1. B
Inferior STEMI shows ST elevation in leads II, III, aVF.
2. C
Classic presentation of acute cardiogenic pulmonary edema includes dyspnea, pink frothy sputum, crackles, and S3 gallop.
3. B
Serum paracetamol level is essential for risk assessment using the nomogram.
4. A
Non-contrast CT brain is first-line to exclude subarachnoid hemorrhage.
5. B
Impending respiratory failure in status asthmaticus requires intubation.
6. C
Status epilepticus is seizure activity >5 minutes or recurrent without recovery.
7. B
Epiglottitis presents with fever, drooling, stridor, and tripod positioning.
8. B
Acute tearing chest pain radiating to back and unequal arm BPs suggests aortic dissection.
9. A
Classic presentation of appendicitis is RLQ pain, fever, and guarding.
10. A
Placenta previa causes painless vaginal bleeding in pregnancy.
11. B
Wernicke’s encephalopathy is due to thiamine deficiency in alcoholics.
12. C
Immediate decompression is required for tension pneumothorax after trauma.
13. B
Septic shock defined by hypotension, high lactate, and infection.
14. B
IV thrombolysis is indicated within 4.5 hours if no hemorrhage.
15. C
Pelvic binder stabilizes pelvic fracture and reduces bleeding.
16. B
Absent cremasteric reflex is a key sign of testicular torsion.
17. C
Small cell carcinoma is most common central lung tumor in smokers.
18. B
Toxic shock syndrome presents with fever, rash, hypotension, desquamation.
19. B
Esophageal varices cause hematemesis in alcoholics with portal hypertension.
20. B
Severe pain out of proportion to exam with AF suggests mesenteric ischemia.
21. A
Croup presents with barking cough, stridor, and low-grade fever.
22. B
Acute angle-closure glaucoma presents with painful red eye and raised IOP.
23. C
Positive pregnancy, abdominal pain, shoulder pain, and bleeding = ectopic.
24. A
Pneumonia presents with fever, productive cough, pleuritic pain, consolidation.
25. A
Radial nerve injury is associated with midshaft humeral fractures.
26. B
Necrotizing fasciitis presents with severe pain out of proportion and sepsis.
27. B
Beck’s triad of tamponade: hypotension, muffled heart sounds, JVD.
28. C
Melena usually originates from an upper GI bleed.
29. C
CT brain first to rule out raised ICP, then lumbar puncture for meningitis.
30. A
Wernicke’s encephalopathy triad: ataxia, ophthalmoplegia, confusion.
Prepare for the FACEM - Fellowship of the Australasian College for Emergency Medicine exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.