EMERGENCY MEDICINE MCQs EXAM 2010/2011

1. Acute abdominal ain!

a) Can be caused by infammation, ischemia, rupture of viscus
b) Can be categorized as surgical and non-surgical
c) Can present by pain, vomiting, nausea...
d) A+C are correct
e) A+B+C are correct (correct)
2. "atient #esents to ED and t$e %ollo&in' ECG is obtained( atient
most #obabl) $as!

a) Pericarditis
b) Anterior myocardial infarction (correct) (this one was extensive
anterior MI!!)
c) Posterior myocardial infarction
d) ...
**NOTE: this is an extensive acute anterior myocardial infarction with ST elevation in all of the anterior leads
V1 - V6, and also in leads I and aVL with reciprocal ST depression in the inferior leads.
*. "atient+s ECG #$)t$m is t$e %ollo&in'...&$at is )ou# ne,t ste-

a) ou give amiodarone
b) After you fnd that the patient is pulseless you defbrillate
immediately (correct)
c) After you palpate carotid pulse and determine that the patient is a!a"e,
you do immediate cardioversion
d) #..
NOTE: this is ventricular tachycardia wide complex tachy!...1
st
thing you do is chec" the pulse...if there is NO
PULSE DEFIBRILATE IMMEDIATELY!!!!...if there is a pulse # $ive %&'(S!
.. "atient #esents to )ou# ED &it$ se/e#e c$est ain &$ic$ is #adiatin'
to $is le%t s$oulde#( $e is dia$o#etic( d)sneic( #estless( etc.0 )ou $oo1
)ou# atient to ECG and 2nd 34 ele/ation in leads 52657 89 #eci#ocal 34
de#ession in t$e in%e#io# leads:0 )ou immediatel) 'i/e ;M<NA=
8mo#$ine( o,)'en( nit#o'l)ce#in( asi#in:0 )ou also immediatel) o#de#
ca#diac ma#1e#s anel( but all o% )ou# )ou# lab #esults 8ca#diac ma#1e#s:
come bac1 ne'ati/e0 )ou t$en c$ec1 ECG a'ain and notice t$at t$e#e is
still 34 ele/ation in leads 52657. >$at is )ou# ne,t ste-
a) Sent patient for immediate PCI (percutaneous coronary
intervention) (correct)
b) $ive aspirin
c) $ive clopidogrel
d) $ive AC% inhibitors
e) $ive beta bloc"ers
7. >$at is not indication %o# %u#osemide!
a) Chronic heart failure
b) Pulmonary edema
c) Hypovolemia (correct)
d) &ypercalcemia
e) &ypertension
?. >$ic$ o% t$e %ollo&in' )ou need to dia'nose t$e b#ain deat$!
a) Physical e'am
b) %%$
c) (ltrasound
d) )cintigraphy
e) All of the above (correct)
@. Elastic banda'es a#e used!
a) ou put them as a primary bandage
b) ou have to put them very tightly
c) ou put them tightly pro'imally, then distally loosen up
d) ou use them secondarily to secure primary banda!e (correct)
A. ;3ABE= a#oac$ stands %o#! shout for help, approach !ith care, free from
danger, evaluate A*C +ans!er in our e'am for this , !as A#but read carefully)
C. <timall) e#%o#med e,te#nal ca#diac com#essions &ill ac$ie/e &$ic$
e#centa'e o% no#mal ca#diac outut-
a) Appro'. -./
b) 0./
c) 1-/
d) 2./
e) "ess than #$% (correct & this is 'hat (e!orici)a 'anted as correct
ans'er)
This ), well, we all *+.. up a ,it, mostly ,ecause -%.(/&I0I12 3//45 says 67-879: internet and other sources
$ive all sorts of info dependin$ on who is performin$ it+so it could $o from less than 67 in lay, unprofessional or
poorly trained persons to say 879 if well trained person;multiple trained personnel is performin$ it+.!
10. 4$eo$)lline3 has a narro! therapeutic inde'
11. 3$oc1 is usuall) %ollo&ed b) all o% t$e %ollo&in' s)mtoms e,cet
one!
a) Conscious disorders
b) &ypotension
c) Bacterial infection (correct)
d) 4liguria and anuria
e) 5etabolic acidosis
12. You obse#/e t$e %ollo&in' #$)t$m!

a) 6t is a !ide comple' tachycardia
b) Ma) t#) to te#minate it b) usin' a /a'al maneu/e# (correct)
+7egorici8a said that it is nodal )9: and ;rst thing you try to do is vagal
maneuver)
c) 6t !ill terminate by itself
d) 6t is bradycardia
e) 6nitially you !ould use e'ternal cardioversion
1*. 4$e %ollo&in' $ea#t #$)t$m is!
a) &igh amplitude 9;b
b) *his rhythm is the most common cause of death in cardiac arrest
(correct)
c) )inus rhythm
d) <odal rhythm
e) <onspeci;c rhythm
1.. D#u'ada s)nd#ome
a) Associated !ith cardiac disease
b) Sudden +*,death in a youn! patient 'ith a similar family history
problems in a youn! person (correct)
c) %'ternal cardioversion is done over :-!aves
d) All of the above are correct
e) <one of the above are correct
17. 3eein' ai# on abdominal c$est X6#a)!
a) )een !hen bo!els are perforated
b) #
c) <ormal to see after =aparoscopy
d) #
e) A and C are correct (correct)
1?. Enstable an'ina!
a) Is a medical emer!ency to be treated in IC- (correct)
b) 6s same as >variant angina?
c) 6s al!ays fatal
d) Al!ays leads to 56
e) 6t is a cause of nearly @./ of cardiac chest pain
1@. >$ic$ is t$e e,te#nal c$est com#ession #ate e# minute %o# 12 )ea#
old c$ild!
a) A.Bmin
b) @.-2..Bmin
c) .$$,min (correct)
d) 2-.Bmin
e) C..Bmin
1A. Bo# oen %emo#al %#actu#e!
a) Best treatment option is traction splint (if not contraindicated)
(correct)
b) 6t is not life threatening in8ury
c) Al!ays use tourniDuet for bleeding +<4:%3 <4, but may use it temporarily if
necessary E severe bleeding that !ill not stop by bandages and pressure
only#then release it)
d) Common complication is compartment syndrome
e) All of the above
1C. <utcome o% oisoned atient deends mainl) on . out o% 7
mentioned statements0 select t$e &#on' one!
a) 7osage of poison
b) Potency of poison
c) Functional reserve of victim
d) A!e and !ender of victim (correct & 'hat (e!orici)a 'anted)
e) 5etabolic disposition
20. <n t$e basis o% t$e c$ain o% su#/i/al( &$at s$ould be )ou# seFuential
#esonse in t$is situation!
a) )tart CPG, call for help by activating %5), and call for de;brillator
b) =oo" in his poc"et or !allet for information about his medical history, start
CPG, call for help by activating %5), and call for de;brillator
c) Immediately call for help by activatin! /0S1 call for defbrillator1
and start CP2 (correct)
d) 6mmediately call for help by activating %5), call for de;brillator, !ait for
%5) to come and start an 69, and then start CPG
e) )tart CPG, call for de;brillator, and then call for help by activating %5)