Emergency Medicine Board Review Course – 2019
The Best EM Board Review Course & Medical Education Solution
From the leader in online medical education, Med-Challenger
Our pass-guaranteed EM board review course gets you prepared for ABEM boards fast, thanks to our constantly updated Emergency Medicine board review questions, detailed answer explanations, and intelligent exam simulators. Plus, our online ABEM board review courses keep serving you after exams too. Certification or recertification – EM board review has never been so easy, effective, or efficient.
Proven exam success. Lifelong benefits. Nothing beats Med-Challenger’s online Emergency Medicine review course.
1-800-676-0822 | email@example.com
Emergency Medicine Board Review Questions
Based on the American Board of Emergency Medicine format.
A 27-year-old woman who is 32 weeks pregnant is an unrestrained driver involved in a T-bone collision with damage to the driver’s door at moderate speed. She is extricated from her vehicle by paramedics, and she arrives at the emergency department (ED) alert but in distress. She has a scalp laceration, deformities on her left arm and left leg, and ecchymosis over her left flank.
Which of the following statements is correct regarding trauma in patients who are in their third trimester of pregnancy?
Challenging distractors are one of the most important features of a high quality EM question.
Computed tomography (CT) is contraindicated.
In late pregnancy, PaCO2 is elevated and fibrinogen is low, leading to a misdiagnosis of respiratory failure and disseminated intravascular coagulation.
Vaginal pH > 4.5 indicates an amniotic fluid leak.
Fetal assessment occurs during the secondary survey.
Understanding why an answer choice is incorrect is just as important as knowing why it is correct for a truly effective Emergency Medicine review course.
Vaginal pH > 4.5 indicates an amniotic fluid leak.
Outline management principles for a trauma patient who is pregnant.
The basic resuscitation priorities and interventions after trauma are the same in pregnant and nonpregnant patients, with several important points to consider: pelvic examination is required for all pregnant women because it yields critical information about fetal risk; a vaginal pH > 4.5 indicates rupture of the chorioamniotic membranes; blood suggests placental abruption (blood is present in 70% of placental abruption after trauma); dilation and effacement suggest impending labor.
Fetal survival after trauma in pregnancy depends on maternal stability. The most common cause of fetal death in trauma is maternal shock, so the primary survey and resuscitation of a pregnant patient with trauma proceeds the same as in any other scenario with the addition of shifting the second or third trimester uterus off the vena cava, and monitoring fetal heart tones. Maternal blood pressure and heart rate may remain normal for a longer period than in nonpregnant patients after trauma (due to extra fluid volume of pregnancy), leading to a situation where the mother appears stable while the fetus is in severe distress. Hence, fetal vital signs are a more sensitive indicator of distress than maternal vital signs.
The pelvic exam is performed during the secondary survey to search for signs of amniotic fluid leak (vaginal pH > 4.5), placental abruption (blood in vault), or impending delivery (effacement, dilation). Obstetrics should be consulted early because fetal distress can occur unpredictably, necessitating an emergency C-section.
Placental abruption is the second leading cause of fetal death after trauma. If there is no blood in the vault, either an ultrasound (less sensitive) or CT scan (more sensitive) should be performed to assure that this diagnosis is not missed. Most patients with placental abruption after trauma will also experience uterine irritability with contractions triggered even just by the normal abdominal exam. Repeat vaginal examinations should be avoided.
Radiological studies should be performed according to the same protocols as in nonpregnant patients because fetal risk of death from missed injuries is greater than fetal risk from radiation exposure.
During pregnancy, PaCO2 and HCO3 are low (compensated respiratory alkalosis), meaning that a NOMAL PaCO2 indicates a problem, but a low HCO3 does NOT necessarily indicate hypovolemic shock. A fibrinogen level should always be ordered in pregnant patients. Towards the end of pregnancy, the fibrinogen nearly doubles; therefore, a normal fibrinogen level may indicate significant disseminated intravascular coagulation (DIC).
Pearl: Late in pregnancy, surprisingly minor trauma is sufficient to cause placental abruption.
American College of Surgeons Committee on Trauma. Advanced Trauma Life Support (ATLS) Student Course Manual. 10th ed., 2018.
Our EM Board Review Course Gives You More Ways To Study
Enhanced uptake and retention
Programmed learning - the self-study progression of Practice > Review > Assess - is an educational methodology scientifically proven to enhance information uptake and retention. Our topic-based review segments provide this progression, so you can absorb content faster - and remember it for a longer time.
Multimedia From Real Cases Strengthens Emergency Medicine Review
Integrated audio and visual media for enhanced learning.
ABEM Board Review Options You Won’t Find Anywhere Else
Use our "out-of-the-box" content & exams - or build your own. Your call.
It's important to know, Med-Challenger courses require NO exam building labor on your part - unlike other board review QBanks. Our courses come with pre-built, exam-mapped, adaptive self-assessments so there's no set up required - you can just dive in. However, we also include custom build tools, so if you DO want to build something special - you can.
Custom Exam Builder
Build custom exams that dynamically issue selected content based on your specifications and create a personal review solution that fits your study preferences and lifestyle.
Themes and Settings
Select from light and dark themes and customize your experience within your account profile.
Custom CME Certificates
Review completed work, batch claim CME credits, and produce printable CME certificate PDFs. Review, reproduce & email CME certificates anytime.
More authoring tools for program directors
Our program director suite also includes custom question authoring, custom assignment creation, scheduling and more.
Each Emergency Medicine Board Review Question Has A Detailed Answer
Receive targeted self-remediation in detected "weak areas"
Every board simulation self-assessment analyzes missed questions and issues both full answer keys and a post-assessment self-remediation prescription to targeted review content so you can address any and all "weak areas" of knowledge on the spot - and save valuable time.
Know If You’re Ready For The ABEM Boards
Know what you've done, how well, and where you're headed.
Med-Challenger provides you with key statistics and robust analytics to create an efficient and effective learning strategy - and predict outcomes.
Quickly see what's complete and what's left to review.
See how you're performing and improve your knowledge in problem areas.
See the likelihood of you passing your exam at any time.
"Outstanding board review & continuing education with lasting value. Web-based system is fantastic and easy to use. Makes exam review and CME super easy. Best investment I've ever made for my career."
Don Hill, MD
Emergency Medicine Board Review Topics
EM Board Review Course
Emergency Medicine PRO Bundle
Everything in Emergency Medicine.
One-time purchase. One year of initial access.
Includes low cost Premium renewal option.
Course Assets Included:
+ Emergency Medicine Board Review with CME
+ LLSA Subscription: Yearly Articles, Summaries & Review
+ Pediatric EM Board Review
+ State CME Requirements Course
+ Trauma Center CME
+ Stroke Center CME
+ Cardiac Center CME
+ Risk Management Review
+ 646 AMA PRA Category 1 CME Credits
+ 60 ACEP-approved CME Credits
+ 53 AAP Category 1 CME Credits
+ 53 ABP MOC Part II CME Credits
More Than Just An Emergency Medicine Board Review Course
Premium Membership - A Better Plan
"You can treat the symptoms or you can cure the condition." We're known for high quality board review courses, but we're built to protect your practice and quality of life throughout your medical career. The others aren't. It all starts with your single online account.
Everything in one spot. Useful forever.
With your single Med-Challenger account you can add multiple MOC products under one login, use them all year. Then, simply renew your Premium Membership for one low annual fee ($199/yr). You'll get another full year of access to EVERYTHING you've ever bought. We'll keep everything in your account up-to-date and on-call to serve your MOC & CME needs every year throughout your career. Buy once. Use assets year after year. Never pay full price again!