1|Page
MCGRAW-HILL EMERGENCY MEDICINE EXAM REVIEW (TINTINALLI'S), MAJOR
FIELD TEST: POLITICAL SCIENCE EXAM LATEST 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A 48-year-old alcoholic woman is brought in by EMS from a house
fire. The patient is awake and on oxygen. Which of the following is
true in evaluating and managing her respiratory status?
A
Absence of stridor or wheezing excludes lower airway edema
B
Carboxyhemoglobin (COHb) measurement is not helpful
C
Inhalation injury is excluded if the initial chest radiograph is
normal
D
Intubation should be avoided if she has circumferential neck
burns
E
Singed nasal hair, soot in mouth, and carbonaceous sputum are
useful indicators of smoke inhalation - ANSWER-The correct
,2|Page
answer is E. Singed nasal hair, soot in mouth, and carbonaceous
sputum are useful indicators of smoke inhalation
Explanation:
Inhalation injury is suspected based on history and presence
of physical signs of airway involvement including facial
burns, singed nasal hair, soot in mouth, carbonaceous
sputum, hoarseness, and wheezing. Upper airway edema can
occur rapidly and presents early. Stridor may be present. In
contrast, lower airway edema may not be evident for up to 24
hours and respiratory signs may be absent initially.
Accordingly, the initial chest radiograph may be normal. Up
to 50% of intubated burn patients will go on to develop acute
respiratory distress syndrome (ARDS). COHb should be
measured in all patients suspected of inhalation injury and
may help confirm prolonged smoke exposure.
Circumferential neck burns are an indication for early
intubation due to the potential for airway edema. Othe
Which of the following medications is the best choice for treating
mild to moderate acute mountain sickness?
A
,3|Page
Acetazolamide
B
Dexamethasone
C
Ginkgo biloba
D
Nifedipine
E
Sildenafil - ANSWER-The correct answer is A. Acetazolamide
Explanation:
Acetazolamide is the drug of choice for treating acute
mountain sickness. Corticosteroids are effective, but are
generally reserved for severe cases of acute mountain
sickness or high-altitude cerebral edema. Sildenafil and
nifedipine can be used for prophylaxis of high-altitude
pulmonary edema due to their ability to lower pulmonary
artery pressure. There is conflicting evidence on the use of
Ginkgo biloba for prevention of acute mountain sickness and
no studies have evaluated its used for treatment.
, 4|Page
78% of users answered correctly.
Acetazolamide belongs to a class of drugs known as carbonic
anhydrase inhibitors. It works by decreasing the production of
fluid inside the eye. It is also used to decrease a buildup of body
fluids (edema) caused by heart failure or certain medications.
Acetazolamide, sold under the trade name Diamox among others,
is a medication use
Which is the best immediate treatment for anaphylaxis due to a
Hymenoptera sting?
A
Corticosteroids and H2-receptor antagonists
B
Epinephrine intramuscularly and antihistamines
C
Epinephrine intravenously and antivenom
D
MCGRAW-HILL EMERGENCY MEDICINE EXAM REVIEW (TINTINALLI'S), MAJOR
FIELD TEST: POLITICAL SCIENCE EXAM LATEST 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A 48-year-old alcoholic woman is brought in by EMS from a house
fire. The patient is awake and on oxygen. Which of the following is
true in evaluating and managing her respiratory status?
A
Absence of stridor or wheezing excludes lower airway edema
B
Carboxyhemoglobin (COHb) measurement is not helpful
C
Inhalation injury is excluded if the initial chest radiograph is
normal
D
Intubation should be avoided if she has circumferential neck
burns
E
Singed nasal hair, soot in mouth, and carbonaceous sputum are
useful indicators of smoke inhalation - ANSWER-The correct
,2|Page
answer is E. Singed nasal hair, soot in mouth, and carbonaceous
sputum are useful indicators of smoke inhalation
Explanation:
Inhalation injury is suspected based on history and presence
of physical signs of airway involvement including facial
burns, singed nasal hair, soot in mouth, carbonaceous
sputum, hoarseness, and wheezing. Upper airway edema can
occur rapidly and presents early. Stridor may be present. In
contrast, lower airway edema may not be evident for up to 24
hours and respiratory signs may be absent initially.
Accordingly, the initial chest radiograph may be normal. Up
to 50% of intubated burn patients will go on to develop acute
respiratory distress syndrome (ARDS). COHb should be
measured in all patients suspected of inhalation injury and
may help confirm prolonged smoke exposure.
Circumferential neck burns are an indication for early
intubation due to the potential for airway edema. Othe
Which of the following medications is the best choice for treating
mild to moderate acute mountain sickness?
A
,3|Page
Acetazolamide
B
Dexamethasone
C
Ginkgo biloba
D
Nifedipine
E
Sildenafil - ANSWER-The correct answer is A. Acetazolamide
Explanation:
Acetazolamide is the drug of choice for treating acute
mountain sickness. Corticosteroids are effective, but are
generally reserved for severe cases of acute mountain
sickness or high-altitude cerebral edema. Sildenafil and
nifedipine can be used for prophylaxis of high-altitude
pulmonary edema due to their ability to lower pulmonary
artery pressure. There is conflicting evidence on the use of
Ginkgo biloba for prevention of acute mountain sickness and
no studies have evaluated its used for treatment.
, 4|Page
78% of users answered correctly.
Acetazolamide belongs to a class of drugs known as carbonic
anhydrase inhibitors. It works by decreasing the production of
fluid inside the eye. It is also used to decrease a buildup of body
fluids (edema) caused by heart failure or certain medications.
Acetazolamide, sold under the trade name Diamox among others,
is a medication use
Which is the best immediate treatment for anaphylaxis due to a
Hymenoptera sting?
A
Corticosteroids and H2-receptor antagonists
B
Epinephrine intramuscularly and antihistamines
C
Epinephrine intravenously and antivenom
D
