Question 1
A 72-year-old man arrives by ambulance with gurgling respirations, oxygen saturation 78%, and no response to painful stimulus after a house fire. Soot is present in the oropharynx. Which emergency severity index level is most appropriate?
Correct Answer:
ESI level 1 because he requires immediate life-saving airway intervention
Question 2
A 58-year-old woman collapses in the waiting room. She is pulseless and apneic. The monitor shows coarse ventricular fibrillation. High-quality CPR is in progress. What is the next best step?
Correct Answer:
Unsynchronized defibrillation
Question 3
A 66-year-old man with fever, confusion, lactate 5.1 mmol/L, blood pressure 78/44 mm Hg, and suspected pneumonia receives 30 mL/kg crystalloid and broad-spectrum antibiotics. His mean arterial pressure remains 54 mm Hg. What should be started next?
Correct Answer:
Norepinephrine infusion
Question 4
A 29-year-old man is brought after a high-speed collision. He is pale and diaphoretic with blood pressure 72/38 mm Hg, heart rate 142/min, cool extremities, and a distended abdomen. Bedside FAST shows free intraperitoneal fluid. What is the best immediate management?
Correct Answer:
Activate massive transfusion and take him for emergent operative hemorrhage control
Question 5
A 24-year-old woman develops diffuse urticaria, wheezing, lip swelling, and hypotension 10 minutes after receiving ceftriaxone. What medication should be given first?
Correct Answer:
Intramuscular epinephrine
Question 1
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About this Exam

Prepare with the Emergency Medicine Shelf Practice Questions - NBME Advanced Clinical Science Subject Exam Emergency Medicine Exam practice quiz. This question bank includes 100 questions covering year-old, woman, next, step, and pressure. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Emergency Medicine Shelf Practice Questions - NBME Advanced Clinical Science Subject Exam Emergency Medicine Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, woman, next, step, and pressure. 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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