Acute Care and Emergency Medicine Flashcards
6 cards from real FMCLA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Acute Care and Emergency Medicine flashcards as text
A 45-year-old male presents with sudden onset crushing chest pain radiating to the left arm. Which initial diagnostic test is most critical?
Answer: 12-lead ECG
A 12-lead ECG is the first-line diagnostic tool for suspected acute MI and should be obtained within 10 minutes of presentation.
Which finding on urinalysis is most consistent with a diagnosis of nephrolithiasis in a patient with acute flank pain?
Answer: Hematuria
Hematuria is present in approximately 85% of nephrolithiasis cases and is the hallmark urinalysis finding.
A patient presents with anaphylaxis after a bee sting. What is the first-line treatment?
Answer: Epinephrine 0.3 mg IM
Intramuscular epinephrine in the anterolateral thigh is the first-line and life-saving treatment for anaphylaxis.
Which of the following best characterizes a CURB-65 score of 3 in a patient with community-acquired pneumonia?
Answer: Consider hospitalization
A CURB-65 score of 3 indicates severe pneumonia and warrants hospitalization and consideration of ICU-level care.
A patient on warfarin presents with an INR of 8.5 and minor bleeding. What is the most appropriate management?
Answer: Hold warfarin and give vitamin K orally
For supratherapeutic INR with minor bleeding, holding warfarin and administering oral vitamin K is the standard approach.
A 28-year-old presents with a 3-day history of sore throat, fever, and tonsillar exudate. Rapid strep test is positive. Which antibiotic is first-line?
Answer: Amoxicillin
Amoxicillin (or penicillin V) remains the first-line antibiotic for Group A streptococcal pharyngitis due to its efficacy and narrow spectrum.
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