Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam - Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam

Question 1

A 58-year-old man achieves return of spontaneous circulation (ROSC) after a 20-minute resuscitation for out-of-hospital ventricular fibrillation arrest. He remains comatose (GCS 3) with a blood pressure of 115/70 mmHg. According to current post-cardiac arrest care guidelines, what is the recommended targeted temperature management (TTM) strategy?

Select and actively maintain a constant target temperature between 32°C and 36°C for at least 24 hours, strictly preventing fever Induce rapid deep hypothermia to a target temperature of 28°C to 30°C for 72 hours Allow permissive hyperthermia up to 39°C to enhance enzymatic recovery and immune function Maintain active warming to 38.5°C to optimize peripheral perfusion and metabolic rate

Correct Answer:

Select and actively maintain a constant target temperature between 32°C and 36°C for at least 24 hours, strictly preventing fever

Question 2

A 24-year-old woman with severe diabetic ketoacidosis (pH 6.88, pCO2 12 mmHg, HCO3 2 mEq/L, blood glucose 620 mg/dL) develops acute respiratory fatigue and requires emergency endotracheal intubation. Which physiological consideration is most critical during rapid sequence intubation (RSI) in this patient?

Minimize the duration of apnea and set mechanical ventilation to match her severe compensatory hyperventilation Administer high-dose opioids to blunt the sympathetic response and deliberately induce hypoventilation Set the post-intubation ventilator to standard resting minute ventilation (tidal volume 6 mL/kg, rate 12/min) Administer sodium bicarbonate bolus after induction to eliminate the need for hyperventilation

Correct Answer:

Minimize the duration of apnea and set mechanical ventilation to match her severe compensatory hyperventilation

Question 3

During resuscitation of a 62-year-old man in out-of-hospital cardiac arrest, ventricular fibrillation persists despite four standard anterolateral defibrillation shocks at maximal energy, 3 mg of epinephrine, and 450 mg of amiodarone. Which strategy has demonstrated increased termination of refractory ventricular fibrillation?

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation Immediate administration of intravenous calcium chloride and magnesium sulfate Doubling the dose of intravenous epinephrine to 2 mg every 2 minutes Switching from biphasic defibrillation to high-energy monophasic defibrillation

Correct Answer:

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation

Question 4

A 48-year-old marathon runner collapses with sudden cardiac arrest during a road race. Bystander CPR is initiated within 1 minute, and the first arriving EMS team documents ventricular fibrillation. After 25 minutes of high-quality ACLS in the field with ongoing refractory VF, the team considers extracorporeal cardiopulmonary resuscitation (E-CPR). Which set of clinical characteristics represents ideal candidate criteria for emergency veno-arterial ECMO cannulation?

Witnessed arrest, immediate bystander CPR, initial shockable rhythm, age under 65, and estimated cannulation within 60 minutes of collapse Unwitnessed arrest, unknown downtime, initial asystole, and severe end-stage renal disease Witnessed arrest with severe pre-existing severe dementia and metastatic lung cancer Arrest duration exceeding 90 minutes with severe fixed dilated pupils and core temperature 38°C

Correct Answer:

Witnessed arrest, immediate bystander CPR, initial shockable rhythm, age under 65, and estimated cannulation within 60 minutes of collapse

Question 5

During closed-chest cardiopulmonary resuscitation for an intubated patient in pulseless electrical activity (PEA), the end-tidal carbon dioxide (ETCO2) tracing suddenly and sustainedly rises from 14 mmHg to 42 mmHg without any change in chest compression technique. What is the most appropriate immediate action?

Check for a central pulse and assess for return of spontaneous circulation (ROSC) Administer an immediate 1 mg bolus of intravenous epinephrine Increase chest compression rate to 140 compressions per minute Extubate the patient because this indicates esophageal misplaced intubation

Correct Answer:

Check for a central pulse and assess for return of spontaneous circulation (ROSC)

Question 1

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Prepare with the Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam practice quiz. This question bank includes 100 questions covering year-old, mmhg, presents, blood, and severe. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, mmhg, presents, blood, and severe. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Arab Board EM Final Written Practice Questions - Arab Board Emergency Medicine Final Written Examination Exam

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