©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Emergency Medicine EOR Exam
Questions and Answers 100% Solved |
Rated A+
What are the structural causes of abnormal uterine bleeding (non
pregnant)? - ✔✔PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine bleeding (non-
pregnant)? - ✔✔COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Sepsis criteria - ✔✔
Management of sepsis - ✔✔Within *3 hours* of presentation:
Measure lactate
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 are the contraindications to administering tpa < 3 hours of stroke? -
✔✔
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
What is the presentation of a ruptured ovarian cyst? - ✔✔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? - ✔✔Acute pelvic pain
with vaginal bleeding
(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? - ✔✔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
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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? -
✔✔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? - ✔✔Tdap only
What is the purpose of cricoid pressure during rapid sequence intubation? -
✔✔To prevent the regurgitation of gastric contents.
When a patient has a laceration through the eyebrow, should you debride
or shave the area? - ✔✔No. Conserve as much viable tissue as possible.
What are signs and symptoms of salicylate toxicity (ASA)? - ✔✔Early (1-2
hours): tinnitus, vertigo, nausea, vomiting, and diarrhea and hyperpnea
(hyperventilation and tachypnea) resulting in respiratory alkalosis
Later: altered mental status (ranging from agitation to lethargy),
hyperpyrexia, tachycardia, noncardiac pulmonary edema, and coma
What is hyphema? - ✔✔Grossly visible blood in the anterior chamber of the
eye.
More commonly presents with with vision loss, eye pain, N/V
Emergency Medicine EOR Exam
Questions and Answers 100% Solved |
Rated A+
What are the structural causes of abnormal uterine bleeding (non
pregnant)? - ✔✔PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
What are the non-structural causes of abnormal uterine bleeding (non-
pregnant)? - ✔✔COEIN
Coagulopathy
Ovulatory dysfunction
Endocrine
Iatrogenic
Not yet classified
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Sepsis criteria - ✔✔
Management of sepsis - ✔✔Within *3 hours* of presentation:
Measure lactate
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 are the contraindications to administering tpa < 3 hours of stroke? -
✔✔
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
What is the presentation of a ruptured ovarian cyst? - ✔✔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? - ✔✔Acute pelvic pain
with vaginal bleeding
(+) Pregnancy test
Adnexal mass
Amenorrhea > 4 weeks before presentation
What is the management of TMJ? - ✔✔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
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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? -
✔✔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? - ✔✔Tdap only
What is the purpose of cricoid pressure during rapid sequence intubation? -
✔✔To prevent the regurgitation of gastric contents.
When a patient has a laceration through the eyebrow, should you debride
or shave the area? - ✔✔No. Conserve as much viable tissue as possible.
What are signs and symptoms of salicylate toxicity (ASA)? - ✔✔Early (1-2
hours): tinnitus, vertigo, nausea, vomiting, and diarrhea and hyperpnea
(hyperventilation and tachypnea) resulting in respiratory alkalosis
Later: altered mental status (ranging from agitation to lethargy),
hyperpyrexia, tachycardia, noncardiac pulmonary edema, and coma
What is hyphema? - ✔✔Grossly visible blood in the anterior chamber of the
eye.
More commonly presents with with vision loss, eye pain, N/V
