ABEM ABEM Pediatric & Obstetric Emergencies 2

Question 1

A pregnant patient at 32 weeks presents with severe headache, BP 168/110, and 3+ proteinuria. What is the diagnosis?

Accepted Answer

Severe preeclampsia

Answer

Gestational hypertension

Answer

Chronic hypertension

Answer

HELLP syndrome

Question 2

A 25-year-old at 10 weeks gestation presents with vaginal bleeding and an empty uterus on ultrasound with no intrauterine pregnancy. β-hCG is 1,800 mIU/mL. What is the next step?

Accepted Answer

Repeat β-hCG in 48 hours

Answer

Immediate methotrexate

Answer

Emergency laparotomy

Answer

Dilation and curettage

Question 3

Which medication is first-line for controlling severe hypertension in eclampsia?

Accepted Answer

Labetalol IV

Answer

Nifedipine

Answer

ACE inhibitors

Answer

Hydralazine

Question 4

A newborn delivered in the ED has no spontaneous respirations. After drying and stimulation, the heart rate is 80 bpm. What is the next step?

Accepted Answer

Positive pressure ventilation

Answer

Chest compressions

Answer

IV epinephrine

Answer

Intubation only

Question 5

A 16-year-old female presents with lower abdominal pain, fever, and cervical motion tenderness. What is the most likely diagnosis?

Accepted Answer

Pelvic inflammatory disease

Answer

Appendicitis

Answer

Ovarian torsion

Answer

Ruptured ectopic pregnancy

Question 6

A child presents with fever, refusal to bear weight, and a painful hip held in flexion and external rotation. Which finding best distinguishes septic arthritis from transient synovitis?

Accepted Answer

WBC > 12,000 and fever > 38.5°C

Answer

Age of the patient

Answer

ESR > 40 mm/hr alone

Answer

Duration of symptoms