6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
EM PGY1 (ALiEM ITE prep) Exam Questions &
Answers | 100% Verified solutions (2026) UPDATE
|2026!! STUDY GUIDE EXAM
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Terms in this set (284)
Order of tx for acute angle Topical timolol -> oral acetazolamide -> topical
glaucoma? pilocarpine -> laser iridotomy
Think "TAP"
What is the most rapid method of Immersive cooling
cooling someone with heat stroke?
What is the appropriate tx for ceftriaxone 250 milligrams intramuscular (activity
gonorrhoeae/chlamydia co- against gonococcus) and doxycycline 100
infection? milligrams by mouth, twice daily for 7 days (activity
against chlamydia).
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,6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
What imaging does initial w/u of CT scan of chest (10% of osteosarcomas having
osteosarcoma involve? metastases to the lungs on presentation)
Which test is highly likely to be ESR
elevated in suspected spinal epidural
abscess? An elevated ESR occurs in >90% of patients with a
spinal epidural abscess. The WBC is elevated in
50% of patients with a spinal epidural abscess.
Which drugs should be used in Succinylcholine, magnesium, calcium channel
caution in a patient with myasthenia blockers, beta blockers, certain antibiotics, and
gravis? certain anti-epileptics
What is the order of treatment for Alpha blockade (e.g. phenoxybenzamine) followed
patients with pheochromocytoma? by beta blockade (e.g. metoprolol)
The beta-adrenergic blocker should never be
started first, because blockade of vasodilatory
peripheral beta-adrenergic receptors with
unopposed alpha-adrenergic receptor stimulation
can lead to a further elevation in blood pressure
What is the classic finding of B/l pulmonary infiltrates (usually within 6 hours)
transfusion-related acute lung injury
(TRALI)?
How sensitive and specific are ~95% sensitive/90% specificity
Nucleic Acid Amplification Tests for
gonorrhea/chlamydia diagnosis? In contrast, culture sensitivity may be as low as
60%. It is true that NAATs may be used on both
endocervical swabs and urine.
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 2/71
,6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
In general, which patient population Older, chronically ill people.
is more affected (have worse
outcomes) by Middle East This is compared to SARS-CoV which
Respiratory Syndrome? predominantly affected young, healthy patients.
Early SARS-CoV transmission was also more
prevalent in restaurant workers and farmer.
Healthcare workers are always at risk of infectious
epidemics; however, given their relative youth, they
are more likely to be affected by SARS-CoV.
What is the treatment for Rocky Doxycycline 100 mg by mouth, twice daily for 7
Mountain Spotted Fever? days.
SSx of RMSF include fever, palmar rash and hx of
travel to endemic area (Eastern US despite name)
What is the classic pentad of fever, anemia, thrombocytopenia, AKI, AMS
thrombotic thrombocytopenic
purpura (TTP)? Tx w/ plasma exchange
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 3/71
, 6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
What is the initial tx of acute aortic Esmolol
dissection?
The first priority in therapy is to reduce intimal
shear forces that occur from left ventricular
ejection. The best way to reduce forces is by first
decreasing heart rate. Therefore, initial therapy
should start with a beta-blocker such as esmolol.
Esmolol is an optimal choice for its rapid onset and
short half-life.
What is the blood pressure goal in SBP <110
acute aortic dissection?
Initially tx HR w/ esmolol. After BB is on-board,
consider a second agent such as sodium
nitroprusside or nicardipine for added BP control.
It is essential to start with heart rate control as
vasodilation from other agents can cause a reflex
tachycardia and worsening of intimal shearing
forces.
What are the "hard signs" of vascular Absent distal pulses, obvious arterial bleeding,
trauma? large expanding or pulsatile hematoma, audible
bruit or palpable thrill at injury site and distal
ischemia (pain, pallor, paralysis, paresthesias,
poikilothermia)
Hard signs mandate either angiography or
operative exploration
What is the most common initial Erythema migrans
finding in Lyme disease?
