ABPS Emergency Medicine & Acute Care 2

Question 1

A patient presents with sudden severe headache described as 'the worst headache of my life.' CT head is negative. What is the next best diagnostic step?

Accepted Answer

Lumbar puncture for xanthochromia

Answer

MRI brain with gadolinium

Answer

Cerebral angiography immediately

Answer

Discharge with follow-up in 24 hours

Question 2

Which of the following findings on a chest X-ray is most consistent with a tension pneumothorax requiring immediate needle decompression?

Accepted Answer

Tracheal deviation away from the affected side with absent breath sounds

Answer

Bilateral pleural effusions

Answer

Mediastinal widening

Answer

Bilateral infiltrates with air bronchograms

Question 3

A 3-year-old child is brought in after ingesting an unknown quantity of iron tablets. Which antidote is indicated for severe iron toxicity?

Accepted Answer

Deferoxamine

Answer

N-acetylcysteine

Answer

Activated charcoal

Answer

Atropine

Question 4

In the ABCDE approach to trauma assessment, what does the 'C' primarily stand for?

Accepted Answer

Circulation with hemorrhage control

Answer

Cervical spine immobilization

Answer

Cardiac monitoring

Answer

Chest X-ray

Question 5

A patient presents with bradycardia, hypotension, hypothermia, and hyponatremia. Which diagnosis should be immediately considered?

Accepted Answer

Myxedema coma

Answer

Addisonian crisis

Answer

Diabetic ketoacidosis

Answer

Septic shock

Question 6

Which medication is used to reverse the anticoagulant effect of warfarin in a patient with life-threatening bleeding?

Accepted Answer

Fresh frozen plasma plus Vitamin K

Answer

Protamine sulfate

Answer

Vitamin K alone

Answer

Tranexamic acid

Question 7

A 45-year-old with a history of alcoholism presents with confusion, ophthalmoplegia, and ataxia. Which treatment should be given immediately?

Accepted Answer

Thiamine (Vitamin B1) IV before glucose

Answer

Glucose infusion first, then thiamine

Answer

Naloxone and flumazenil

Answer

IV magnesium sulfate