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Ace the ABEM Board Exam with Med-Challenger's proven Emergency Medicine Board Review. Featuring over 3,700 ABEM Exam Review questions with detailed explanations and rationales following the American Board of Emergency Medicine Exam Blueprint, board exam simulation, adaptive learning features, and hundreds of built-in CME credits, Med-Challenger's ABEM exam review is the best way to prepare for emergency medicine boards.

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"Outstanding emergency medicine board review. Passed my ABEM board exam easily and I'm loaded with CME for later. I would recommend Med-Challenger for any emergency medicine specialist seeking the best ABEM board review for the Qualifying Exam or ConCert exam."
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most powerful ABEM board review for emergency medicine board review

Med-Challenger is the most effective, easiest to use Emergency Medicine board review question bank for the American Board of Emergency Medicine Qualifying (initial certification) and ConCert examinations. Med-Challenger's emergency medicine review with intelligent EM self-assessment provides everything you need to pass the ABEM exam and fulfill other emergency medicine certification requirements such as AMA PRA Category 1 and ACEP CME credits, all in one powerful, effective, and convenient access point online.

Our pass-guaranteed Emergency Medicine board review course gets you prepared for ABEM boards fast, thanks to our constantly updated Emergency Medicine review questions, detailed answer explanations, and intelligent EM board exam simulators. Plus, our online ABEM board review course keeps serving you after exams too. Certification or recertification – Emergency Medicine board review has never been so easy, effective, or efficient. It's more than just the best emergency medicine question bank, it's lifelong emergency medicine education and ABEM MOC convenience.

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Our #1 emergency medicine question bank for ABEM exam prep is intelligent, automatically targeting any detected weaker areas of knowledge, saving your time.

3700+ Emergency Medicine Board Review Questions

High-Yield Emergency Medicine Review Questions mapped to the EM Model and ABEM board exam blueprint.

Using authoritative resources such as Rosen's and Tintinalli's emergency medicine textbooks, our emergency medicine physician editors ensure our ABEM prep course is always current and covers the latest ABEM exam blueprint. The Med-Challenger Emergency Medicine Board Review is 100% pass-guaranteed and used by the National Emergency Medicine Review live course, GME programs and healthcare organizations world-wide.

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Emergency Medicine Course Information

Emergency Medicine Review Course Information

Signs, Symptoms, and Presentations

Abdominal Pain
Acute Pelvic Pain in Women
Acute Vaginal Bleeding
Back Pain
Chest Pain
Confusion
Constipation
Cyanosis
Depressed Consciousness and Coma
Diarrhea
Dizziness and Vertigo
Dyspnea
Fever in the Adult Patient
Gastrointestinal Bleeding
Headache: Initial Approach
Hemoptysis
Jaundice
Nausea and Vomiting
Seizures: Initial Approach
Syncope
Weakness

Abdominal and Gastrointestinal Disorders

Anorectal Disorders
Appendicitis
Colitis, Ileitis, and Functional Bowel Disorders
Disorders of the Liver
Esophagus, Stomach, and Duodenum
Gallbladder and Biliary Tract Disorders
Hernias
Infectious Gastroenteritis
Obstruction, Ischemia, Perforation, Peritonitis
Pancreatitis
Pediatric Gastrointestinal Disorders

Cardiovascular Disorders

Acute Coronary Syndromes - Diagnosis and Challenges Non-ST-Elevation
Acute Coronary Syndromes - Initial Workup Non-ST-Elevation
Acute Coronary Syndromes - Medical Therapies Non-ST-Elevation
Acute Coronary Syndromes - Surgical Invasive Management Non-ST-Elevation
Acute Coronary Syndromes - Special Patient Groups ST-Elevation
Acute Coronary Syndromes - Initial Medical Care ST-Elevation
Acute Coronary Syndromes - Reperfusion Strategies ST-Elevation
Acute Coronary Syndromes - Stabilization of Complications
Cardiac Failure
Cardiac Valve Disorders
Cardiomyopathies
Circulation: Aortic Aneurysms
Circulation: Aortic Dissection
Circulation: Hypertension - Emergency Management
Circulation: Peripheral Vascular Emergencies
Dysrhythmia: Basic Concepts
Dysrhythmia: Conduction Disorders
Dysrhythmia: Implantable Devices Dysrhythmia: Pharmacology
Dysrhythmia: Supraventricular
Dysrhythmia: Ventricular
Endocarditis and Myocarditis
Pericarditis/Pericardial Tamponade (Non-Traumatic)

