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AMLS PRE TEST LATEST 2024-2025
REAL EXAM 150 QUESTIONS AND
CORRECT ANSWERS /ADVANCED
MEDICAL LIFE SUPPORT, AMLS
PRETEST EXAM(AGRADE)
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 24 year-old female presents with lower right quadrant abdominal
pain. Her skin is hot to the touch and she exhibits a Psoa Sign. She complains
of nausea and vomiting for 2 days. What diagnosis is suspected?
Answer: Appendicitis
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
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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 P 112, R22 and regular, BP 144/88, SpO2 95% and T
102.3 F. The healthcare provider should observe for which complication?
Answer: seizure
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: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:A known chronic alcoholic complains of the constant, severe mid-
epigastric pain, nausea and blood-streaked emesis. The patient has a
temperature of 101.9F and severe abdominal tenderness. What underlying
diagnosis should be suspected?
Answer: pancreatitis
Question:A lethargic patient presents with dilated pupils and vital signs of
P122, R26, and BP 130/80. He admits to excessive ingestion of
diphenhydramine. What response is the cause for the presenting signs and
symptoms?
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Answer: Anticholinergic
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. What treatment should be performed?
Answer: Supplemental oxygen and immediate transport
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:A patient experiences unilateral facial weakness and droop, garbled
speech, altered sense of taste and no extremity weakness. The patient has a
history of Lyme’s disease. What condition is the patient likely experiencing?
Answer: Bell’s palsy
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: 2