1|Page
EM PGY1 (ALiEM ITE prep) Exam (Latest Exam
2026/2027) || Most Recent Exam Actual Complete Real
Verified Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed
Success!! Brand New Version!!!
How sensitive and specific are Nucleic Acid Amplification
Tests for gonorrhea/chlamydia diagnosis? - Answer-~95%
sensitive/90% specificity
In contrast, culture sensitivity may be as low as 60%. It is
true that NAATs may be used on both endocervical swabs
and urine.
In general, which patient population is more affected (have
worse outcomes) by Middle East Respiratory Syndrome? -
Answer-Older, chronically ill people.
This is compared to SARS-CoV which 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.
,2|Page
What is the treatment for Rocky Mountain Spotted Fever?
- Answer-Doxycycline 100 mg by mouth, twice daily for 7
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 thrombotic thrombocytopenic
purpura (TTP)? - Answer-fever, anemia,
thrombocytopenia, AKI, AMS
Tx w/ plasma exchange
What is the initial tx of acute aortic dissection? - Answer-
Esmolol
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.
,3|Page
What is the blood pressure goal in acute aortic dissection?
- Answer-SBP <110
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 trauma? - Answer-
Absent distal pulses, obvious arterial bleeding, 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 finding in Lyme disease? -
Answer-Erythema migrans
, 4|Page
When do neurologic manifestations typically occur in
disseminated Lyme disease? - Answer-~4 weeks following
the onset of erythema migrans (bull's eye rash)
Neuro manifestations include bell's palsy (MC cranial
neuropathy), meningitis, and radiculopathy.
Order of tx for acute angle glaucoma? - Answer-Topical
timolol -> oral acetazolamide -> topical pilocarpine -> laser
iridotomy
Think "TAP"
What is the most rapid method of cooling someone with
heat stroke? - Answer-Immersive cooling
What is the appropriate tx for gonorrhoeae/chlamydia co-
infection? - Answer-ceftriaxone 250 milligrams
intramuscular (activity against gonococcus) and
doxycycline 100 milligrams by mouth, twice daily for 7
days (activity against chlamydia).
EM PGY1 (ALiEM ITE prep) Exam (Latest Exam
2026/2027) || Most Recent Exam Actual Complete Real
Verified Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed
Success!! Brand New Version!!!
How sensitive and specific are Nucleic Acid Amplification
Tests for gonorrhea/chlamydia diagnosis? - Answer-~95%
sensitive/90% specificity
In contrast, culture sensitivity may be as low as 60%. It is
true that NAATs may be used on both endocervical swabs
and urine.
In general, which patient population is more affected (have
worse outcomes) by Middle East Respiratory Syndrome? -
Answer-Older, chronically ill people.
This is compared to SARS-CoV which 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.
,2|Page
What is the treatment for Rocky Mountain Spotted Fever?
- Answer-Doxycycline 100 mg by mouth, twice daily for 7
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 thrombotic thrombocytopenic
purpura (TTP)? - Answer-fever, anemia,
thrombocytopenia, AKI, AMS
Tx w/ plasma exchange
What is the initial tx of acute aortic dissection? - Answer-
Esmolol
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.
,3|Page
What is the blood pressure goal in acute aortic dissection?
- Answer-SBP <110
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 trauma? - Answer-
Absent distal pulses, obvious arterial bleeding, 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 finding in Lyme disease? -
Answer-Erythema migrans
, 4|Page
When do neurologic manifestations typically occur in
disseminated Lyme disease? - Answer-~4 weeks following
the onset of erythema migrans (bull's eye rash)
Neuro manifestations include bell's palsy (MC cranial
neuropathy), meningitis, and radiculopathy.
Order of tx for acute angle glaucoma? - Answer-Topical
timolol -> oral acetazolamide -> topical pilocarpine -> laser
iridotomy
Think "TAP"
What is the most rapid method of cooling someone with
heat stroke? - Answer-Immersive cooling
What is the appropriate tx for gonorrhoeae/chlamydia co-
infection? - Answer-ceftriaxone 250 milligrams
intramuscular (activity against gonococcus) and
doxycycline 100 milligrams by mouth, twice daily for 7
days (activity against chlamydia).
