EM PGY1 (ALiEM ITE prep Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS (100% Accurate Solutions)
ALREADY GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
What is the definition of an indirect hernia? -ANSWER-Indirect hernias protrude
into the scrotum due to a persistent processus vaginalis defect. They pass lateral
to the inferior epigastric vessels.
What is the definition of a direct hernia? -ANSWER-Direct hernias protrude
directly through the abdominal wall via a defect in the transversalis fascia in the
Hesselbach triangle and are located medial to the inferior epigastric vessels.
What is the definition of a femoral hernia? -ANSWER-Femoral hernias pass
through the femoral canal medial to the femoral vein. They occur most commonly
in older women and have a high risk of incarceration and strangulation.
What is the definition of an incisional (or ventral) hernia? -ANSWER-Incisional or
ventral hernias occur due to fascial defects following abdominal surgery.
What is the most common site for a posterior nose bleed? -ANSWER-
Sphenopalatine artery
Which cardiac dysrhythmia is most commonly associated with posterior nose
bleed? -ANSWER-Bradycardia
,Additionally, patients may develop cardiac dysrhythmias (most commonly,
bradycardia) and should be admitted for cardiac monitoring. It is also important
to recognize that due to the location of posterior packing, there is potential for
infection, hypoxia, and pressure necrosis of nasal structures.
Which muscle groups are involved in polymyositis? -ANSWER-Proximal muscle
groups (especially the shoulder and hip girdle)
Because the shoulder and hip girdle musculature are commonly involved, patients
may complain of difficulty getting up out of a chair or lifting their arms above
their head. In both PM and DM, patients typically have elevated CK levels without
acute kidney injury or rhabdomyolysis. The management includes oral steroids.
Which clinical findings are commonly associated with myasthenia gravis? -
ANSWER-Facial (especially ocular) muscle weakness.
Furthermore, patients with myasthenia gravis have intermittent weakness
relieved by rest
Which bedside test is most helpful in excluding suspected epidural compression
syndrome (e.g. cauda equina syndrome)? -ANSWER-Post-void residual
A large postvoid residual volume (>100 mL) indicates overflow incontinence,
which suggests neurologic compromise and an epidural compression syndrome. If
a patient has back pain and a history of urinary incontinence (acute or chronic),
but an otherwise completely normal history and evaluation, measure the postvoid
residual volume with bedside ultrasound.
,What is the most common cause of post-partum fever? -ANSWER-Post-partum
endometritis
PPE is defined as fever in the post partum setting with at least one other of the
following: uterine tenderness, foul smelling lochia, and leukocytosis which
develop within the first 5 days following delivery
What is the treatment for post-partum endometritis? -ANSWER-The gold
standard of therapy is IV antibiotics with clindamycin and an aminoglycoside
(gentamicin or tobramycin)
Cure rate > 90%. If the patient continues to have a fever after this initial regimen,
ampicillin may be added to broaden coverage.
True or false: invasive cervical cancer is an AIDS-defining lesion. -ANSWER-True
Don't forget to consider HIV status in a patient with newly diagnosed invasive
cervical cancer.
What benefit does nimodipine confer in treatment of subarachnoid hemorrhage?
-ANSWER-Reduces the incidence of subsequent vasospasm
What is the definitive treatment in diffuse alveolar hemorrhage? -ANSWER-
Corticosteroids
A common scenario in testing situations is a sick and dying young women with
massive hemoptysis and bilateral whiteout on CXR. Besides supportive care,
, treatment of diffuse alveolar hemorrhage includes corticosteroids. Embolization is
not a viable treatment option as there is diffuse extravasation of red blood cells.
What is the normal ankle brachial index? -ANSWER-0.9
What is the best datapoint for monitoring prevention of barotrauma in an
intubated status asthmaticus patient on a mechanical ventilator? -ANSWER-
Plateau pressure.
Plateau pressures >30cm H2O is associated with risk of barotrauma and measures
such as lowering the tidal volume should be initiated.
What is the underlying pathophysiology contributing to High Altitude Pulmonary
Edema (HAPE)? -ANSWER-Pulmonary vasoconstriction
As a person ascends, the pulmonary vasculature constricts unevenly and in an
exaggerated fashion, leading to pulmonary hypertension, and eventual failure of
the alveolar-capillary barrier (pulmonary edema). Treatment is supportive with
O2 therapy, medications such as nifedipine, hyperbaric oxygen, or most
commonly, descent.
Why is dry heat contraindicated during active rewarming of frostbite? -ANSWER-
The injury is insensate which can predispose to thermal burn.
