MCGRAW-HILL EMERGENCY MEDICINE
EXAM REVIEW (TINTINALLI'S), MAJOR
FIELD TEST: POLITICAL SCIENCE EXAM
2026-2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
During which period is a pregnant woman at most risk for VTE?
A
1st trimester
B
2nd trimester
C
3rd trimester
D
1st week after delivery by cesarean
E
1st week after delivery by normal spontaneous vaginal delivery
The correct answer is D. 1st week after delivery by cesarean
Explanation:
The risk peaks in the first week with an incidence of 1 in 500 women. The immobility and
increase risk after surgery are likely contributors. Exogenous estrogen, whether for
contraception or hormone replacement therapy, increases the risk as well.
66% of users answered correctly.
Endocrine
1|Page
,A 24-year-old female vegetarian (no dairy/ animal by-products) training for a marathon for 1
month presents with persistent cracked lips, a reddened tongue, and eczema of the face and
genitalia. What vitamin deficiency is causing her symptoms?
A
Vitamin A
B
Vitamin B1
C
Vitamin B2
D
Vitamin B12
E
Vitamin K
The correct answer is C. Vitamin B2
Explanation:
Vitamin B2, riboflavin, is found in meats, dairy, and leafy green vegetables. It is not stored in
the body and must be replaced daily. It is important in the metabolism of fats, proteins, and
carbohydrates. Vigorous exercise will significantly increase the body's need for riboflavin.
32% of users answered correctly.
A 39-year-old alcoholic presents with ataxia, confusion, and confabulations. What vitamin
deficiency is causing these symptoms?
A
Vitamin A
B
Vitamin B1
C
Vitamin B6
D
Vitamin B12
E
Vitamin C
The correct answer is B. Vitamin B1
Explanation:
Wernicke-Korsakoff syndrome is a complication seen most often in malnourished chronic
2|Page
,alcoholics who are suffering from a vitamin B1 deficiency. Wernicke encephalopathy is
believed to be the result of an acute deficiency thiamine. Korsakoff syndrome is believed to
be a chronic long-term sequela of Wernicke encephalopathy. The administration of thiamine
prior to administering D50 to avoid precipitation of Wernicke encephalopathy is unfounded.
Thiamine is excreted in the urine and therefore toxic levels are relatively unheard of.
54% of users answered correctly.
A 37-year-old female presents to the ED complaining of palpitations and dyspnea. Her vital signs
reveal tachycardia, hypertension, and a fever of 104.1°F. She is breathing rapidly and her O2
saturation is 99% on room air. She is thin and anxious. Her ECG shows atrial fibrillation. She
denies drug use and has not had any recent illnesses. Her neck is shown below (Figure 4-1).
After initiating supportive care, which of the following describes the appropriate treatment
priorities for this patient?
A
Dexamethasone, PTU, iodine, propranolol
B
Iodine, propranolol, dexamethasone, PTU
C
Propranolol, dexamethasone, PTU, iodine
D
PTU, iodine, propranolol, dexamethasone
E
Propranolol, PTU, iodine, dexamethasone
The correct answer is D. PTU, iodine, propranolol, dexamethasone
Explanation:
The treatment of thyroid storm is complicated because the physician must take into account
the neogenesis of thyroid hormone. Stopping the thyroid gland from synthesizing new thyroid
hormone needs to occur prior to starting iodine therapy as this will prevent the stimulation of
new thyroid hormone. After supportive care, thionamides (PTU or methimazole) should be
given to decrease the new hormone production. PTU is preferred over methimazole because
it also can inhibit the conversion of T4 to T3. At least 1 hour later, iodine therapy may be
started. This will block the release of thyroid hormone. If there is concern for either
amiodarone-induced or iodine overload-induced hyperthyroidism, lithium should be used
instead of iodine. Propranolol is given to help block the direct effects of the thyroid hormone.
It is contraindicated in reactive
3|Page
, What is the most common location of pain in patients with aortic dissection?
A
Abdominal pain
B
Back pain
C
Chest pain
D
Left arm pain
E
Neck pain
The correct answer is C. Chest pain
Explanation:
In a case series of 464 patients with aortic dissections, 60% presented with chest pain, 64%
stated the pain was "sharp," and 50% stated it was tearing or ripping. Syncope occurred 10%
of the time. In all 90% of the patients stated that the pain associated with their dissection was
the worst they had ever felt.
59% of users answered correctly.
A 54-year-old man presents with acute substernal chest pain. His ECG has 4 mm acute ST-
segment elevation in lead III and 2 mm ST-segment elevation in lead II. Which of the following is
the most likely vessel occluded?
A
Left anterior descending artery
B
Left circumflex artery
C
Left main coronary artery
D
Right coronary artery
E
Sinoatrial node artery
The correct answer is D. Right coronary artery
Explanation:
The presence of ST elevation in lead III greater than in lead II predicts an right coronary artery
4|Page
EXAM REVIEW (TINTINALLI'S), MAJOR
FIELD TEST: POLITICAL SCIENCE EXAM
2026-2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
During which period is a pregnant woman at most risk for VTE?
