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Emergency Medicine EOR Questions
and Answers Latest 2026
What are the structural causes of abnormal uterine
bleeding (non pregnant)? Ans: PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine
bleeding (non-pregnant)? Ans: COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
Management of sepsis Ans: Within 3 hours of
presentation:
Measure lactate
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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
Frequently re-assess volume status and tissue perfusion
for those with persistent hypotension and/or initial
lactate≥4 mmol/L
Normalization of lactate
What is the presentation of a ruptured ovarian cyst? Ans:
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? Ans:
Acute pelvic pain with vaginal bleeding
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(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? Ans: 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? Ans: Tdap and
Tetanus Ig
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? Ans: Tdap only
© 2025 All rights reserved
Emergency Medicine EOR Questions
and Answers Latest 2026
What are the structural causes of abnormal uterine
bleeding (non pregnant)? Ans: PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine
bleeding (non-pregnant)? Ans: COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
Management of sepsis Ans: Within 3 hours of
presentation:
Measure lactate
© 2025 All rights reserved
, 2 | Page
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
Frequently re-assess volume status and tissue perfusion
for those with persistent hypotension and/or initial
lactate≥4 mmol/L
Normalization of lactate
What is the presentation of a ruptured ovarian cyst? Ans:
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? Ans:
Acute pelvic pain with vaginal bleeding
© 2025 All rights reserved
, 3 | Page
(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? Ans: 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? Ans: Tdap and
Tetanus Ig
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? Ans: Tdap only
© 2025 All rights reserved
