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

Severe preeclampsia is defined by BP ≥160/110 with proteinuria or other severe features after 20 weeks gestation.

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

When β-hCG is below the discriminatory zone (~2,000 mIU/mL) and no IUP is seen, serial β-hCG in 48 hours is appropriate to differentiate ectopic from early IUP.

Question 3

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

Accepted Answer

Labetalol IV

Answer

IV labetalol is a first-line agent for acute severe hypertension in pregnancy due to its safety profile and rapid onset.

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

Positive pressure ventilation is indicated when HR is below 100 bpm or respirations are absent after initial newborn stabilization steps.

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

The classic triad of lower abdominal pain, adnexal tenderness, and cervical motion tenderness in a sexually active female indicates PID.

(ABEM) American Board of Emergency Medicine Practice Test

(ABEM) American Board of Emergency Medicine Practice Test

ABEM ABEM Pediatric & Obstetric Emergencies 2