DOH Emergency Medicine & Critical Care 2

Question 1

In the management of a tension pneumothorax, what is the immediate life-saving intervention?

Accepted Answer

Needle decompression at the 2nd intercostal space, mid-clavicular line

Answer

Needle decompression at the 2nd intercostal space mid-clavicular line provides immediate relief of tension pneumothorax without waiting for imaging.

Question 2

Which of the following is the most appropriate initial management for a patient with status epilepticus lasting more than 5 minutes?

Accepted Answer

Intravenous lorazepam 0.1 mg/kg

Answer

Intravenous benzodiazepines such as lorazepam are the first-line treatment for status epilepticus due to rapid onset of action.

Question 3

What is the most common cause of acute upper gastrointestinal bleeding in adults presenting to the emergency department?

Accepted Answer

Peptic ulcer disease

Answer

Peptic ulcer disease accounts for approximately 40–50% of all upper GI bleeds and is the most common cause in the emergency setting.

Question 4

A patient presents with severe chest pain radiating to the back, unequal blood pressures in both arms, and widened mediastinum on chest X-ray. What is the most likely diagnosis?

Accepted Answer

Aortic dissection

Answer

The combination of tearing chest pain radiating to the back, unequal arm blood pressures, and widened mediastinum is classic for aortic dissection.

Question 5

In the management of acute stroke, what is the maximum time window for administering IV tissue plasminogen activator (tPA) from symptom onset?

Accepted Answer

3–4.5 hours

Answer

IV tPA can be administered within 3–4.5 hours of symptom onset in eligible ischemic stroke patients according to current stroke guidelines.

HAAD/DOH Abu Dhabi Practice Test

HAAD/DOH Abu Dhabi Practice Test

DOH Emergency Medicine & Critical Care 2