Cutaneous Disorders

Cancers of the Skin
Cutaneous Infections
Dermatitis (Non-Infectious)
Maculopapular Lesions
Papular/Nodular Lesions
Ulcerative Lesions
Vesicular/Bullous Lesions

Endocrine, Metabolic, & Nutritional Disorders

Basic Science Review: Acid-Base Regulation
Basic Science Review: Regulation of Water and Osmolarity
Clinical Context: Acid-Base Disorders
Clinical Context: Alcoholic and Lactic Acidosis
Clinical Context: Osmol and Anion Gaps
Electrolyte Disorders: Calcium, Magnesium, Phosphorus
Electrolyte Disorders: Potassium
Electrolyte Disorders: Sodium, Chloride
Endocrine Disorders: Adrenal Gland
Endocrine Disorders: Diabetic Ketoacidosis
Endocrine Disorders: Hyperosmolar Hyperglycemic State
Endocrine Disorders: Hypoglycemia
Endocrine Disorders: Thyroid Gland
Miscellaneous: Alcohol-Related Disease

Environmental Disorders

Drowning
Electrical and Lightning Injuries
Frostbite
Heat-Related Illnesses
High Altitude Disorders
Hypothermia: Accidental
Marine Animal Envenomations and Injuries
Scuba Diving and Dysbarism
Venomous Animal Injuries: Arthropods
Venomous Animal Injuries: Reptiles

Eye, Ear, Nose & Throat Disorders

Eye: Assessment
Eye: Glaucoma
Eye: Inflammation and Infection
Eye: Pharmacology
Eye: Vascular Disorders
Nose: Infection and Inflammation
Oral Cavity: Medical Disorders
Otologic Infections
Otologic Signs, Symptoms, Presentations
Throat and Soft Tissue Neck: Medical Disorders

Hematologic and Oncologic Disorders

Disorders of Hemostasis: Factor Deficiencies
Disorders of Hemostasis: Platelets/Fibrinogen
Red and White Blood Cell Disorders
Selected Oncologic Emergencies
Transfusions

Immune System Disorders

Collagen Vascular/Immune Complex Disorders
Hypersensitivity Reactions
The Immunocompromised/Solid-Organ Transplant Patient

Systemic Infectious Disorders

Bacterial Infections: Diphtheria, Pertussis, Tetanus
Bacterial Infections: Meningococcemia, Pneumococcemia
Bacterial Infections: MRSA, VRE, ESBL
Bacterial Infections: Pediatric I, II
Bacterial Infections: Tuberculosis
Coronavirus (SARS-COV-2, COVID-19)
COVID-19 During Pregnancy
Parasitic Infections
Sepsis Syndromes
Systemic Fungal Infections
Tick-Borne Illnesses
Viral Infections: Hantavirus
Viral Infections: HIV
Viral Infections: Influenza, Mononucleosis, Herpes
Viral Infections: Pediatric
Viral Infections: Rabies

Musculoskeletal Disorders (Non-Traumatic)

Bone and Joint Infections
Deep Soft Tissue Infections
Disorders of Muscles
Disorders of the Spine
Overuse Syndromes (incl. Tendinopathy and Bursitis)

Nervous System Disorders

Neurological Assessment
Central Nervous System Disorders: Delirium and Dementia
Central Nervous System Disorders: Demyelinating/Inflammatory
Central Nervous System Disorders: Seizures
Central Nervous System Disorders: Spinal Cord Syndromes
Central Nervous System Infections Headache Disorders
Stroke: Presentation
Stroke: Initial Work-Up
Stroke: Treatment
Pediatric Nervous System Disorders I, II
Neuromuscular Junction Disease
Peripheral Nervous System Disorders
Selected Cranial Nerve Disorders

Psychobehavioral Disorders

Emergency Psychiatric Evaluation
Schizophrenia/Psychotic Disorders
Somatic Symptom Disorders
Suicide Violence, Abuse, Neglect: Assault (incl. sexual)
Violence, Abuse, Neglect: Elderly Citizens

Renal and Urogenital Disorders

Male Genital Problems: Noninfectious
Nephropathy, Contrast-Induced
Nephroureterolithiasis
Renal Failure: Acute
Renal Failure: Chronic
Renal Transplantation
Sexually Transmitted Infections: Male
Urinary Retention
Urinary Tract Infection
Urological Assessment

