ABPS Emergency Medicine & Acute Care

Question 1

A 55-year-old male presents with sudden onset crushing chest pain radiating to the left arm and diaphoresis. ECG shows ST elevation in leads II, III, and aVF. Which vessel is most likely occluded?

Accepted Answer

Right coronary artery

Answer

Left anterior descending artery

Answer

Left circumflex artery

Answer

Left main coronary artery

Question 2

A patient presents in anaphylactic shock after a bee sting. Which is the FIRST-line treatment?

Accepted Answer

Intramuscular epinephrine

Answer

IV diphenhydramine

Answer

IV corticosteroids

Answer

Nebulized albuterol

Question 3

Which of the following Glasgow Coma Scale (GCS) scores indicates severe traumatic brain injury?

Accepted Answer

3–8

Answer

13–15

Answer

9–12

Answer

6–8

Question 4

A 70-year-old woman presents with hypotension, distended neck veins, and muffled heart sounds following blunt chest trauma. What is the most likely diagnosis?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Hemothorax

Answer

Aortic dissection

Question 5

When managing a patient with suspected cervical spine injury in the emergency setting, which airway technique is generally preferred?

Accepted Answer

Rapid sequence intubation with in-line cervical stabilization

Answer

Blind nasotracheal intubation

Answer

Cricothyrotomy immediately

Answer

Bag-valve-mask ventilation only

Question 6

A patient presents with a serum sodium of 118 mEq/L and severe neurological symptoms including seizures. What is the recommended initial management?

Accepted Answer

Hypertonic saline (3%) to raise sodium by 1–2 mEq/L/hr acutely

Answer

Rapid correction with hypotonic saline at 1 mEq/L/hr

Answer

Free water restriction alone

Answer

Furosemide and normal saline infusion

Question 7

Which of the following is the most appropriate initial fluid resuscitation for septic shock in adults per Surviving Sepsis Campaign guidelines?

Accepted Answer

30 mL/kg IV crystalloid within the first 3 hours

Answer

10 mL/kg albumin over 30 minutes

Answer

2 L normal saline over 4 hours

Answer

Immediate vasopressor initiation without fluids