AEM Misc Study Guide With Practice Exam Question Solved.

What is the most common cause of fatal anaphylaxis? Answers: , including shellfish, nuts, and eggs t stings illin graphic contrast dye - correct answer illin For a patient who has suffered a severe anaphylactic reaction, which of the following medications would serve little purpose if prescribed upon discharge? Answers: isone 60mg daily for 5 days ryl 25-50mg every 4-6 hours 3.Epi-Pen erol inhaler 2 puffs every 4 hours - correct answer erol inhaler 2 puffs every 4 hours All of the following are true regarding acute hepatitis EXCEPT: Answers: 1.An IgM antibody to HAV indicates acute infection with HAV. 2.HBe antigen indicates active acute or chronic infection with HBV of high infectivity. 3.HBV core antibody indicates immunity to HBV. 4.Fecal excretion of hepatitis A virus usually occurs prior to symptoms of acute HAV infection. 5.The incubation period of HCV is 30-90 days. - correct answer 3.HBV core antibody indicates immunity to HBV. The primary etiology of peptic ulcer disease is: Answers: 1.Helicobactor pylori ette smoking 3.NSAID use s 5.Zollinger-Ellison Syndrome - correct answer 1.Helicobactor pylori First-line interventions started by the emergency physician for suspected peptic ulcer disease (PUD) may include: Answers: ids 2.H2 blockers n pump inhibitors (PPIs) ing NSAIDs of the above - correct answer of the above egarding the diagnosis of pyelonephritis, which of the following is FALSE? Answers: 1.Patients with pyelonephritis typically have symptoms for greater than 5 days. 2.White blood cell casts on urinalysis support a diagnosis of pyelonephritis. 3.Abnormal vaginal discharge is typically seen on pelvic exam in patients with pyelonephritis. 4.Diabetic patients with bacteriuria are at increased risk for developing pyelonephritis. 5.Pyelonephritis is more common in indigent populations. - correct answer 3.Abnormal vaginal discharge is typically seen on pelvic exam in patients with pyelonephritis. Esophageal foreign bodies: Answers: 1.Occur at the upper Esophageal Sphincter 2.Require surgical treatment 3.Commonly perforate 4.Can be treated with endoscopy 5.Cannot be treated with medications - correct answer 4.Can be treated with endoscopy A 63 year old female presents to the ED at noon, stating that she noticed marked facial swelling (see Figure - top half) upon awakening that morning. She has breast cancer, without brain metastases on a recent MRI. She has no urticaria or respiratory symptoms. A CT scan of the chest was performed from the ED (see Figure - bottom half). Regarding this patient's condition, which of the following is true? [PICTURE DEMONSTRATES SVC SYNDROME] Answers: 1.Seizures are a common presenting sign. 2.The vascular component of this problem commonly poses a threat to the patient's airway integrity. 3.Schizophreniform disorder is present when a patient meets the diagnostic criteria for schizophrenia but the process has been present for less than one year 4.Elevation of the head of the patient's bed is recommended. - correct answer 4.Elevation of the head of the patient's bed is recommended. A 54 year old male comes to the emergency department complaining of intermittent pain, swelling and constant burning sensation involving his right leg. He tells you that six months ago he injured his leg in a car accident and his x-rays were negative. The symptoms have gradually worsened over the past few months. He is presenting to the emergency department because he doesn't have a primary care doctor. On physical examination you notice that his leg is edematous, erythematous, dry and warm. The leg is also characterized by hair loss, allodynia and hyperesthesia. Of the following, which is the most appropriate emergency department course? Answers: 1.Arrange follow-up for presumed complex regional pain syndrome 2.Obtain a CT scan of his leg to rule out osteomyelitis 3.Order a venogram to rule out a deep venous thrombosis 4.Perform a femoral nerve block to control his pain - correct answer 1.Arrange follow-up for presumed complex regional pain syndrome Which of the following drugs is NOT associated with potential toxic side effects related to the inner ear? Answers: micin in emide illin toin - correct answer illin Which of the following analgesics operates by a non-opioid mechanism? Answers: morphone idine nyl olac ne - correct answer olac With regard to U.S. Emergency Medical Services (EMS), all the following are true EXCEPT: Answers: