EMERGENCY MEDICINE EOR EXAM LATEST 2024-
2025 ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A 76-year-old man presents to the emergency department with shortness of breath and
lightheadedness. Vital signs include blood pressure 70/56 mm Hg, heart rate 124 beats/minute,
respiratory rate 22 breaths/minute, and temperature 37.6°C. He has distended neck veins and
occasional dropped radial beats. His lungs are clear to auscultation, but his heart sounds are distant. He
has some fullness to palpation of the right upper quadrant of his abdomen. Which of the following is the
most appropriate diagnostic test?
Bedside echocardiography
A 23-year-old professional soccer player collapses during a match. He is pulseless, and cardiopulmonary
resuscitation is initiated. Which of the following is the most common cause of sudden death in
competitive athletes?
Hypertrophic cardiomyopathy
A 34-year-old woman presents to the ED with severe right eye pain. The pain began after she entered a
dark movie theatre. On physical exam, you note a mid-dilated pupil (4 mm) and corneal edema. Which
of the following is the correct combination of medications in the treatment for this process?
Acetazolamide IV, topical apraclonidine, topical timolol
A 46-year-old woman without significant past medical history presents with drooping of the left side of
her face which she noticed this morning when she looked into the mirror. She is unable to completely
close her left eye and cannot raise her eyebrows on the left side. Her vision is intact. When asked to puff
out her cheeks, air leaks out the left side. The rest of her neurologic exam is normal. Which of the
following is the most appropriate initial management?
Discharge home with prednisone and eye lubricant and patch at night
A 35-year-old woman with a history of migraines and polycystic kidney disease presents to the
Emergency Department with a severe, diffuse headache. The onset was abrupt approximately one hour
prior to arrival. Her vital signs are within normal limits. She has photophobia and phonophobia, as well
as pain with extraocular movements. Which of the following is the most likely diagnosis?
Subarachnoid hemorrhage
,A 55-year-old woman presents with right finger pain. She reports she habitually bites her nails. On
examination, the lateral nail fold and cuticle of the right ring finger is erythematous, fluctuant and
tender to palpation. Which of the following is the most likely diagnosis?
Paronychia
A 25-year-old man is brought to the emergency department by police for bizarre behavior. His family
arrives and states that his behavior changed about eight months ago. He does not abuse drugs or
alcohol. On examination, he has a flat affect and appears to be responding to internal stimuli. His speech
is disorganized and he says, "I've been running from the Russians who are trying to steal my thoughts."
His laboratory and urine studies are unremarkable. What is the most likely diagnosis?
Schizophrenia
A 44-year-old woman presents to the emergency department with one week of crampy abdominal pain
that is worse after she eats. She denies alcohol consumption or tobacco abuse. On physical examination,
she is overweight and has epigastric and right upper quadrant abdominal tenderness to palpation.
Which of the following examination findings is most consistent with cholecystitis?
Inspiratory arrest with right upper quadrant palpation
A 50-year-old woman presents to the emergency department following a syncopal episode. On physical
exam she is diaphoretic. She is alert and oriented. Her blood pressure is 90/50 mm Hg and respirations
are 12 per minute. Her rhythm strip is shown above. What is the most appropriate pharmacologic
treatment for this patient's condition?
Atropine
A 14-year-old boy presents complaining of intense pruritus in his groin, axillae, and between his fingers
after returning home from 4-week summer camp one week ago. He reports several other campers had
similar symptoms. On exam, you note excoriations in the inguinal region and axillae, surrounding
scattered erythematous papules. Which of the following is the most appropriate treatment?
Permethrin
Which of the following is the most sensitive finding in cauda equina syndrome?
Urinary retention
, A 77-year-old woman presents to the ED with acute painless vision loss. On funduscopic exam, you note
the above. Which of the following is the most likely diagnosis?
Central retinal artery occlusion
A 56-year-old woman with a history of hypertension, diabetes mellitus, and hypercholesterolemia
presents with acute substernal chest pain that is worse with exertion and associated with nausea and
shortness of breath. Her sister and her mother both had "heart attacks" before age 55 years. Which of
the following offers a proven mortality benefit in acute coronary syndrome?
Aspirin
A 75-year-old man with a long-standing history of constipation presents complaining of abdominal pain
for the last two days. He is now experiencing abdominal distention, constipation, and inability to pass
gas for the last 12 hours. On examination, his abdomen is distended and tympanitic to percussion. You
obtain an upright abdominal X-ray as seen above. What is the most likely diagnosis?
Sigmoid volvulus
A 65-year-old man presents to the ED with diffuse bone pain, abdominal cramping, and severe
constipation. He is currently undergoing dialysis for end-stage renal disease but has not been to dialysis
this week. Physical exam reveals a lethargic man with diffuse abdominal tenderness without rebound or
guarding. Which of the following is the most likely etiology for his symptoms?
Hypercalcemia
Which of the following is the most common injury seen in a child with severe blunt chest trauma such as
being struck by a motor vehicle?
Pulmonary contusion
A 79-year-old man presents to the ED complaining of dyspnea. His rhythm strip is shown above. What is
the most likely underlying process?
Chronic obstructive pulmonary disease
Which of the following is one of the most helpful signs to rule out testicular torsion?
