1|Page
McGRAW-HILL EMERGENCY MEDICINE EXAM
(TINTINALLI’S) QUESTION BANK NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {340 Q & A} ALREADY GRADED A+/
McGRAW-HILL EMERGENCY MEDICINE EXAM
REVIEW (TINTINALLI’S) | BRAND NEW! | 100%
GUARANTEED PASS
Analgesia, Anesthesia, and Procedural Sedation
Which of the following statements is TRUE regarding H. pylori
infection?
A
Eradication of infection dramatically reduces 1-year recurrence
rates for duodenal and peptic ulcers.
B
Infection is not a risk factor for adenocarcinoma of the stomach.
C
Infection is present in <50% of patients with duodenal and gastric
ulcers.
D
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Most infected people will develop peptic ulcer disease.
E
Serologic studies are superior over stool antigens for diagnosing
infection. - ✔✔✔ Correct Answer > The correct answer is A. Eradication
of infection dramatically reduces 1-year recurrence rates for
duodenal and peptic ulcers.
Explanation:
Eradication of infection reduces 1-year recurrence rates from
35% to 2% for duodenal ulcers and from 39% to 3% for gastric
ulcers. Eradication is typically done with "triple therapy" that
includes a proton pump inhibitor, clarithromycin, and either
amoxicillin or metronidazole. Infection is a definite risk factor for
adenocarcinoma of the stomach. In addition, H. pylori is a
causative agent of mucosa associated lymphoid tissue (MALT)
lymphoma. Ninety-five percent of patients with duodenal ulcer
and 70% of patients with gastric ulcers are infected. Only 10-20%
of infected people develop peptic ulcer disease. H. pylori antigens
can be detected in the stool with a sensitivity and specificity of
greater than 90%. Serologic studies that detect immunoglobulin G
antibodies to H. pylori
Which of the following statements is most accurate about outer
ear infections?
A
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Candida and Aspergillus are the most common cause of
otomycosis and best treated with topical antifungals.
B
Cortisporin solution eardrops are safe with perforated tympanic
membranes (TMs).
C
Otitis externa (OE) is best treated with gently irrigation with
hydrogen peroxide and suctioning, alkalinizing agents, topical
antimicrobials, and steroids.
D
Patients with a history of diabetes and HIV, or elderly presented
with OE and trismus, cranial nerve palsies, or any systemic signs
should get CT of the brain.
E
Topical ofloxacin is contraindicated in OE with perforated TM in a
6-year-old child. - ✔✔✔ Correct Answer > The correct answer is D.
Patients with a history of diabetes and HIV, or elderly presented
with OE and trismus, cranial nerve palsies, or any systemic signs
should get CT of the brain.
Explanation:
Any patients with a history of being immunocompromised
presenting with OE, or patients with persistent OE despite 2
weeks of treatment, or any patients with associated cranial
nerve palsy or fever, should get a CT to rule out malignant OE,
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which requires parenteral antibiotics, admission, and ENT
consultation. Staphylococcus aureus and Pseudomonas
aeruginosa along with Enterobacteriaceae and Proteus are the
most common organism implicated in OE. Otomycosis is seen in
tropical climates and in the immunocompromised. Aspergillus,
and Candida, accounts for most of the cases and are best treated
with systemic antifungals, and Aspergillus may require
itraconazole. OE is best treated with gently irrigation with
hydrogen peroxide
Which of the following is TRUE regarding esophageal perforation?
A
Boerhaave syndrome is responsible for more than 30% of
esophageal perforations.
B
Iatrogenic perforation is the most frequent etiology.
C
Most iatrogenic perforations occur through the left
posterolateral wall of the distal esophagus.
D
Proximal perforations tend to be more severe than distal
perforations.
E
McGRAW-HILL EMERGENCY MEDICINE EXAM
(TINTINALLI’S) QUESTION BANK NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {340 Q & A} ALREADY GRADED A+/
McGRAW-HILL EMERGENCY MEDICINE EXAM
REVIEW (TINTINALLI’S) | BRAND NEW! | 100%
GUARANTEED PASS
Analgesia, Anesthesia, and Procedural Sedation
Which of the following statements is TRUE regarding H. pylori
infection?
A
Eradication of infection dramatically reduces 1-year recurrence
rates for duodenal and peptic ulcers.
B
Infection is not a risk factor for adenocarcinoma of the stomach.
C
Infection is present in <50% of patients with duodenal and gastric
ulcers.
D
,2|Page
Most infected people will develop peptic ulcer disease.
E
Serologic studies are superior over stool antigens for diagnosing
infection. - ✔✔✔ Correct Answer > The correct answer is A. Eradication
of infection dramatically reduces 1-year recurrence rates for
duodenal and peptic ulcers.
Explanation:
Eradication of infection reduces 1-year recurrence rates from
35% to 2% for duodenal ulcers and from 39% to 3% for gastric
ulcers. Eradication is typically done with "triple therapy" that
includes a proton pump inhibitor, clarithromycin, and either
amoxicillin or metronidazole. Infection is a definite risk factor for
adenocarcinoma of the stomach. In addition, H. pylori is a
causative agent of mucosa associated lymphoid tissue (MALT)
lymphoma. Ninety-five percent of patients with duodenal ulcer
and 70% of patients with gastric ulcers are infected. Only 10-20%
of infected people develop peptic ulcer disease. H. pylori antigens
can be detected in the stool with a sensitivity and specificity of
greater than 90%. Serologic studies that detect immunoglobulin G
antibodies to H. pylori
Which of the following statements is most accurate about outer
ear infections?
A
,3|Page
Candida and Aspergillus are the most common cause of
otomycosis and best treated with topical antifungals.
B
Cortisporin solution eardrops are safe with perforated tympanic
membranes (TMs).
C
Otitis externa (OE) is best treated with gently irrigation with
hydrogen peroxide and suctioning, alkalinizing agents, topical
antimicrobials, and steroids.
D
Patients with a history of diabetes and HIV, or elderly presented
with OE and trismus, cranial nerve palsies, or any systemic signs
should get CT of the brain.
E
Topical ofloxacin is contraindicated in OE with perforated TM in a
6-year-old child. - ✔✔✔ Correct Answer > The correct answer is D.
Patients with a history of diabetes and HIV, or elderly presented
with OE and trismus, cranial nerve palsies, or any systemic signs
should get CT of the brain.
Explanation:
Any patients with a history of being immunocompromised
presenting with OE, or patients with persistent OE despite 2
weeks of treatment, or any patients with associated cranial
nerve palsy or fever, should get a CT to rule out malignant OE,
, 4|Page
which requires parenteral antibiotics, admission, and ENT
consultation. Staphylococcus aureus and Pseudomonas
aeruginosa along with Enterobacteriaceae and Proteus are the
most common organism implicated in OE. Otomycosis is seen in
tropical climates and in the immunocompromised. Aspergillus,
and Candida, accounts for most of the cases and are best treated
with systemic antifungals, and Aspergillus may require
itraconazole. OE is best treated with gently irrigation with
hydrogen peroxide
Which of the following is TRUE regarding esophageal perforation?
A
Boerhaave syndrome is responsible for more than 30% of
esophageal perforations.
B
Iatrogenic perforation is the most frequent etiology.
C
Most iatrogenic perforations occur through the left
posterolateral wall of the distal esophagus.
D
Proximal perforations tend to be more severe than distal
perforations.
E