In stroke patients presenting with purely motor deficits, where is the most likely
site of injury in the brain? -ANSWER-Internal capsule
Verified And Well Analyzed Exam Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS (100% Accurate Solutions)
ALREADY GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
What is the definition of an indirect hernia? -ANSWER-Indirect hernias protrude
into the scrotum due to a persistent processus vaginalis defect. They pass lateral
to the inferior epigastric vessels.
What is the definition of a direct hernia? -ANSWER-Direct hernias protrude
directly through the abdominal wall via a defect in the transversalis fascia in the
Hesselbach triangle and are located medial to the inferior epigastric vessels.
What is the definition of a femoral hernia? -ANSWER-Femoral hernias pass
through the femoral canal medial to the femoral vein. They occur most commonly
in older women and have a high risk of incarceration and strangulation.
What is the definition of an incisional (or ventral) hernia? -ANSWER-Incisional or
ventral hernias occur due to fascial defects following abdominal surgery.
What is the most common site for a posterior nose bleed? -ANSWER-
Sphenopalatine artery
Which cardiac dysrhythmia is most commonly associated with posterior nose
bleed? -ANSWER-Bradycardia
,Additionally, patients may develop cardiac dysrhythmias (most commonly,
bradycardia) and should be admitted for cardiac monitoring. It is also important
to recognize that due to the location of posterior packing, there is potential for
infection, hypoxia, and pressure necrosis of nasal structures.
Which muscle groups are involved in polymyositis? -ANSWER-Proximal muscle
groups (especially the shoulder and hip girdle)
Because the shoulder and hip girdle musculature are commonly involved, patients
may complain of difficulty getting up out of a chair or lifting their arms above
their head. In both PM and DM, patients typically have elevated CK levels without
acute kidney injury or rhabdomyolysis. The management includes oral steroids.
Which clinical findings are commonly associated with myasthenia gravis? -
ANSWER-Facial (especially ocular) muscle weakness.
Furthermore, patients with myasthenia gravis have intermittent weakness
relieved by rest
Which bedside test is most helpful in excluding suspected epidural compression
syndrome (e.g. cauda equina syndrome)? -ANSWER-Post-void residual
A large postvoid residual volume (>100 mL) indicates overflow incontinence,
which suggests neurologic compromise and an epidural compression syndrome. If
a patient has back pain and a history of urinary incontinence (acute or chronic),
but an otherwise completely normal history and evaluation, measure the postvoid
residual volume with bedside ultrasound.
,What is the most common cause of post-partum fever? -ANSWER-Post-partum
endometritis
PPE is defined as fever in the post partum setting with at least one other of the
following: uterine tenderness, foul smelling lochia, and leukocytosis which
develop within the first 5 days following delivery
What is the treatment for post-partum endometritis? -ANSWER-The gold
standard of therapy is IV antibiotics with clindamycin and an aminoglycoside
(gentamicin or tobramycin)
Cure rate > 90%. If the patient continues to have a fever after this initial regimen,
ampicillin may be added to broaden coverage.
True or false: invasive cervical cancer is an AIDS-defining lesion. -ANSWER-True
Don't forget to consider HIV status in a patient with newly diagnosed invasive
cervical cancer.
What benefit does nimodipine confer in treatment of subarachnoid hemorrhage?
-ANSWER-Reduces the incidence of subsequent vasospasm
What is the definitive treatment in diffuse alveolar hemorrhage? -ANSWER-
Corticosteroids
A common scenario in testing situations is a sick and dying young women with
massive hemoptysis and bilateral whiteout on CXR. Besides supportive care,
, treatment of diffuse alveolar hemorrhage includes corticosteroids. Embolization is
not a viable treatment option as there is diffuse extravasation of red blood cells.
What is the normal ankle brachial index? -ANSWER-0.9
What is the best datapoint for monitoring prevention of barotrauma in an
intubated status asthmaticus patient on a mechanical ventilator? -ANSWER-
Plateau pressure.
Plateau pressures >30cm H2O is associated with risk of barotrauma and measures
such as lowering the tidal volume should be initiated.
What is the underlying pathophysiology contributing to High Altitude Pulmonary
Edema (HAPE)? -ANSWER-Pulmonary vasoconstriction
As a person ascends, the pulmonary vasculature constricts unevenly and in an
exaggerated fashion, leading to pulmonary hypertension, and eventual failure of
the alveolar-capillary barrier (pulmonary edema). Treatment is supportive with
O2 therapy, medications such as nifedipine, hyperbaric oxygen, or most
commonly, descent.
Why is dry heat contraindicated during active rewarming of frostbite? -ANSWER-
The injury is insensate which can predispose to thermal burn.
In stroke patients presenting with purely motor deficits, where is the most likely
site of injury in the brain? -ANSWER-Internal capsule
