Emergency Medicine
1. A 21 year-old woman presents to the 5. What is the most frequent type of
Emergency Department after being abdominal trauma?
kicked during a varsity soccer game. She a) Penetrating trauma
has tenderness in the malleolar zone and b) Blunt trauma
has localized tenderness at the anterior c) Visceral trauma
tip of the lateral malleolus. She is able to
weight bare in the ED. The emergency
physician should: 6. A 28 year-old female presents to the ED
a) Order an ankle CT with right lower quadrant pain. She vitally
b) Order an ankle x-ray stable and is not peritonitic. Her bHCG is
c) Provide supportive care and 2183 and U/S shows a 0.9x1.2x1.1 cm
suggest follow up with her family adnexal mass. What is the best course of
physician management?
d) Place the leg in a plaster cast a) Laparoscopic salpingostomy
b) Laparoscopic salpingectomy
2. Tension pneumothorax is best diagnosed c) Methotrexate IM
with: d) Fluid management and follow up in
a) Stat CT scan early pregnancy program
b) Chest x-ray
c) Watch and wait 7. Which of the following is not part of the
d) Clinical exam Cushing’s triad, seen in response to
e) None of the above increased intracranial pressure?
a) Elevated blood pressure
3. A patient presents with decreased level of b) Irregular breathing
consciousness. On exam he has pinpoint c) Bradycardia
pupils and is unresponsive. Which of the d) Fever
following is NOT a likely etiology?
a) Cerebellar infarct 8. A 75 year-old male comes in with mild
b) TCA overdose aphasia, facial palsy, and left arm and leg
c) Morphine overdose weakness. You are worried about a
d) Pons hemorrhage stroke. Which of the following image
e) Ethanol overdose modalities should you get first?
a) Non-contrast brain CT
4. A 41 year-old male alcoholic is brought b) Brain MRI
into the ED by ambulance. He has been c) Carotid doppler
seizing for approximately 20 minutes. d) Brain CT with contrast
Appropriate actions in the next 5 minutes
may include all of the following EXCEPT:
a) Endotracheal intubation, if unable to
stop the seizure rapidly
b) Administration of IV anticonvulsants
c) Performing a complete set of vital
signs
d) Ordering a stat EEG
1. A 21 year-old woman presents to the 5. What is the most frequent type of
Emergency Department after being abdominal trauma?
kicked during a varsity soccer game. She a) Penetrating trauma
has tenderness in the malleolar zone and b) Blunt trauma
has localized tenderness at the anterior c) Visceral trauma
tip of the lateral malleolus. She is able to
weight bare in the ED. The emergency
physician should: 6. A 28 year-old female presents to the ED
a) Order an ankle CT with right lower quadrant pain. She vitally
b) Order an ankle x-ray stable and is not peritonitic. Her bHCG is
c) Provide supportive care and 2183 and U/S shows a 0.9x1.2x1.1 cm
suggest follow up with her family adnexal mass. What is the best course of
physician management?
d) Place the leg in a plaster cast a) Laparoscopic salpingostomy
b) Laparoscopic salpingectomy
2. Tension pneumothorax is best diagnosed c) Methotrexate IM
with: d) Fluid management and follow up in
a) Stat CT scan early pregnancy program
b) Chest x-ray
c) Watch and wait 7. Which of the following is not part of the
d) Clinical exam Cushing’s triad, seen in response to
e) None of the above increased intracranial pressure?
a) Elevated blood pressure
3. A patient presents with decreased level of b) Irregular breathing
consciousness. On exam he has pinpoint c) Bradycardia
pupils and is unresponsive. Which of the d) Fever
following is NOT a likely etiology?
a) Cerebellar infarct 8. A 75 year-old male comes in with mild
b) TCA overdose aphasia, facial palsy, and left arm and leg
c) Morphine overdose weakness. You are worried about a
d) Pons hemorrhage stroke. Which of the following image
e) Ethanol overdose modalities should you get first?
a) Non-contrast brain CT
4. A 41 year-old male alcoholic is brought b) Brain MRI
into the ED by ambulance. He has been c) Carotid doppler
seizing for approximately 20 minutes. d) Brain CT with contrast
Appropriate actions in the next 5 minutes
may include all of the following EXCEPT:
a) Endotracheal intubation, if unable to
stop the seizure rapidly
b) Administration of IV anticonvulsants
c) Performing a complete set of vital
signs
d) Ordering a stat EEG
