ER Board Practice Questions - Saudi Board Emergency Medicine Final Written Exam - ER Board Practice Questions - Saudi Board Emergency Medicine Final Written Exam

Question 1

A 28-year-old male presents to the ED after a motor vehicle collision with a Glasgow Coma Scale (GCS) of 6. His blood pressure is 110/70 mmHg, heart rate is 98 bpm, and SpO2 is 98% on room air. An emergency airway is indicated. During rapid sequence intubation, which of the following is the most appropriate induction agent in the setting of suspected traumatic brain injury (TBI) to optimize cerebral perfusion pressure?

Propofol (2.0 mg/kg IV) Etomidate (0.3 mg/kg IV) Midazolam (0.3 mg/kg IV) Thiopental (5.0 mg/kg IV)

Correct Answer:

Etomidate (0.3 mg/kg IV)

Question 2

A 34-year-old female is brought to the resuscitation bay in hemorrhagic shock after a pelvic crush injury. Her blood pressure is 74/40 mmHg and heart rate is 135 bpm. The massive transfusion protocol (MTP) is activated. After the administration of 6 units of packed red blood cells (PRBCs) and 6 units of fresh frozen plasma (FFP), the patient develops QTc prolongation and muscle tremors. Which of the following is the most likely cause of these symptoms?

Hyperkalemia from rapid RBC lysis Hypocalcemia caused by citrate toxicity Hypomagnesemia from dilutional coagulopathy Metabolic acidosis from tissue hypoperfusion

Correct Answer:

Hypocalcemia caused by citrate toxicity

Question 3

A 62-year-old male is in cardiac arrest with refractory ventricular fibrillation. He has received three shocks, CPR, 1 mg of epinephrine, and 300 mg of amiodarone. A fourth shock is delivered, and rhythm check shows persistent ventricular fibrillation. Which of the following is the most appropriate next intervention?

Administer Lidocaine 1.5 mg/kg IV Perform double sequential external defibrillation (DSED) Administer Vasopressin 40 units IV Initiate an Esmolol infusion (500 mcg/kg bolus, then 50 mcg/kg/min)

Correct Answer:

Perform double sequential external defibrillation (DSED)

Question 4

A 45-year-old male with severe diabetic ketoacidosis (pH 6.85, bicarbonate 4 mEq/L, pCO2 12 mmHg) requires emergency intubation for airway protection due to obtundation. During rapid sequence intubation, which of the following is the most critical ventilator setting parameter to prevent immediate cardiac arrest post-intubation?

Set a low tidal volume (6 mL/kg) to prevent barotrauma Set a high respiratory rate (30-35 breaths/minute) to match the pre-intubation minute ventilation Set a high positive end-expiratory pressure (PEEP > 15 cmH2O) to recruit alveoli Maintain a prolonged expiratory time (I:E ratio of 1:4) to prevent auto-PEEP

Correct Answer:

Set a high respiratory rate (30-35 breaths/minute) to match the pre-intubation minute ventilation

Question 5

According to the Advanced Trauma Life Support (ATLS) 10th edition guidelines, what is the preferred anatomical site for needle decompression of a tension pneumothorax in an adult patient?

Second intercostal space in the midclavicular line Fourth intercostal space in the midclavicular line Fifth intercostal space, slightly anterior to the midaxillary line Third intercostal space in the midaxillary line

Correct Answer:

Fifth intercostal space, slightly anterior to the midaxillary line

Question 1

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

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ER Board Practice Questions - Saudi Board Emergency Medicine Final Written Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, male, pressure, and blood. 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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ER Board Practice Questions - Saudi Board Emergency Medicine Final Written Exam

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