Presence of the cremasteric reflex
2025 ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A 76-year-old man presents to the emergency department with shortness of breath and
lightheadedness. Vital signs include blood pressure 70/56 mm Hg, heart rate 124 beats/minute,
respiratory rate 22 breaths/minute, and temperature 37.6°C. He has distended neck veins and
occasional dropped radial beats. His lungs are clear to auscultation, but his heart sounds are distant. He
has some fullness to palpation of the right upper quadrant of his abdomen. Which of the following is the
most appropriate diagnostic test?
Bedside echocardiography
A 23-year-old professional soccer player collapses during a match. He is pulseless, and cardiopulmonary
resuscitation is initiated. Which of the following is the most common cause of sudden death in
competitive athletes?
Hypertrophic cardiomyopathy
A 34-year-old woman presents to the ED with severe right eye pain. The pain began after she entered a
dark movie theatre. On physical exam, you note a mid-dilated pupil (4 mm) and corneal edema. Which
of the following is the correct combination of medications in the treatment for this process?
Acetazolamide IV, topical apraclonidine, topical timolol
A 46-year-old woman without significant past medical history presents with drooping of the left side of
her face which she noticed this morning when she looked into the mirror. She is unable to completely
close her left eye and cannot raise her eyebrows on the left side. Her vision is intact. When asked to puff
out her cheeks, air leaks out the left side. The rest of her neurologic exam is normal. Which of the
following is the most appropriate initial management?
Discharge home with prednisone and eye lubricant and patch at night
A 35-year-old woman with a history of migraines and polycystic kidney disease presents to the
Emergency Department with a severe, diffuse headache. The onset was abrupt approximately one hour
prior to arrival. Her vital signs are within normal limits. She has photophobia and phonophobia, as well
as pain with extraocular movements. Which of the following is the most likely diagnosis?
Subarachnoid hemorrhage
,A 55-year-old woman presents with right finger pain. She reports she habitually bites her nails. On
examination, the lateral nail fold and cuticle of the right ring finger is erythematous, fluctuant and
tender to palpation. Which of the following is the most likely diagnosis?
Paronychia
A 25-year-old man is brought to the emergency department by police for bizarre behavior. His family
arrives and states that his behavior changed about eight months ago. He does not abuse drugs or
alcohol. On examination, he has a flat affect and appears to be responding to internal stimuli. His speech
is disorganized and he says, "I've been running from the Russians who are trying to steal my thoughts."
His laboratory and urine studies are unremarkable. What is the most likely diagnosis?
Schizophrenia
A 44-year-old woman presents to the emergency department with one week of crampy abdominal pain
that is worse after she eats. She denies alcohol consumption or tobacco abuse. On physical examination,
she is overweight and has epigastric and right upper quadrant abdominal tenderness to palpation.
Which of the following examination findings is most consistent with cholecystitis?
Inspiratory arrest with right upper quadrant palpation
A 50-year-old woman presents to the emergency department following a syncopal episode. On physical
exam she is diaphoretic. She is alert and oriented. Her blood pressure is 90/50 mm Hg and respirations
are 12 per minute. Her rhythm strip is shown above. What is the most appropriate pharmacologic
treatment for this patient's condition?
Atropine
A 14-year-old boy presents complaining of intense pruritus in his groin, axillae, and between his fingers
after returning home from 4-week summer camp one week ago. He reports several other campers had
similar symptoms. On exam, you note excoriations in the inguinal region and axillae, surrounding
scattered erythematous papules. Which of the following is the most appropriate treatment?
Permethrin
Which of the following is the most sensitive finding in cauda equina syndrome?
Urinary retention
, A 77-year-old woman presents to the ED with acute painless vision loss. On funduscopic exam, you note
the above. Which of the following is the most likely diagnosis?
Central retinal artery occlusion
A 56-year-old woman with a history of hypertension, diabetes mellitus, and hypercholesterolemia
presents with acute substernal chest pain that is worse with exertion and associated with nausea and
shortness of breath. Her sister and her mother both had "heart attacks" before age 55 years. Which of
the following offers a proven mortality benefit in acute coronary syndrome?
Aspirin
A 75-year-old man with a long-standing history of constipation presents complaining of abdominal pain
for the last two days. He is now experiencing abdominal distention, constipation, and inability to pass
gas for the last 12 hours. On examination, his abdomen is distended and tympanitic to percussion. You
obtain an upright abdominal X-ray as seen above. What is the most likely diagnosis?
Sigmoid volvulus
A 65-year-old man presents to the ED with diffuse bone pain, abdominal cramping, and severe
constipation. He is currently undergoing dialysis for end-stage renal disease but has not been to dialysis
this week. Physical exam reveals a lethargic man with diffuse abdominal tenderness without rebound or
guarding. Which of the following is the most likely etiology for his symptoms?
Hypercalcemia
Which of the following is the most common injury seen in a child with severe blunt chest trauma such as
being struck by a motor vehicle?
Pulmonary contusion
A 79-year-old man presents to the ED complaining of dyspnea. His rhythm strip is shown above. What is
the most likely underlying process?
Chronic obstructive pulmonary disease
Which of the following is one of the most helpful signs to rule out testicular torsion?
Presence of the cremasteric reflex