Thoracic-Respiratory Disorders

Acute Upper Airway Disorders (Incl. Peds.)
Disorders Of Pleura, Mediastinum, And Chest Wall
Obstructive/Restrictive Diseases: Fibrosis/Emphysema/Exposures (Incl. Peds) I, II
Obstructive/Restrictive Diseases: Reactive Lower Airway Disorders (Incl. Peds)
Pulmonary Embolism/Hypertension/Edema Pulmonary Infections (Incl. Peds)

Obstetrics and Gynecology

Gynecologic Infections: Genital Lesions
Gynecologic Infections: Vaginal Discharge
Pregnancy: Acute Medical/Surgical Complications
Pregnancy: Acute Obstetric Complications
Pregnancy: General Approach to the Pregnant Patient
Pregnancy: Labor, Delivery and Their Complications
Pregnancy: Preexisting Medical Illness

Toxicologic Disorders

General Approach to the Poisoned Patient
Acetaminophen Toxicity
Antibiotics Toxicity and Side Effects
Anticholinergics Toxicity
Anticonvulsant Toxicity
Antidepressants Toxicity (incl. Serotonin Syndrome)
Antipsychotics Toxicity
Aspirin and NSAIDs Toxicity
Bronchodilator Toxicity
Cardiovascular Drug Toxicity
Caustic Ingestion
Cocaine and Other Sympathomimetics Toxicity
Hallucinogen Toxicity
Heavy Metal Toxicity
Hydrocarbon Toxicity
Inhaled Toxins
Lithium Toxicity
Opiate Toxicity
Pesticide Toxicity (incl. Organophosphates)
Sedatives and Hypnotics Toxicity (incl. Barbiturates, Benzodiazepines)
Toxic Alcohols
Toxic Plant Ingestions (incl. Mushrooms)

Traumatic Disorders

Bites - Mammals (incl. Humans)
Burns: Chemical
Burns: Thermal
EENT Trauma: Eye
EENT Trauma: Nose
EENT Trauma: Oral-Dental
EENT Trauma: Otologic
Orthopedic Injuries: Ankle
Orthopedic Injuries: Cervical Spine
Orthopedic Injuries: Femur and Hip
Orthopedic Injuries: Foot
Orthopedic Injuries: Hand
Orthopedic Injuries: Humerus and Elbow
Orthopedic Injuries: Knee and Lower Leg
Orthopedic Injuries: Shoulder
Orthopedic Injuries: Wrist and Forearm
Special Populations: Geriatric Trauma
Special Populations: Trauma in Pregnancy
Trauma: Abdominal
Trauma: Face
Trauma: Foreign Bodies
Trauma: Genitourinary
Trauma: Head
Trauma: Multiple and Blast Injuries
Trauma: Pelvic
Trauma: Peripheral Vascular Injury
Trauma: Soft Tissue Neck
Trauma: Spinal Cord
Trauma: Thoracic - Cardiovascular Injuries
Trauma: Thoracic - Chest Wall
Trauma: Thoracic - Esophageal Injuries
Trauma: Thoracic - Pulmonary Injuries

Airway, Ventilation, Resuscitation

Advanced Airway: Adult
Airway: Pediatric
Breathing: Ventilatory Support (Adult/Pediatric)
Resuscitation: Adult Cardiac
Resuscitation: Brain (After Cardiac Arrest)
Resuscitation: Neonatal
Resuscitation: Pediatric
Resuscitation: Shock
Resuscitation: Trauma

Procedural Sedation

Procedural Sedation: Adult
Procedural Sedation: Pediatric

Wound Management

Wound Management: General
Wound Management: Closure Techniques
Wound Management: Escharotomy
Wound Management: Incision and Drainage
Wound Management: Nail Trephination

EMS and Disaster Response Systems

Air and Ground EMS Transport
Disaster Preparedness
Disasters/Terrorism: Biological
Disasters/Terrorism: Chemical
Disasters/Terrorism: Explosives
Disasters/Terrorism: Radiation (incl. Nuclear)

Laws, Ethics, and Professionalism

Consent, Error Disclosure, and Other Ethical-Legal Challenges
EMTALA
End of Life Care
Optimizing Patient Safety
Optimizing Care During Conflict and Crisis
Optimizing Care of Culturally Diverse Populations
Physician Wellness and Impairment
Prevention and Control of Injury

Sample Question 1

A 27-year-old man presents to you with fatigue and lethargy. You note that he has a serum potassium level of 2.7 mEq/L. Despite repeated administration of potassium via intravenous administration, he remains hypokalemic.

