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Emergency and Urgent Care Flashcards

7 cards from real AANP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Emergency and Urgent Care flashcards as text

  1. A patient presents 5 hours after an acute acetaminophen overdose. What guides the decision to give N-acetylcysteine?

    Answer: Serum acetaminophen level plotted on the Rumack-Matthew nomogram

    A timed serum level (4 hours or later after ingestion) on the Rumack-Matthew nomogram determines the need for N-acetylcysteine.

  2. A healthy adult has an anterior nosebleed. What is the initial management?

    Answer: Pinch the soft part of the nose for 10–15 minutes while leaning forward

    Sustained direct pressure on the cartilaginous nose while leaning forward prevents swallowing blood and controls most anterior bleeds.

  3. A patient with diabetic ketoacidosis has glucose 520 mg/dL, pH 7.1, and potassium 3.0 mEq/L. What is the appropriate next step?

    Answer: Give IV fluids and replace potassium before starting insulin

    Insulin drives potassium intracellularly, so insulin is held until potassium is at least 3.3 mEq/L while fluids and potassium are given.

  4. A patient meets criteria for septic shock with hypotension and a lactate of 5 mmol/L. Which initial fluid recommendation applies?

    Answer: 30 mL/kg of IV crystalloid started promptly

    Surviving Sepsis guidance recommends at least 30 mL/kg IV crystalloid within the first 3 hours for sepsis-induced hypoperfusion.

  5. A farmhand has a dirty puncture wound and an unknown tetanus vaccination history. What is the correct prophylaxis?

    Answer: Tdap plus tetanus immune globulin

    With a contaminated wound and unknown or fewer than three prior doses, both a tetanus-toxoid vaccine and TIG are given.

  6. A patient has snuffbox tenderness after a fall on an outstretched hand, but the initial wrist radiograph is normal. What is the best management?

    Answer: Thumb spica splint with repeat imaging or MRI in 7–10 days

    Occult scaphoid fracture is presumed with snuffbox tenderness, so immobilize and re-image because of the risk of avascular necrosis.

  7. A 68-year-old has sudden right-sided weakness and slurred speech that began 90 minutes ago. What is the first imaging study?

    Answer: Noncontrast head CT

    Noncontrast head CT rapidly excludes hemorrhage before considering thrombolysis in suspected acute ischemic stroke.

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Sources & references

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  1. aanpcert.org — Eligibility, exam format, passing score, retake policy, score release, test dates, time limit, score validity, test delivery, registration · verified Nov 2026
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