FMCLA Acute Care and Emergency Medicine 3

Question 1

Which antibiotic class is contraindicated in a patient with a known sulfa allergy who requires treatment for a UTI?

Accepted Answer

Trimethoprim-sulfamethoxazole

Answer

Fluoroquinolones

Answer

Nitrofurantoin

Answer

Fosfomycin

Question 2

A 35-year-old female presents with right lower quadrant pain, nausea, and fever. The Alvarado score is 8. What is the next step?

Accepted Answer

Urgent surgical consultation

Answer

Discharge with oral antibiotics

Answer

Repeat exam in 4 hours

Answer

Abdominal X-ray

Question 3

Which electrolyte abnormality is most commonly associated with prolonged QT interval on ECG?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hyponatremia

Question 4

In suspected sepsis, what is the recommended time frame to administer broad-spectrum antibiotics after recognition?

Accepted Answer

Within 1 hour

Answer

Within 6 hours

Answer

Within 3 hours

Answer

Within 12 hours

Question 5

A patient presents with epistaxis that does not stop with 20 minutes of direct pressure. What is the next step?

Accepted Answer

Anterior nasal packing

Answer

Oral antifibrinolytics

Answer

Posterior nasal packing

Answer

Emergent surgical ligation

Question 6

Which medication is recommended for prophylaxis against altitude sickness when ascending rapidly above 8,000 feet?

Accepted Answer

Acetazolamide

Answer

Ibuprofen

Answer

Dexamethasone

Answer

Furosemide