping of the skin Addison's disease - ANSWER Endocrine disease caused by deficiency of corticosteroid hormones produced by the adrenal gland ( nausea, vomiting, abdominal pain and tanning of skin) Thyroid storm - ANSWER Hyperfunction of thyroid gland ( fever, AMS, GI dysfuntion) Myxedema - ANSWER severe hypothyroidism associated with cold intolerance, weight gain and declining mental status, dry yellow skin Psoa's sign - ANSWER A 45 year old male complains of severe epigastric pain radiating to his back. He has vomited several times. His history is significant for alcohol abuse and hypertension. You suspect and inflammatory condition of a gastric accessory or gain. To confirm your differential on physical exam you should assess for Dry yellow skin - ANSWER Which assessment findings should you anticipate in a patient who has myxedema? Abnormal gaze - ANSWER 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 20. He has a steady stare up toward his right ear. Which sign or symptom makes you consider inter er all hemorrhage more strongly than migraine headache as a cause of his emergency. Apendix - ANSWER Your patient is complaining of a cramping pain around her umbilical area that wont let up. This is most suggestive aof a disease involving Amilytriptyline - ANSWER Your patient is reported to have taken an overdose. She has a history of anxiety disorder and depression. She is unresponsive, and vital signs are BP 110/70 p 125, R 20 per minute. Her ecg shows a right bundle branch block. You suspect she has taken Alcohol withdrawal - ANSWER Your patient is agitagted and sweaty. Her vitals sighs are bp 107/78 o 132 and R 20 per minute. Her pupils are dilated and her hands are trembling. These signs and symptoms are most likely associated with Hypoparathyroidism - ANSWER Your patient complains of discomfonrt in his hand as you inflate the cuff to assess the blood pressure. you not flexion of the wrist and addiction of his fingers. What endocrine disorder should you suspect? Widespread inflammatory response - ANSWER The primary mechanism for septic should know is Rubeola - ANSWER A patient infected with which disease should be assessed for pneumonia, encephalitis and myocarditis. Cholinergic - ANSWER A farmer was spraying his barn when he became ill. His heart rate is 60 BPM and his blood pressure is 88/50. Tears are streaming down his face and he is vomiting. What toxidorme does this clinical procedure fit Lactic acid - ANSWER The family of a 72 year old male is worried about their father. His blood pressure is 8-. His rate and depth of breathing are increased and he is sleepily and weak. He takes metformin. Yours should suspect his signs and symptoms to be related to Infuse normal salinity at 250 ml/h - ANSWER A 88 year old female complains of nausea, vomiting and constipation. Her abdomen is tender to palpation and appears distended. her lungs are clear and vitals are bp 104/ 76 p 120 r 20 what is the most appropriate action Pulmonary embolism - ANSWER An 82 year old famle complains of chest heavy ness. She has sinus tachycardia. Her vitals are bp 108/72 equal in both arms, p 98, R 20. Her breath sounds are clear in all fields. Aside from an MI what should you suspect her chest pain could be related to Left heart failure - ANSWER A 73 year old male awakens sudddenly at 0200 complaining of dyspnea. You find him in the tripod positon. Crackles are audible around his scapulae. He has a history of hypertension. You suspect his symptoms are related to Did he fall or his his head recently - ANSWER 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 alzhiemsers disease. Home medicines include Lipitor and exelon. Which of the following questions would help narrow your differential diagnosis. ST segment elevation in every lead - ANSWER A 65 year old female complains of chest pain that feels achy. It has become progression worse over several days her temperature is 101F . Which finding would help narrow your differential diagnosis to pericarditis? Lorazepam 2mg IV - ANSWER A 40 year old male has chest pain reported as an elephant sitting on my chest. He confides in you that he snorted cocaine 5 minutes before his pain began. Your should first administer Pulse pressure 32 mmHg - ANSWER A 25 year old woman was involved in a MVC. Her initial vitals were 122/80, P128 and R 20. What are the following signs on repeat assessment would indicate that she is developing shock? Proprioception - ANSWER A 25 year old helmeted female was thrown from a horse. She is complaining of weakness in her upper exerimities. You ask her to close her eyes and identify whether you are moving her thumb up or down. She is unable to do so. This indicates she does not have a normal. Mallory Weiss Syndrome - ANSWER An 18 year old 35 kg female is vomitting copious amounts of bright red blood. the most likely diagnosis would be BP 70/50 P70 - ANSWER A 2 year old male is found chewing on berries from a illy of the valley plant. Predict his vitals Blood Glucose analysis - ANSWER An 18 year old male had a tonic clonic seizure. Co workers report no known seizure history. You can arouse him to voice. P118 R 20 BP 102/68. The diagnosisc test likely to narrow your differential diagnosis would be Boerhaaves syndrome - ANSWER A 52 year old male with a history of alcoholism complains of pleuritc chest pain. He states the pain increases when he swallows. He appears very ill and has subcutaneous emphysema around his neck. You suspect Renal arteries are involved - ANSWER A 70 year old male suspected of having a discerning aortic aneurysm has a blood pressure of 170/102 Mgm. This sign may indiciate Bilrubin - ANSWER A 43 year old male with diffuse abdominal pain and vomiting has a yellowish discoloration of his sclera. This