A
1st trimester
B
2nd trimester
C
3rd trimester
D
1st week after delivery by cesarean
E
1st week after delivery by normal spontaneous vaginal delivery
The correct answer is D. 1st week after delivery by cesarean
Explanation:
The risk peaks in the first week with an incidence of 1 in 500 women. The immobility and
increase risk after surgery are likely contributors. Exogenous estrogen, whether for
contraception or hormone replacement therapy, increases the risk as well.
66% of users answered correctly.
Endocrine
1|Page
,A 24-year-old female vegetarian (no dairy/ animal by-products) training for a marathon for 1
month presents with persistent cracked lips, a reddened tongue, and eczema of the face and
genitalia. What vitamin deficiency is causing her symptoms?
A
Vitamin A
B
Vitamin B1
C
Vitamin B2
D
Vitamin B12
E
Vitamin K
The correct answer is C. Vitamin B2
Explanation:
Vitamin B2, riboflavin, is found in meats, dairy, and leafy green vegetables. It is not stored in
the body and must be replaced daily. It is important in the metabolism of fats, proteins, and
carbohydrates. Vigorous exercise will significantly increase the body's need for riboflavin.
32% of users answered correctly.
A 39-year-old alcoholic presents with ataxia, confusion, and confabulations. What vitamin
deficiency is causing these symptoms?
A
Vitamin A
B
Vitamin B1
C
Vitamin B6
D
Vitamin B12
E
Vitamin C
The correct answer is B. Vitamin B1
Explanation:
Wernicke-Korsakoff syndrome is a complication seen most often in malnourished chronic
2|Page
,alcoholics who are suffering from a vitamin B1 deficiency. Wernicke encephalopathy is
believed to be the result of an acute deficiency thiamine. Korsakoff syndrome is believed to
be a chronic long-term sequela of Wernicke encephalopathy. The administration of thiamine
prior to administering D50 to avoid precipitation of Wernicke encephalopathy is unfounded.
Thiamine is excreted in the urine and therefore toxic levels are relatively unheard of.
54% of users answered correctly.
A 37-year-old female presents to the ED complaining of palpitations and dyspnea. Her vital signs
reveal tachycardia, hypertension, and a fever of 104.1°F. She is breathing rapidly and her O2
saturation is 99% on room air. She is thin and anxious. Her ECG shows atrial fibrillation. She
denies drug use and has not had any recent illnesses. Her neck is shown below (Figure 4-1).
After initiating supportive care, which of the following describes the appropriate treatment
priorities for this patient?
A
Dexamethasone, PTU, iodine, propranolol
B
Iodine, propranolol, dexamethasone, PTU
C
Propranolol, dexamethasone, PTU, iodine
D
PTU, iodine, propranolol, dexamethasone
E
Propranolol, PTU, iodine, dexamethasone
The correct answer is D. PTU, iodine, propranolol, dexamethasone
Explanation:
The treatment of thyroid storm is complicated because the physician must take into account
the neogenesis of thyroid hormone. Stopping the thyroid gland from synthesizing new thyroid
hormone needs to occur prior to starting iodine therapy as this will prevent the stimulation of
new thyroid hormone. After supportive care, thionamides (PTU or methimazole) should be
given to decrease the new hormone production. PTU is preferred over methimazole because
it also can inhibit the conversion of T4 to T3. At least 1 hour later, iodine therapy may be
started. This will block the release of thyroid hormone. If there is concern for either
amiodarone-induced or iodine overload-induced hyperthyroidism, lithium should be used
instead of iodine. Propranolol is given to help block the direct effects of the thyroid hormone.
It is contraindicated in reactive
3|Page
, What is the most common location of pain in patients with aortic dissection?
A
Abdominal pain
B
Back pain
C
Chest pain
D
Left arm pain
E
Neck pain
The correct answer is C. Chest pain
Explanation:
In a case series of 464 patients with aortic dissections, 60% presented with chest pain, 64%
stated the pain was "sharp," and 50% stated it was tearing or ripping. Syncope occurred 10%
of the time. In all 90% of the patients stated that the pain associated with their dissection was
the worst they had ever felt.
59% of users answered correctly.
A 54-year-old man presents with acute substernal chest pain. His ECG has 4 mm acute ST-
segment elevation in lead III and 2 mm ST-segment elevation in lead II. Which of the following is
the most likely vessel occluded?
A
Left anterior descending artery
B
Left circumflex artery
C
Left main coronary artery
D
Right coronary artery
E
Sinoatrial node artery
The correct answer is D. Right coronary artery
Explanation:
The presence of ST elevation in lead III greater than in lead II predicts an right coronary artery
4|Page
