FMCLA Acute Care and Emergency Medicine

Question 1

A 45-year-old male presents with sudden onset crushing chest pain radiating to the left arm. Which initial diagnostic test is most critical?

Accepted Answer

12-lead ECG

Answer

A 12-lead ECG is the first-line diagnostic tool for suspected acute MI and should be obtained within 10 minutes of presentation.

Question 2

Which finding on urinalysis is most consistent with a diagnosis of nephrolithiasis in a patient with acute flank pain?

Accepted Answer

Hematuria

Answer

Hematuria is present in approximately 85% of nephrolithiasis cases and is the hallmark urinalysis finding.

Question 3

A patient presents with anaphylaxis after a bee sting. What is the first-line treatment?

Accepted Answer

Epinephrine 0.3 mg IM

Answer

Intramuscular epinephrine in the anterolateral thigh is the first-line and life-saving treatment for anaphylaxis.

Question 4

Which of the following best characterizes a CURB-65 score of 3 in a patient with community-acquired pneumonia?

Accepted Answer

Consider hospitalization

Answer

A CURB-65 score of 3 indicates severe pneumonia and warrants hospitalization and consideration of ICU-level care.

Question 5

A patient on warfarin presents with an INR of 8.5 and minor bleeding. What is the most appropriate management?

Accepted Answer

Hold warfarin and give vitamin K orally

Answer

For supratherapeutic INR with minor bleeding, holding warfarin and administering oral vitamin K is the standard approach.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test