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 4/71
EM PGY1 (ALiEM ITE prep) Exam Questions &
Answers | 100% Verified solutions (2026) UPDATE
|2026!! STUDY GUIDE EXAM
Save Add to calendar
Terms in this set (284)
Order of tx for acute angle Topical timolol -> oral acetazolamide -> topical
glaucoma? pilocarpine -> laser iridotomy
Think "TAP"
What is the most rapid method of Immersive cooling
cooling someone with heat stroke?
What is the appropriate tx for ceftriaxone 250 milligrams intramuscular (activity
gonorrhoeae/chlamydia co- against gonococcus) and doxycycline 100
infection? milligrams by mouth, twice daily for 7 days (activity
against chlamydia).
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 1/71
,6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
What imaging does initial w/u of CT scan of chest (10% of osteosarcomas having
osteosarcoma involve? metastases to the lungs on presentation)
Which test is highly likely to be ESR
elevated in suspected spinal epidural
abscess? An elevated ESR occurs in >90% of patients with a
spinal epidural abscess. The WBC is elevated in
50% of patients with a spinal epidural abscess.
Which drugs should be used in Succinylcholine, magnesium, calcium channel
caution in a patient with myasthenia blockers, beta blockers, certain antibiotics, and
gravis? certain anti-epileptics
What is the order of treatment for Alpha blockade (e.g. phenoxybenzamine) followed
patients with pheochromocytoma? by beta blockade (e.g. metoprolol)
The beta-adrenergic blocker should never be
started first, because blockade of vasodilatory
peripheral beta-adrenergic receptors with
unopposed alpha-adrenergic receptor stimulation
can lead to a further elevation in blood pressure
What is the classic finding of B/l pulmonary infiltrates (usually within 6 hours)
transfusion-related acute lung injury
(TRALI)?
How sensitive and specific are ~95% sensitive/90% specificity
Nucleic Acid Amplification Tests for
gonorrhea/chlamydia diagnosis? In contrast, culture sensitivity may be as low as
60%. It is true that NAATs may be used on both
endocervical swabs and urine.
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 2/71
,6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
In general, which patient population Older, chronically ill people.
is more affected (have worse
outcomes) by Middle East This is compared to SARS-CoV which
Respiratory Syndrome? predominantly affected young, healthy patients.
Early SARS-CoV transmission was also more
prevalent in restaurant workers and farmer.
Healthcare workers are always at risk of infectious
epidemics; however, given their relative youth, they
are more likely to be affected by SARS-CoV.
What is the treatment for Rocky Doxycycline 100 mg by mouth, twice daily for 7
Mountain Spotted Fever? days.
SSx of RMSF include fever, palmar rash and hx of
travel to endemic area (Eastern US despite name)
What is the classic pentad of fever, anemia, thrombocytopenia, AKI, AMS
thrombotic thrombocytopenic
purpura (TTP)? Tx w/ plasma exchange
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 3/71
, 6/21/26, 9:29 AM EM PGY1 (ALiEM ITE prep) Exam Questions & Answers | 100% Verified solutions (2026) UPDATE |2026!! STUDY GUIDE EXAM F…
What is the initial tx of acute aortic Esmolol
dissection?
The first priority in therapy is to reduce intimal
shear forces that occur from left ventricular
ejection. The best way to reduce forces is by first
decreasing heart rate. Therefore, initial therapy
should start with a beta-blocker such as esmolol.
Esmolol is an optimal choice for its rapid onset and
short half-life.
What is the blood pressure goal in SBP <110
acute aortic dissection?
Initially tx HR w/ esmolol. After BB is on-board,
consider a second agent such as sodium
nitroprusside or nicardipine for added BP control.
It is essential to start with heart rate control as
vasodilation from other agents can cause a reflex
tachycardia and worsening of intimal shearing
forces.
What are the "hard signs" of vascular Absent distal pulses, obvious arterial bleeding,
trauma? large expanding or pulsatile hematoma, audible
bruit or palpable thrill at injury site and distal
ischemia (pain, pallor, paralysis, paresthesias,
poikilothermia)
Hard signs mandate either angiography or
operative exploration
What is the most common initial Erythema migrans
finding in Lyme disease?
https://quizlet.com/1190877161/em-pgy1-aliem-ite-prep-exam-questions-answers-100-verified-solutions-2026-update-2026-study-guide-exam-flash-c… 4/71
