EMERGENCY MEDICINE EOR EXAM 2025 WITH 100% ACCURATE ANSWERS
What are the structural causes of abnormal uterine bleeding (non pregnant)? - (ANSWER)PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine bleeding (non-pregnant)? - (ANSWER)COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
Sepsis criteria - (ANSWER)
Management of sepsis - (ANSWER)Within *3 hours* of presentation:
Measure lactate
Obtain blood cultures
Bolus 30 mL/kg crystalloid for hypotension of lactate≥4 mmol/L
Within *6 hours* of presentation:
If persistent hypotension (mean arterial pressure≤65 mm Hg) despite adequate volume resuscitation,
consider addition of vasopressors
,EMERGENCY MEDICINE EOR EXAM 2025 WITH 100% ACCURATE ANSWERS
Frequently re-assess volume status and tissue perfusion for those with persistent hypotension and/or
initial lactate≥4 mmol/L
Normalization of lactate
What are the contraindications to administering tpa < 3 hours of stroke? - (ANSWER)
What is the presentation of a ruptured ovarian cyst? - (ANSWER)Can be asymptomatic or
sudden onset of unilateral sharp, focal, moderate-severe lower quadrant pain
Onset after physical activity or sexual intercourse, mid-menstrual cycle
Usually R ovary
Bleeding is less common
What is the presentation of an ectopic pregnancy? - (ANSWER)Acute pelvic pain with vaginal bleeding
(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? - (ANSWER)Patient education (avoid triggers, nature of condition,
rationale for treatment)
- Change head posture, sleeping position, and parafunctional oral behaviors
Physical therapy
Occlusional splints
Brief course of NSAIDs, TCAs, muscle relaxants
Long-acting benzos at night
In an adult patient with more than a clean, minor wound who has not received at least 3 tetanus toxoid
vaccinations, what should they receive? - (ANSWER)Tdap and Tetanus Ig
, EMERGENCY MEDICINE EOR EXAM 2025 WITH 100% ACCURATE ANSWERS
In an adult patient with more than a clean, minor wound who has received at least 3 tetanus toxoid
vaccinations, but their latest dose has been > 5 years ago, what should they receive? - (ANSWER)Tdap
only
What is the purpose of cricoid pressure during rapid sequence intubation? - (ANSWER)To prevent the
regurgitation of gastric contents.
When a patient has a laceration through the eyebrow, should you debride or shave the area? -
(ANSWER)No. Conserve as much viable tissue as possible.
What are signs and symptoms of salicylate toxicity (ASA)? - (ANSWER)Early (1-2 hours): tinnitus, vertigo,
nausea, vomiting, and diarrhea and hyperpnea (hyperventilation and tachypnea) resulting in respiratory
alkalosis
Later: altered mental status (ranging from agitation to lethargy), hyperpyrexia, tachycardia, noncardiac
pulmonary edema, and coma
What is hyphema? - (ANSWER)Grossly visible blood in the anterior chamber of the eye.
More commonly presents with with vision loss, eye pain, N/V
May present with photophobia, anisocoria, elevated IOP, corneal blood staining
History of blunt trauma the eye
How do you manage traumatic hyphema? - (ANSWER)Prompt evaluation by ophthalmologist
Place eye shield and remove to examine
Elevated pt's head 30 degrees, bed rest and dim lighting
Once ruptured globe is excluded:
- Topical pain relief with proparacaine or tetracaine drops
- Use cycloplegics such as cyclopentolate
- Topical glucocorticoid drops to decrease risk of rebleeding
5% of patients with traumatic hyphema require surgery
What are the structural causes of abnormal uterine bleeding (non pregnant)? - (ANSWER)PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine bleeding (non-pregnant)? - (ANSWER)COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
Sepsis criteria - (ANSWER)
Management of sepsis - (ANSWER)Within *3 hours* of presentation:
Measure lactate
Obtain blood cultures
Bolus 30 mL/kg crystalloid for hypotension of lactate≥4 mmol/L
Within *6 hours* of presentation:
If persistent hypotension (mean arterial pressure≤65 mm Hg) despite adequate volume resuscitation,
consider addition of vasopressors
,EMERGENCY MEDICINE EOR EXAM 2025 WITH 100% ACCURATE ANSWERS
Frequently re-assess volume status and tissue perfusion for those with persistent hypotension and/or
initial lactate≥4 mmol/L
Normalization of lactate
What are the contraindications to administering tpa < 3 hours of stroke? - (ANSWER)
What is the presentation of a ruptured ovarian cyst? - (ANSWER)Can be asymptomatic or
sudden onset of unilateral sharp, focal, moderate-severe lower quadrant pain
Onset after physical activity or sexual intercourse, mid-menstrual cycle
Usually R ovary
Bleeding is less common
What is the presentation of an ectopic pregnancy? - (ANSWER)Acute pelvic pain with vaginal bleeding
(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? - (ANSWER)Patient education (avoid triggers, nature of condition,
rationale for treatment)
- Change head posture, sleeping position, and parafunctional oral behaviors
Physical therapy
Occlusional splints
Brief course of NSAIDs, TCAs, muscle relaxants
Long-acting benzos at night
In an adult patient with more than a clean, minor wound who has not received at least 3 tetanus toxoid
vaccinations, what should they receive? - (ANSWER)Tdap and Tetanus Ig
, EMERGENCY MEDICINE EOR EXAM 2025 WITH 100% ACCURATE ANSWERS
In an adult patient with more than a clean, minor wound who has received at least 3 tetanus toxoid
vaccinations, but their latest dose has been > 5 years ago, what should they receive? - (ANSWER)Tdap
only
What is the purpose of cricoid pressure during rapid sequence intubation? - (ANSWER)To prevent the
regurgitation of gastric contents.
When a patient has a laceration through the eyebrow, should you debride or shave the area? -
(ANSWER)No. Conserve as much viable tissue as possible.
What are signs and symptoms of salicylate toxicity (ASA)? - (ANSWER)Early (1-2 hours): tinnitus, vertigo,
nausea, vomiting, and diarrhea and hyperpnea (hyperventilation and tachypnea) resulting in respiratory
alkalosis
Later: altered mental status (ranging from agitation to lethargy), hyperpyrexia, tachycardia, noncardiac
pulmonary edema, and coma
What is hyphema? - (ANSWER)Grossly visible blood in the anterior chamber of the eye.
More commonly presents with with vision loss, eye pain, N/V
May present with photophobia, anisocoria, elevated IOP, corneal blood staining
History of blunt trauma the eye
How do you manage traumatic hyphema? - (ANSWER)Prompt evaluation by ophthalmologist
Place eye shield and remove to examine
Elevated pt's head 30 degrees, bed rest and dim lighting
Once ruptured globe is excluded:
- Topical pain relief with proparacaine or tetracaine drops
- Use cycloplegics such as cyclopentolate
- Topical glucocorticoid drops to decrease risk of rebleeding
5% of patients with traumatic hyphema require surgery
