AANP Emergency and Urgent Care

Question 1

A patient presents with sudden-onset severe headache described as 'the worst headache of my life.' What must be immediately ruled out?

Accepted Answer

Subarachnoid hemorrhage

Answer

Tension headache

Answer

Migraine with aura

Answer

Cluster headache

Question 2

A patient with known COPD presents with increased dyspnea, productive cough, and wheezing. Oxygen saturation is 88%. What is the appropriate oxygen target?

Accepted Answer

Maintain SpO2 at 88–92%

Answer

Maintain SpO2 at 98–100%

Answer

Administer high-flow oxygen regardless of SpO2

Answer

Withhold oxygen to avoid CO2 retention

Question 3

A patient presents with sudden dyspnea, pleuritic chest pain, and hypoxia after a long flight. Which test is most appropriate to confirm the diagnosis?

Accepted Answer

CT pulmonary angiography (CTPA)

Answer

Chest X-ray

Answer

ECG

Answer

D-dimer alone

Question 4

A patient presents with sudden-onset unilateral weakness, facial droop, and slurred speech that resolved in 30 minutes. This presentation is most consistent with:

Accepted Answer

Transient ischemic attack (TIA)

Answer

Migraine with aura

Answer

Todd's paralysis

Answer

Bell's palsy

Question 5

Which ECG finding indicates ST-elevation myocardial infarction (STEMI) requiring emergent intervention?

Accepted Answer

New ST elevation ≥1 mm in two contiguous leads

Answer

ST depression in V1–V4

Answer

T-wave inversion in III and aVF

Answer

PR interval prolongation

Question 6

A patient is found unresponsive with agonal breathing. What is the FIRST action per current AHA guidelines?

Accepted Answer

Call for help and begin high-quality CPR

Answer

Check blood glucose

Answer

Apply an AED immediately

Answer

Administer naloxone