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Question 1
A 58-year-old male is in cardiac arrest from refractory ventricular fibrillation (VF). He has received three standard 200 J biphasic shocks, CPR, 1 mg IV epinephrine, and 300 mg IV amiodarone, but VF persists on the monitor. Which intervention has the strongest clinical evidence for terminating refractory ventricular fibrillation in this scenario?
Correct Answer:
Double sequential external defibrillation (DSED) with a second defibrillator
Question 2
A 62-year-old female achieves return of spontaneous circulation (ROSC) after a 15-minute resuscitation for an out-of-hospital VF arrest. She remains comatose (GCS 3) with a blood pressure of 110/70 mmHg. According to current post-cardiac arrest care guidelines, what is the recommended target temperature management strategy?
Correct Answer:
Targeted temperature management maintaining constant core temperature between 32°C and 36°C with strict fever avoidance
Question 3
A 52-year-old male with end-stage renal disease missing hemodialysis for four days arrives in cardiac arrest with pulseless electrical activity (PEA). The resuscitation monitor demonstrates an extremely wide, sinusoidal QRS complex. What is the immediate first-line medication required to stabilize the cardiac membrane?
Correct Answer:
Intravenous calcium gluconate or calcium chloride
Question 4
A 70-year-old female with urosepsis remains hypotensive with a blood pressure of 78/42 mmHg (MAP 54 mmHg) despite completion of a 30 mL/kg IV balanced crystalloid bolus. What is the first-line vasopressor of choice according to the Surviving Sepsis Campaign guidelines?
Correct Answer:
Norepinephrine infusion titrated to a target MAP >= 65 mmHg
Question 5
A 65-year-old male 4 days post-inferior STEMI suddenly develops acute respiratory distress, pulmonary edema, and hypotension (BP 72/40 mmHg). On examination, a new harsh, holosystolic murmur is loudest at the cardiac apex radiating to the axilla. Bedside echocardiogram reveals acute severe mitral regurgitation due to posteromedial papillary muscle rupture. What is the definitive emergency management strategy?
Correct Answer:
Hemodynamic stabilization with afterload reduction and inotropes/mechanical circulatory support followed by emergent surgical repair
Question 1
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About this Exam

Prepare with the Arab Board Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical and Oral Examination (ABHS) Exam practice quiz. This question bank includes 100 questions covering year-old, male, mmhg, severe, and presents. 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 Emergency Medicine Clinical Exam Practice Questions - Arab Board Emergency Medicine Final Clinical and Oral Examination (ABHS) Exam

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

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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