Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
A 32yo man presents by EMS after being the unhelmeted
operator of a motorcycle involved in a collision with a truck.
He was found 15 feet from where his motorcycle was found
and is intubated at the scene for depressed mental status.
His vital signs on arrival are HR 38/min, BP 62/40 mm Hg, T
36.2°C, and RR 14/min on mechanical ventilation. His
extremities are warm, well-perfused, and without obvious
deformity. His exam is otherwise significant only for
widespread road rash. Which of the following is the most
likely cause of the patient's hypotension?
A. Cardiogenic shock
B. Distributive shock
C. Hypovolemic shock
D. Obstructive shock
E. Dissociative shock - Correct Answers ✅B. Distributive
shock (neurogenic shock in the setting of spinal cord injury is
a type of distributive shock)
A 40yo man with ulcerative colitis presents to the ED with
severe abdominal pain. His temperature is 99.9°F, pulse 120
bpm, respirations 20/minute, blood pressure 80/50 mm Hg,
and oxygen saturation 98% on room air. His abdomen is
markedly distended, diffusely tender with guarding, and
tympanitic to percussion. Abdominal XR shows a markedly
distended colon with loss of haustra and pneumoperitoneum,
but no air-fluid levels. His serum lactate level is 8 mmol/L. In
,Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
addition to intravenous fluids and antibiotics, which of the
following is the best management at this time?
A. Bowel rest and observation
B. Exploratory surgery
C. Nasogastric tube insertion
D. Therapeutic paracentesis
E. PO challenge - Correct Answers ✅B. Exploratory surgery
(concern for toxic megacolon for which definitive tx is
surgery)
A 30yo man presents to the ED with three weeks of diarrhea.
He reports colicky abdominal pain associated with frequent
episodes of pale, loose, foul-smelling stools. He returned from
a camping trip in New Hampshire 1 month prior. His vital
signs are temperature 37.1°C, heart rate 85 bpm, and blood
pressure 125/80 mm Hg. Which of the following is the most
appropriate treatment for this condition?
A. Ciprofloxacin 500 mg daily for 7 days
B. Clindamycin 300 mg qid for 7 days
C. Metronidazole 250 mg tid for 7 days
D. Rifaximin 200 mg tid for 7 days - Correct Answers ✅C.
Metronidazole 250 mg tid for 7 days (tx of choice for Giardia
lamblia infection)
,Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
A 10yo boy presents to the ED with a rash and bruising to his
legs for 2 days. He reports no pain or other associated
symptoms. He had a mild URI 3 weeks ago, but that resolved
without any complication. His vital signs are within normal
limits. On exam, he is well appearing with small petechiae to
his torso and lower legs. His CBC results show a WBC of 8,200
cells/microL, a hemoglobin of 12.3 g/dL, and platelets of
31,000 cells/microL. What is the primary pathophysiology
behind this patient's thrombocytopenia?
A. Antibody-mediated destruction of platelets
B. Diffuse microvascular coagulation and thrombosis with
platelet consumption in thrombi
C. Impaired platelet production in the bone marrow
D. Splenic sequestration of platelets
E. Genetic disorder - Correct Answers ✅A. Antibody-
mediated destruction of platelets (pt presents with immune
thrombocytopenia which can occur after a viral illness in
children)
A 75yo 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. An abdominal XR shows a grossly distended loop
of colon lacking haustral markings and a "bent inner tube"
appearance. What is the most likely diagnosis?
, Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
A. Cecal volvulus
B. Intussusception
C. Irritable bowel syndrome
D. Sigmoid volvulus
E. IBS - Correct Answers ✅D. Sigmoid volvulus (common in
elderly, debilitated pts with a hx of chronic constipation,
chronic laxative intake, or intake of anti-motility meds)
Injury to which of the following structures characterizes a
strain?
A. Bone diaphysis
B. Bone metaphysis
C. Connective tissue between muscle and bone
D. Connective tissue between separate bones of a joint
E. Cartilage - Correct Answers ✅C. Connective tissue
between muscle and bone
What is the best step in management if a patient presents
with a patellar dislocation?
A. Angiogram
B. Closed reduction
C. Computed tomography scan
D. Orthopedic consultation
Questions and Answers (Complete
Practice Papers)
A 32yo man presents by EMS after being the unhelmeted
operator of a motorcycle involved in a collision with a truck.