Which of the following deficiency can cause refractory hypokalemia?

iron
fluoride
magnesium
calcium

Magnesium is an essential cofactor for a wide variety of metabolic processes, and it is required for the retention of potassium and calcium. It is also an essential cofactor for thiamine. For these reasons, hypomagnesemia may impair the correction of hypokalemia, hypocalcemia, and thiamine deficiency.

Reference:

Pfennig CL, Slovis CM. Electrolyte disorders. In: Marx JA, et al., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2014:1636-1651.

Sample Question 2

A 79-year-old man presents to you after waking up this morning with left-sided facial paralysis. He has no history of recent trauma. Upon examination, there is no forehead sparing. You perform a thorough neurological examination that is otherwise negative. Computed tomography is negative and there was no neoplasm noted in the facial tissues. After observing the patient during the workup, he has neither progression nor regression of his symptoms. Initial differential diagnosis should include which of the following?

Ramsay-Hunt syndrome
Bell's palsy
Bell's palsy, Lyme disease, and Ramsay-Hunt syndrome
Lyme disease
transient ischemic attack (TIA) and cerebrovascular accident (CVA)

Documenting forehead sparing or its lack of presence is important. Forehead sparing points to a central -- not peripheral -- lesion of the facial nerve. TIA and CVA have a predilection with increased age, but they can occur in any age group. Bell's palsy does not have predilection in either age or sex. Lyme disease can present with a variety of neuropathies, including facial nerve paresis (≤ 10% in endemic areas). The rash of Ramsay-Hunt syndrome (herpes zoster infection) may not be present until several days later.

References:

Longo D, et al. Harrison’s Principles of Internal Medicine. 18th ed., 2012:3362.

Stettler B. Brain and cranial nerve disorders. In: Marx JA, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2013:1412.

Sample Question 3

A 22-year-old woman with no past medical history presents to you after 2 days of fever and a vesicular rash of her right hand. She works with macaque monkeys in a research laboratory, and notes that 2 weeks ago one of the animals bit her on the right hand. At the time, she irrigated the wound with soap and water for 10 minutes, but she did not apply chlorhexidine or povidone iodine. She felt well for 2 weeks, but for the past 2 days has complained of fever, malaise, and myalgias. The vesicles appeared at that time, and she tells you that they are painful and pruritic.

On examination, the patient is ill appearing. Vital signs are: temperature 102 °F (38.9 °C), heart rate 100 beats/minute, blood pressure 120/80 mm Hg, and oxygen saturation 96% on room air. Her right hand has numerous vesicles over the dorsal surface, where a bite wound appears to be healing. She has right axillary lymphadenopathy.

Which of the following is the most appropriate treatment for this patient?

monospot testing and observation
discharge home after a course of acyclovir
influenza testing and observation
hospital admission for intravenous acyclovir

Educational Objective:

Describe the treatment of monkey B virus infection.

Key Point:

Monkey B virus is a herpes viral infection transmitted by macaque monkeys; it has a high mortality rate when left untreated. Treatment is prompt admission for intravenous acyclovir.

Explanation:

The greatest concern with monkey bites is exposure to herpes B virus, for which up to 70% to 100% of macaque monkeys used in research are seropositive. The most important step in post-exposure prevention is to scrub the bitten area with soap and a concentrated solution of detergent, povidone iodine, or chlorhexidine, and then to irrigate the area for 15 to 20 minutes. Prophylaxis with valacyclovir is often recommended.

In cases of herpes B virus infection, patients typically present 2 to 5 weeks after exposure with vesicles overlying the affected area, as well as flu-like symptoms and localized lymphadenopathy. If the infection is not treated, then the illness progresses to central nervous system (CNS)–related symptoms that can continue to progress to seizures, paralysis, and coma. If the infection is left untreated, the mortality rate of 80%; however, this risk is markedly reduced with viral therapy.

Antiviral prophylaxis for herpes B virus includes 5 days of valacyclovir. For patients who already present with symptoms, but not CNS-related sequela, treatment is inpatient admission for 2 to 3 weeks of intravenous acyclovir. Ganciclovir is indicated for CNS manifestations.

Reference:

Eilbert WP. Mammalian bites (chapter 54). In: Wall R, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018:690-697.

Sample Question 4

The inherent discharge rate of the AV node is __ per minute.

40-60
40-80
60-100
20-40

In cardiac disease (particularly ischemia) junctional automaticity may be increased, resulting in accelerated junctional rhythm (60-100) or even junctional tachycardia.

Sample Question 5

A 24-year-old patient presents to you after a significant distraction/hyperextension injury to his shoulder. He is now complaining about numbness and weakness in his arm.

