AMLS Cheat Sheet 2026
The 30 highest-yield AMLS facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.
50 questions
60 min time limit
80% to pass
- What does a GCS score of 8 or less indicate regarding airway management? → The patient likely cannot protect their airway and may need intubation
- Which electrolyte abnormality can cause a prolonged QT interval and increase the risk of Torsades de Pointes? → Hypomagnesemia
- Which medication is most commonly used for sedation during RSI prior to neuromuscular blockade? → Ketamine or etomidate
- What is the main treatment option for patients with asthma? → Inhaled corticosteroids
- Which toxidrome is characterized by miosis, bradycardia, excessive secretions, and bronchospasm? → Cholinergic toxidrome (organophosphate poisoning)
- Which vasopressor is preferred in cardiogenic shock when systolic BP is below 70 mmHg? → Norepinephrine
- Which Cincinnati Prehospital Stroke Scale finding indicates facial droop? → One side of the face does not move as well as the other side
- What is the target mean arterial pressure (MAP) in septic shock management per Surviving Sepsis guidelines? → 65 mmHg or greater
- What is the recommended tidal volume for ventilated patients to prevent ventilator-induced lung injury? → 6–8 mL/kg ideal body weight
- Which symptom cluster best describes normal pressure hydrocephalus (NPH)? → Gait disturbance, urinary incontinence, and dementia
- What is the treatment for organophosphate poisoning causing SLUDGE symptoms? → Atropine and pralidoxime (2-PAM)
- Which vasopressor is the recommended first-line agent for septic shock? → Norepinephrine
- Which finding is most suggestive of obstructive shock due to massive pulmonary embolism? → Right heart strain on ECG with hypoxia and tachycardia
- What hemodynamic profile characterizes neurogenic shock following spinal cord injury? → Hypotension with bradycardia and warm skin
- What is the LEMON law mnemonic used for in airway management? → Predicting difficult laryngoscopy and intubation
- What is the primary goal of early reperfusion therapy in STEMI management? → Restore coronary blood flow to salvage myocardium
- Which factor increases the risk of developing a pulmonary embolism? → Sedentary lifestyle
- What is the antidote for acetaminophen overdose? → N-acetylcysteine (NAC)
- What technique is recommended when performing BVM ventilation to optimize mask seal and airway patency? → Two-person technique with E-C clamp grip and jaw thrust
- What is the first step in a patient assessment? → Performing a scene size-up
- What is the significance of a serum lactate greater than 4 mmol/L in a shock patient? → Indicates severe tissue hypoperfusion and high mortality risk
- Which crystalloid is considered the preferred initial resuscitation fluid in hemorrhagic shock? → Normal saline (0.9% NaCl)
- Which finding on the AMLS primary survey is most concerning for spinal cord injury at the C3-C5 level? → Diaphragmatic breathing with loss of intercostal muscle function
- Which rhythm is most commonly the initial rhythm seen in sudden cardiac arrest due to cardiac etiology? → Ventricular fibrillation
- A conscious diabetic patient is found with a blood glucose of 52 mg/dL and mild confusion. Which is the most appropriate initial treatment? → 15-20 grams of fast-acting oral carbohydrates
- Which AMLS assessment finding is most consistent with a lesion in the brainstem? → Abnormal respiratory patterns and cranial nerve deficits
- Which ECG finding is most consistent with an acute ST-elevation myocardial infarction (STEMI) in the inferior leads? → ST elevation in leads II, III, and aVF
- A patient with chest pain has a 12-lead ECG showing new left bundle branch block. How should this be managed? → Treat as STEMI equivalent and activate cath lab
- Decerebrate posturing in a comatose patient indicates injury at which neurological level? → At or below the midbrain (diencephalon to brainstem)
- A widened QRS complex and sodium channel blockade are hallmarks of toxicity from which drug class? → Tricyclic antidepressants (TCAs)
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