Question 1
A 62-year-old presents with right hemiparesis and aphasia, last known well 2 hours ago. Non-contrast CT shows no hemorrhage, no large established infarct. BP is 172/96 mmHg. Which dose of IV alteplase is correct?
Correct Answer:
0.9 mg/kg total (max 90 mg): 10% bolus, 90% over 60 minutes
Question 2
Per the DAWN and DEFUSE-3 trials, mechanical thrombectomy for anterior-circulation large vessel occlusion can be considered up to how many hours from last known well in selected patients with favorable imaging mismatch?
Correct Answer:
24 hours
Question 3
Before IV alteplase administration, blood pressure should be lowered to below which threshold per AHA/ASA guidelines?
Correct Answer:
185/110 mmHg
Question 4
After IV alteplase, blood pressure should be maintained below which threshold for the first 24 hours?
Correct Answer:
180/105 mmHg
Question 5
A 48-year-old with a complete MCA territory infarct develops worsening obtundation and 6 mm of midline shift on CT at hour 36. Which intervention has demonstrated mortality benefit per pooled DESTINY/DECIMAL/HAMLET data?
Correct Answer:
Decompressive hemicraniectomy within 48-72 hours
Question 1
Exam overview

About this Exam

The ABEM certification process is the pinnacle credential for physicians specializing in Emergency Medicine. Earning certification from the American Board of Emergency Medicine (ABEM) demonstrates that a physician has met rigorous standards of knowledge, skill, and clinical judgment necessary to provide high-quality emergency care. This certification is essential for Emergency Medicine physicians who want to validate their expertise, meet hospital credentialing requirements, and excel in their careers.

More details

Additional Information

 What the Course Entails and Exam Details

The core focus of ABEM preparation is mastery of the Model of the Clinical Practice of Emergency Medicine (EM Model). This comprehensive framework outlines the essential knowledge, skills, and abilities required for the specialty. Preparation usually involves independent study using comprehensive textbooks, reviewing clinical guidelines, and utilizing ABEM practice exams or question banks. The content covers the full spectrum of emergency care, including:

  • Patient Assessment and Resuscitation
  • Trauma Care and Surgical Emergencies
  • Cardiovascular and Respiratory Emergencies
  • Neurological and Endocrine Disorders
  • Toxicology and Environmental Emergencies
  • Pediatric Emergency Medicine
  • Pre-hospital Care and Disaster Preparedness

 

What to Expect in the Final Exam

The primary ABEM certification path generally involves two steps: a qualifying (written) exam and a subsequent oral certification exam. The Qualifying Examination is a comprehensive, computer-based test consisting of multiple-choice questions designed to assess clinical knowledge and decision-making. Candidates can expect the following:

  • Format: Multiple-choice questions, which may include clinical scenarios or images.
  • Time Limit: The qualifying exam is typically a single-day test lasting several hours, broken into scheduled sections with optional breaks.
  • Scoring: Results are based on the total number of correct answers, with a standard-setting process determining the minimum score needed to pass. ABEM does not provide a pre-determined fixed percentage as the passing score.
  • Rules: Rigorous security protocols are maintained at the testing centers. Candidates are expected to bring required identification and adhere to strict behavior guidelines during the exam.

 

How to Study and Exam Centers

Effective preparation requires a structured and disciplined study plan. Here are actionable strategies for success:

  • Practice Frequently: The cornerstone of preparation is using ABEM practice exams and high-quality question banks. These resources familiarize you with the question format, testing style, and timing requirements, while also highlighting areas where your knowledge needs reinforcement.
  • Utilize Official Resources: Familiarize yourself with the ABEM EM Model and any content outlines or feedback reports provided by the Board.
  • Attend Review Courses: Consider registering for dedicated Emergency Medicine board review courses or using online lecture series which distill high-yield material.
  • Review Textbooks and Guidelines: Deepen your understanding by reviewing core EM textbooks and current clinical practice guidelines from major organizations like ACEP.

The computerized qualifying exam is administered at secure Pearson VUE professional testing centers located throughout the United States and internationally. Candidates must register for their specific exam appointment through their ABEM online portal and select a testing center convenient for them.

 

 Job Opportunities from the Course

Obtaining ABEM certification is a crucial milestone for Emergency Medicine physicians, opening doors to numerous professional opportunities and ensuring career longevity. Common career paths include:

  • Board-Certified Emergency Medicine Attending Physician
  • Emergency Department Medical Director
  • Clinical Faculty/Academic Emergency Physician
  • EMS/Pre-hospital Medical Director
  • Pediatric Emergency Medicine Specialist (with additional fellowship)
  • Medical Toxicology Consultant
  • Emergency Medicine Fellowship Director

By achieving ABEM certification, physicians distinguish themselves within the medical community and demonstrate their commitment to the highest standards of emergency patient care.Here is the comprehensive, SEO-optimized study guide and a corresponding image to support your preparation.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.
No fixed duration is currently configured for this quiz.
Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.
Yes. You can retake the practice test again as you continue studying during your available access period.
After your access is confirmed, you can continue into the complete practice exam from this quiz flow.
Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.
Keep studying

Related Questions