On examination, he cannot use his deltoid muscle and has numbness along the lateral side of his arm. You suspect an injury to the brachial plexus.

Which of the following statements is correct about this patient’s injury?

He injured the brachial plexus in the C4 distribution.
He injured the brachial plexus in the C5 distribution.
He injured the brachial plexus in the C6 distribution.
Brachial plexus injuries present in the peripheral nerve rather than as nerve-root patterns.

Educational Objective:

Identify sensory and motor distribution of specific brachial plexus nerves.

Key point:

Brachial plexus integrity is tested by evaluating the myotomes and dermatomes of each nerve root (the same neurovascular examination one would perform when evaluating patients with neck injuries).

Explanation:

This patient injured the brachial plexus in the C5 distribution. C5 of the brachial plexus affects the lateral side of the arm.

The point is not necessarily to know the exact nerve root that is injured, but instead to recognize when an orthopedic injury is presenting in a dermatome pattern. However, recognizing several specific patterns makes it easier to identify injuries to the nerve roots.

C2 to C7 nerve roots have the following myotomes and dermatomes shown in the Table.

Nerve Root	SENSORY AREA	MUSCLE
C2-4		Trapezius
C5	Lateral arm	Deltoid
C6	Lateral forearm and thumb	Biceps
C7	Tip of long finger	Thumb extensors
C8	Tip of little finger and medial forearm	Finger flexors
T1	Medial arm	Hand interossei

Reference:

Bengtzen R, Daya M. Shoulder (Chapter 46). In: Wall R, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 19th ed., 2018:549-568.e2.

Target Audience

Med-Challenger EM is intended for practitioners of acute and primary care or clinicians and registered nurses otherwise involved in the diagnosis and treatment of acute, emergent, or chronic medical problems.

Educational Objectives

After completing this activity, the participant should be better able to:

Confidently manage the broad spectrum of acute and chronic medical problems encountered in the practice of emergency medicine
Formulate appropriate differential diagnoses for patients presenting with acute and chronic medical problems of uncertain etiology.
Efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute and chronic medical disorders.
Cope effectively with the uncertainty that is inherent in the initial treatment of acute and chronic disorders.
Handle efficiently the spectrum of common disorders involving all organ systems. In particular, the physician will be better equipped to resuscitate seriously ill patients and to diagnose and treat acute medical disorders.

Faculty

Andrea C. Eberly, MD, M.S., FAAEM

Mary Alice O'Brien, DNP, APRN, FNP-BC

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Challenger Corporation. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Designation Statement

AMA Credit - The Postgraduate Institute for Medicine designates this enduring material for a maximum of 258.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Credit - The maximum number of hours awarded for this Continuing Nursing Education activity is 258.0 contact hours.

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Emergency Medicine Board Review
Product Comparison

Take a look at premiere Emergency Medicine knowledge products from leading vendors.

FEATURE	MED-C EM	Rosh Review	Hippo EM	Board Vitals
Questions	3700+	3700+	1200	600
AMA Category 1 CME	258	100	150	35
ACEP-approved CME	60	0	0	0
Labor-free	Yes	No	Yes	No
Smart Exam Simulator	Yes	No	No	No
Custom Learning Rx	Yes	No	No	No
Low-Cost All-Product Renewal	Yes	No	No	No
Multi-Course Single Login	Yes	No	No	No
Physician-led Content	Yes	Yes	Yes	Yes
Built for more than Boards	Yes	No	No	No

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Abnormal Vital Signs and Shock MyEMCert Review Module Now Available for ABEM MyEMCert Maintenance of Certification Requirements

January 25, 2022

2022 ABEM Board Review Course Release Covers Qualifying and ConCert Exams – and MyEMCert

January 23, 2022

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ABEM MOC ConCert Details

EM PRO

EVERYTHING in Emergency Medicine PRO Bundle

$1999

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ABEM Board Review (ABEM)

Pass-guaranteed
Initial Cert & ConCert Exams
258 AMA & 60 ACEP CMEs
Value $599

PEM Board Review (ABEM)

Pass-guaranteed
2100 Pediatric EM questions
105 AMA Category 1 credits
53 AAP Category 1 credits
53 ABP MOC Part II credits
Value $1399

Annual LLSAs (ABEM MOC)

Full articles & key point summaries
All active years + 40 AMA CMEs
New LLSA's free with Premium
Value $229

State-required CME Course

CME Requirements by US state
Useful every year
Value $229

Care Center CME Requirements

Malpractice & Risk Management

Legal course for physicians
Value $229

Platform Features & Utilities

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EM PRO Full Details

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