ABEM Cheat Sheet 2026

The 30 highest-yield ABEM facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. What is suicide risk factor? → History of attempt
2. A patient with known Addison's disease presents with hypotension, weakness, and hyponatremia with hyperkalemia. What is the immediate treatment? → IV hydrocortisone and normal saline
3. What tool evaluates mental status? → GCS
4. In American Board of Emergency Medicine, what is the PRIMARY purpose of conducting regular safety drills and exercises? → To ensure personnel can respond effectively in emergencies
5. What is the first step in managing a cardiac arrest? → Initiate CPR
6. A patient on ACE inhibitor presents with serum potassium of 6.8 mEq/L and peaked T-waves on ECG. What is the FIRST treatment to administer? → Calcium gluconate IV
7. What is the first step in trauma assessment? → Primary survey
8. How does the ABEM body of knowledge relate to daily professional practice? → It provides the foundational framework that guides decision-making and standard practices
9. A patient with known cirrhosis presents with confusion and asterixis. Ammonia level is elevated. What is the first-line treatment for hepatic encephalopathy? → Lactulose and rifaximin
10. A 7-year-old presents with a 3-day history of periorbital swelling, fever, and proptosis with painful eye movement. What is the most concerning diagnosis? → Orbital cellulitis
11. What indicates respiratory distress? → Cyanosis and effort
12. What is a symptom of carbon monoxide poisoning? → Headache and confusion
13. How does the ABEM body of knowledge relate to daily professional practice? → It provides the foundational framework that guides decision-making and standard practices
14. What is the purpose of cervical spine immobilization? → Prevent spine injury
15. Which tool is used to stop external bleeding? → Tourniquet
16. A 22-year-old sustains an anterior shoulder dislocation during a tackle. Which neurovascular structure is most commonly injured in this dislocation? → Axillary nerve
17. Which foundational principle is MOST important for success in the American Board of Emergency Medicine profession? → Commitment to continuous learning, ethical practice, and quality outcomes
18. What is the PRIMARY ethical obligation of a certified American Board of Emergency Medicine professional regarding confidential information? → Protect it from unauthorized disclosure at all times
19. A patient with ulcerative colitis presents with >10 bloody stools per day, fever, tachycardia, and Hgb of 8. What is the first management step in the ED? → IV corticosteroids and GI consultation
20. A 2-year-old presents with inspiratory stridor and a barking cough. Which intervention is first-line for moderate croup? → Dexamethasone 0.6 mg/kg IM/PO
21. A 30-year-old falls on an outstretched hand and has anatomical snuffbox tenderness. Initial X-rays are negative. What is the most appropriate management? → Thumb spica splint with MRI or repeat X-ray in 1-2 weeks
22. What is the purpose of chest decompression? → Relieve pneumothorax
23. A pregnant patient at 36 weeks presents with painless vaginal bleeding. Ultrasound shows placenta covering the cervical os. What is the diagnosis? → Placenta previa
24. What to check before intubation? → Check tools
25. A 10-year-old presents with acute onset severe scrotal pain for 2 hours. What is the priority management? → Immediate surgical exploration
26. What is the MOST effective way for new ABEM professionals to build competency in their field? → Combining formal education, mentored practice, and ongoing professional development
27. Which rhythm requires defibrillation? → Ventricular fibrillation
28. What is used for insecticide poisoning? → Atropine
29. A patient taking metformin presents with lactic acidosis, pH 7.05, lactate 12, and acute renal failure. What is the most effective treatment? → Hemodialysis
30. A 4-year-old presents with moderate respiratory distress and wheezing. SpO2 is 91%. What is the immediate treatment for acute asthma exacerbation? → Albuterol via nebulizer and supplemental oxygen