Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
An HIV-positive patient presents with worsening dementia,
fever, headache, and right hemiparesis. MRI of the brain
reveals six lesions throughout the brain that show ring
enhancement and surrounding edema. Which of the following
is the treatment of choice?
A Sulfadiazine and pyrimethamine
B Trimethoprim-sulfamethoxazole
C Radiation therapy
D Ventricular shunt placement - Correct Answers ✅A
Toxoplasmosis is commonly noted in HIV-positive patients and
presents with multiple ring-enhancing lesions. Treatment of
choice for possible toxoplasmosis is sulfadiazine and
pyrimethamine.
A 52 year-old female comes to the office because of black
stools for the past 3 days. She is afebrile and she has no
pertinent physical examination abnormalities. Which of the
following is the most appropriate initial diagnostic study?
A Stool for occult blood
B Stool cultures
C Sigmoidoscopy
D Abdominal CT scan - Correct Answers ✅A
,Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Occult bleeding, as evidenced by the patient's history of
black stools, is initially verified by a positive fecal occult
blood test
Which of the following is a cause of prerenal azotemia?
A Infection
B Renal toxins
C Poor renal perfusion
D Urinary tract obstruction - Correct Answers ✅C
Renal hypoperfusion is the cause of prerenal azotemia, which
may be rapidly reversible when renal blood flow and
glomerular ultrafiltration pressure are restored.
A 65-year-old patient with steroid-dependent chronic
obstructive lung disease presents with a headache that has
been increasing in severity over the past week, accompanied
by nausea and vomiting. He denies fever but has had
photophobia and a stiff neck. Which of the following is the
most likely diagnosis?
A Transient ischemic attack
B Bacterial meningitis
C Migraine headache
D Cryptococcosis - Correct Answers ✅D
,Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Cryptococcus is an opportunistic fungal infection that affects
immunocompromised patients, including those with HIV,
chronic steroid use, organ transplants, diabetes mellitus, and
chronic renal or liver disease. The most common clinical
presentation is that of meningitis; fever is present in only
about half of patients.
Which of the following is a common symptom associated with
laryngotracheobronchitis (viral croup)?
A Drooling
B High fever
C "Hot potato" voice
D Barking cough - Correct Answers ✅D
Viral croup is characterized by a history of upper respiratory
tract symptoms followed by the onset of a barking cough and
stridor.
A 23 year-old female with history of asthma for the past 5
years presents with complaints of increasing shortness of
breath for 2 days. Her asthma has been well-controlled until 2
days ago. Since yesterday, she has been using her albuterol
inhaler every 4 to 6 hours. She is normally very active,
however yesterday she did not complete her 30 minute
exercise routine due to increasing dyspnea. She denies any
, Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
cough, fever, recent surgeries, or use of oral contraceptives.
On examination, you note the presence of prolonged
expiration and diffuse wheezing. The remainder of the exam
is unremarkable. Which of the following is the most
appropriate initial diagnostic evaluation prior to initiation of
treatment?
A Chest x-ray
B Sputum gram stain
C Peak flow
D Ventilation-perfusion scan - Correct Answers ✅C
A peak flow reading will help you to gauge her current extent
of airflow obstruction and is helpful in monitoring the
effectiveness of any treatment interventions.
A 3 year-old boy is seen in the office with a 5-day history of
fever, erythema, edema of the hands and feet, a generalized
rash over the body, bilateral conjunctival injections, fissuring
and erythema of the lips, and cervical adenopathy.
Antistreptolysin A (ASO) titer and throat culture are negative.
The most serious systemic complication associated with this
disorder is
A renal.
B cardiac.
C pulmonary.
Questions and Answers (Most Recent
Version, Complete Study Material)
An HIV-positive patient presents with worsening dementia,
fever, headache, and right hemiparesis. MRI of the brain
reveals six lesions throughout the brain that show ring
enhancement and surrounding edema. Which of the following
is the treatment of choice?
A Sulfadiazine and pyrimethamine
B Trimethoprim-sulfamethoxazole
C Radiation therapy
D Ventricular shunt placement - Correct Answers ✅A
Toxoplasmosis is commonly noted in HIV-positive patients and
presents with multiple ring-enhancing lesions. Treatment of
choice for possible toxoplasmosis is sulfadiazine and
pyrimethamine.
A 52 year-old female comes to the office because of black
stools for the past 3 days. She is afebrile and she has no
pertinent physical examination abnormalities. Which of the
following is the most appropriate initial diagnostic study?
A Stool for occult blood
B Stool cultures
C Sigmoidoscopy
D Abdominal CT scan - Correct Answers ✅A
,Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Occult bleeding, as evidenced by the patient's history of
black stools, is initially verified by a positive fecal occult
blood test
Which of the following is a cause of prerenal azotemia?
A Infection
B Renal toxins
C Poor renal perfusion
D Urinary tract obstruction - Correct Answers ✅C
Renal hypoperfusion is the cause of prerenal azotemia, which
may be rapidly reversible when renal blood flow and
glomerular ultrafiltration pressure are restored.
A 65-year-old patient with steroid-dependent chronic
obstructive lung disease presents with a headache that has
been increasing in severity over the past week, accompanied
by nausea and vomiting. He denies fever but has had
photophobia and a stiff neck. Which of the following is the
most likely diagnosis?
A Transient ischemic attack
B Bacterial meningitis
C Migraine headache
D Cryptococcosis - Correct Answers ✅D
,Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Cryptococcus is an opportunistic fungal infection that affects
immunocompromised patients, including those with HIV,
chronic steroid use, organ transplants, diabetes mellitus, and
chronic renal or liver disease. The most common clinical
presentation is that of meningitis; fever is present in only
about half of patients.
Which of the following is a common symptom associated with
laryngotracheobronchitis (viral croup)?
A Drooling
B High fever
C "Hot potato" voice
D Barking cough - Correct Answers ✅D
Viral croup is characterized by a history of upper respiratory
tract symptoms followed by the onset of a barking cough and
stridor.
A 23 year-old female with history of asthma for the past 5
years presents with complaints of increasing shortness of
breath for 2 days. Her asthma has been well-controlled until 2
days ago. Since yesterday, she has been using her albuterol
inhaler every 4 to 6 hours. She is normally very active,
however yesterday she did not complete her 30 minute
exercise routine due to increasing dyspnea. She denies any
, Emergency Medicine EORE Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
cough, fever, recent surgeries, or use of oral contraceptives.
On examination, you note the presence of prolonged
expiration and diffuse wheezing. The remainder of the exam
is unremarkable. Which of the following is the most
appropriate initial diagnostic evaluation prior to initiation of
treatment?
A Chest x-ray
B Sputum gram stain
C Peak flow
D Ventilation-perfusion scan - Correct Answers ✅C
A peak flow reading will help you to gauge her current extent
of airflow obstruction and is helpful in monitoring the
effectiveness of any treatment interventions.
A 3 year-old boy is seen in the office with a 5-day history of
fever, erythema, edema of the hands and feet, a generalized
rash over the body, bilateral conjunctival injections, fissuring
and erythema of the lips, and cervical adenopathy.
Antistreptolysin A (ASO) titer and throat culture are negative.
The most serious systemic complication associated with this
disorder is
A renal.
B cardiac.
C pulmonary.