He was found 15 feet from where his motorcycle was found
and is intubated at the scene for depressed mental status.
His vital signs on arrival are HR 38/min, BP 62/40 mm Hg, T
36.2°C, and RR 14/min on mechanical ventilation. His
extremities are warm, well-perfused, and without obvious
deformity. His exam is otherwise significant only for
widespread road rash. Which of the following is the most
likely cause of the patient's hypotension?
A. Cardiogenic shock
B. Distributive shock
C. Hypovolemic shock
D. Obstructive shock
E. Dissociative shock - Correct Answers ✅B. Distributive
shock (neurogenic shock in the setting of spinal cord injury is
a type of distributive shock)
A 40yo man with ulcerative colitis presents to the ED with
severe abdominal pain. His temperature is 99.9°F, pulse 120
bpm, respirations 20/minute, blood pressure 80/50 mm Hg,
and oxygen saturation 98% on room air. His abdomen is
markedly distended, diffusely tender with guarding, and
tympanitic to percussion. Abdominal XR shows a markedly
distended colon with loss of haustra and pneumoperitoneum,
but no air-fluid levels. His serum lactate level is 8 mmol/L. In
,Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
addition to intravenous fluids and antibiotics, which of the
following is the best management at this time?
A. Bowel rest and observation
B. Exploratory surgery
C. Nasogastric tube insertion
D. Therapeutic paracentesis
E. PO challenge - Correct Answers ✅B. Exploratory surgery
(concern for toxic megacolon for which definitive tx is
surgery)
A 30yo man presents to the ED with three weeks of diarrhea.
He reports colicky abdominal pain associated with frequent
episodes of pale, loose, foul-smelling stools. He returned from
a camping trip in New Hampshire 1 month prior. His vital
signs are temperature 37.1°C, heart rate 85 bpm, and blood
pressure 125/80 mm Hg. Which of the following is the most
appropriate treatment for this condition?
A. Ciprofloxacin 500 mg daily for 7 days
B. Clindamycin 300 mg qid for 7 days
C. Metronidazole 250 mg tid for 7 days
D. Rifaximin 200 mg tid for 7 days - Correct Answers ✅C.
Metronidazole 250 mg tid for 7 days (tx of choice for Giardia
lamblia infection)
,Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
A 10yo boy presents to the ED with a rash and bruising to his
legs for 2 days. He reports no pain or other associated
symptoms. He had a mild URI 3 weeks ago, but that resolved
without any complication. His vital signs are within normal
limits. On exam, he is well appearing with small petechiae to
his torso and lower legs. His CBC results show a WBC of 8,200
cells/microL, a hemoglobin of 12.3 g/dL, and platelets of
31,000 cells/microL. What is the primary pathophysiology
behind this patient's thrombocytopenia?
A. Antibody-mediated destruction of platelets
B. Diffuse microvascular coagulation and thrombosis with
platelet consumption in thrombi
C. Impaired platelet production in the bone marrow
D. Splenic sequestration of platelets
E. Genetic disorder - Correct Answers ✅A. Antibody-
mediated destruction of platelets (pt presents with immune
thrombocytopenia which can occur after a viral illness in
children)
A 75yo 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. An abdominal XR shows a grossly distended loop
of colon lacking haustral markings and a "bent inner tube"
appearance. What is the most likely diagnosis?
, Emergency Medicine EOR Solved Exam
Questions and Answers (Complete
Practice Papers)
A. Cecal volvulus
B. Intussusception
C. Irritable bowel syndrome
D. Sigmoid volvulus
E. IBS - Correct Answers ✅D. Sigmoid volvulus (common in
elderly, debilitated pts with a hx of chronic constipation,
chronic laxative intake, or intake of anti-motility meds)
Injury to which of the following structures characterizes a
strain?
A. Bone diaphysis
B. Bone metaphysis
C. Connective tissue between muscle and bone
D. Connective tissue between separate bones of a joint
E. Cartilage - Correct Answers ✅C. Connective tissue
between muscle and bone
What is the best step in management if a patient presents
with a patellar dislocation?
A. Angiogram
B. Closed reduction
C. Computed tomography scan
D. Orthopedic consultation
