Advanced Medical Life Support Practice Exam 2025 – Complete Study Guide

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What should be expected in a patient displaying sudden onset of nausea and altered vital signs after significant physical exertion?

Dehydration

Heat stroke

In the context of a patient experiencing sudden nausea and altered vital signs following significant physical exertion, heat stroke is a likely consideration. Heat-related illnesses, including heat stroke, can present with nausea, confusion, and changes in vital signs due to the body's inability to regulate temperature effectively during strenuous activity, particularly in hot and humid environments.

Heat stroke specifically occurs when the body's core temperature rises to dangerous levels, leading to neurological dysfunction that manifests as altered mental status, nausea, and potentially even loss of consciousness. Given that this is following significant exertion, the relationship between high levels of physical activity and the body’s thermoregulation failure emphasizes how heat stroke can escalate quickly in such scenarios.

While dehydration can also lead to nausea and altered vital signs, the specific symptoms and context suggest a more severe condition may be present. Cyanide toxicity generally does not correlate with the given symptoms in such a straightforward manner after physical exertion, as its clinical presentation would include other signs such as respiratory distress or altered oxygenation. Hypoglycemia, although possibly causing nausea and confusion, would not typically present as dramatically post-exertion unless it was a severe episode, which is less common than heat-related illnesses in active individuals under physical stress.

In summary, the combination of

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Cyanide toxicity

Hypoglycemia

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