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FACEM Cheat Sheet 2026

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

120 questions
180 min time limit
70.00% to pass
  1. A registrar asks how to best prepare for the FACEM clinical examination. Which strategy is most strongly supported by evidence? ā†’ Deliberate practice with structured clinical cases, peer feedback, and mock OSCE stations
  2. A systematic review finds significant heterogeneity (IĀ² = 75%) among included studies. The most appropriate response is to: ā†’ Explore sources of heterogeneity and use a random-effects model
  3. A patient presents with QRS widening to 160ms after tricyclic antidepressant (TCA) overdose. What is the most appropriate immediate treatment? ā†’ Sodium bicarbonate 1ā€“2 mEq/kg IV bolus
  4. When should documentation of a service or intervention be completed? ā†’ As soon as possible after the service is provided
  5. When is it appropriate to modify a standard clinical procedure? ā†’ When patient-specific factors require adaptation based on clinical judgment
  6. In a patient with suspected elevated intracranial pressure requiring RSI, which agent is preferred to blunt the haemodynamic response to laryngoscopy? ā†’ Fentanyl given 3 minutes prior
  7. In a clinical trial, allocation concealment refers to: ā†’ Preventing foreknowledge of the next assignment before enrolment
  8. What is the Mangled Extremity Severity Score (MESS) used to predict in traumatic limb injury? ā†’ Likelihood of successful limb salvage
  9. Why is it important to check for drug allergies before administration? ā†’ To prevent potentially life-threatening allergic reactions
  10. A patient in the ED deteriorates and requires aerosol-generating procedures (AGPs). Which of the following is NOT classified as an AGP? ā†’ Manual chest compressions during cardiac arrest
  11. In a cohort study, the incidence rate ratio compares: ā†’ Rate of disease in exposed versus unexposed over time
  12. An emergency physician suspects a colleague is impaired by alcohol while on shift. What is the most appropriate immediate action? ā†’ Notify hospital administration and remove the colleague from clinical duties
  13. Which educational framework underpins the FACEM training curriculum, emphasizing competency-based progression? ā†’ Miller's pyramid of clinical competence
  14. Which of the following is the correct approach when a clinical note contains a factual error? ā†’ Draw a single line through the error, initial and date it, then add a correction
  15. A hospital's backup generator fails during a disaster. Which patient population requires IMMEDIATE priority for manual support or transfer? ā†’ Ventilator-dependent ICU patients
  16. What is the correct order for donning personal protective equipment (PPE)? ā†’ Gown, mask, goggles, gloves
  17. What is the most sensitive bedside test for ruling out pulmonary embolism in low-to-moderate pre-test probability patients? ā†’ D-dimer
  18. A patient on warfarin develops bleeding after starting fluconazole. The most likely mechanism is: ā†’ Fluconazole inhibits CYP2C9, reducing warfarin metabolism
  19. Which action is essential during any procedure involving sharps? ā†’ Using designated sharps containers and following universal precautions
  20. In the management of status epilepticus, which is the second-line agent if benzodiazepines fail to terminate seizures? ā†’ Levetiracetam or valproate IV
  21. A 60-year-old male presents with acute confusion, fever 38.8Ā°C, HR 110, and a petechial rash progressing to purpura. Which immediate action is most critical? ā†’ Administer intravenous antibiotics immediately without delay
  22. A senior emergency physician observes a junior colleague make a clinical error that did not harm the patient. The most appropriate response is: ā†’ Address the error privately with the junior colleague and provide constructive feedback
  23. The duration of action of a single bolus dose of propofol is primarily determined by: ā†’ Redistribution from the CNS to peripheral tissues
  24. How does the Fellowship measure success in advocacy and leadership? ā†’ Success is measured by improvements in care, policy, and leadership networks.
  25. A tearful patient says 'I just want to know if I'm going to die.' How should the emergency physician respond? ā†’ Acknowledge the emotion and explore what they mean before providing information
  26. What is the purpose of transmission-based precautions? ā†’ To provide additional protection for patients with specific infections
  27. Which enzyme is primarily responsible for the metabolism of succinylcholine in plasma? ā†’ Plasma cholinesterase (pseudocholinesterase)
  28. What is the correct sequence for a physical assessment? ā†’ Inspection, palpation, percussion, auscultation
  29. After a patient death, which communication approach is most appropriate when speaking with the bereaved family? ā†’ Sit with the family, use plain language, allow silence, and express condolences sincerely
  30. A patient presents after a bite from another human. Which pathogen is the primary concern driving the choice of prophylactic antibiotics? ā†’ Eikenella corrodens
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