FMCLA Acute Care and Emergency Medicine 2

Question 1

Which clinical feature best differentiates bacterial sinusitis from viral upper respiratory infection?

Accepted Answer

Symptoms worsening after initial improvement (double sickening)

Answer

Nasal congestion lasting 3 days

Answer

Low-grade fever

Answer

Clear nasal discharge

Question 2

A patient presents with suspected deep vein thrombosis. Which scoring system should be applied before ordering imaging?

Accepted Answer

Wells criteria

Answer

CHADS2 score

Answer

CURB-65 score

Answer

Ottawa rules

Question 3

Which of the following is the most appropriate initial management for a simple febrile seizure in a 2-year-old?

Accepted Answer

Supportive care and fever management

Answer

Immediate CT head

Answer

Lumbar puncture

Answer

Initiate anticonvulsant therapy

Question 4

A patient with known COPD presents in acute exacerbation with SpO2 of 84%. What oxygen delivery target is appropriate?

Accepted Answer

SpO2 88–92%

Answer

SpO2 > 98%

Answer

SpO2 > 95%

Answer

No supplemental oxygen needed

Question 5

Which test is most sensitive for detecting acute pulmonary embolism?

Accepted Answer

CT pulmonary angiography (CTPA)

Answer

D-dimer

Answer

V/Q scan

Answer

Chest X-ray

Question 6

A 60-year-old male presents with sudden painless vision loss in one eye. Which diagnosis must be ruled out immediately?

Accepted Answer

Central retinal artery occlusion

Answer

Open-angle glaucoma

Answer

Diabetic macular edema

Answer

Refractive error