"The best emergency medicine board review."

Med-Challenger has been hearing praises from happy EM board review customers for several decades now.  100% pass-guaranteed and proven effective for ABEM Qualifying certification exams and ABEM ConCert MOC examinations (99.8% pass-rate), our Med-Challenger EM board review follows the EM Model and exam content outline as prescribed by the American Board of Emergency Medicine (ABEM), giving you more than 3600 emergency medicine board review practice questions with detailed explanations peer-reviewed by practicing EM educators.

Intelligent, time-saving adaptive learning and prescriptive remediation produces the best review in the shortest time. Dashboards, custom exams, and other career-minded MOC utilities are also included. Materials are also continually updated and enhanced throughout the year as practice guidelines change.

What’s more, with 275 AMA PRA Category 1 & 60 ACEP-approved CME credits built-in, Med-Challenger’s EM board review Qbank, gives emergency medicine physicians everything needed to ace EM exams and fulfill MOC requirements year after year with less time, labor, and worry.

Med-Challenger Emergency Medicine Board Review is suggested by the American Board of Physician Specialties for emergency medicine review.  Med-Challenger has also partnered with ACOEP for their Written Board Review Live Event. Med-Challenger’s EM Board Review offers the best ABEM review options. Take a look at why over 350,000 EM physicians have used Med-Challenger to outperform on exams - and protect their practice year after year.

Med-Challenger proud to serve the education and MOC needs of all emergency physicians.

Emergency Medicine Board Review Questions

Based on the American Board of Emergency Medicine format.


  • Just like you'll see on the actual exam
  • No negatively phrased questions
  • Case-based presentations
  • Image-based questions
  • Continually updated

Sample Stem:

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.


  • Challenging distractors (incorrect answer options)
  • Practice Modes for self-testing instant feedback
  • Review Modes for read-friendly questions & answers

Answer Options:

 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.


  • Detailed explanation for the correct and incorrect answer choices
  • Integrated media for visual learning
  • Key points link associated concepts and practice guidelines

Correct Answer:

Vaginal pH > 4.5 indicates an amniotic fluid leak.

Educational Objective:

Outline management principles for a trauma patient who is pregnant.

Key Point:

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

Study Modes

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.

Tutor Modes
  • Practice - non-scored self-testing with answer feedback
  • Review - read-friendly question & answer review
Easy Self-Assessment
  • Start, Pause, Resume, Score - assess as you like
  • Flag Questions - flag questions for review
Self-Assessment Options
  • Board Exam "Smart" Simulator - exam-specific comprehensive review prioritizes missed and unseen / unanswered questions on subsequent use. Fastest path to complete mastery.
  • Board Exam "Crash" Review - comprehensive review prioritizes unseen / unanswered questions on subsequent use. Great for anytime "check up" or when time is short.
  • Chapter Exams - both Smart and Crash options, adaptive review per chapter
  • Baseline Exams - curated set of core questions for quick, initial knowledge assessment
  • Topic CME Assessments - topic-based question set, passing score earns CME credit
  • Custom Exams - exams you've built via our Exam Builder

Multimedia From Real Cases Strengthens Emergency Medicine Review

Media Banks

Integrated audio and visual media for enhanced learning.


  • Audio and visual content reinforce core concepts
  • Media banks organized by topic
  • Tables, images, diagrams, videos and more
  • Great resource for education program faculty

Our board reviews offer high resolution imagery and other media.

ABEM Board Review Options You Won’t Find Anywhere Else

Custom Tools

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.

  • Build your own adaptive exams using Q&A from one or more course assets
  • Set how many questions are issued from your selected question pool on each attempt
  • Save your custom exams and re-use them. They'll follow your content specifications every time.

Build custom exams and more.

Themes and Settings

Select from light and dark themes and customize your experience within your account profile.

customize your screen

Custom CME Certificates

Review completed work, batch claim CME credits, and produce printable CME certificate PDFs. Review, reproduce & email CME certificates anytime.

print cme certificates on-demand
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

Prescriptive Learning

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.

  • Get a comprehensive breakdown of assessment performance in all categories and sub-topics
  • View full answer keys - filter by question results - view missed, unanswered, and flagged questions
  • Understand specific areas of knowledge that should be improved
  • Receive suggested links to targeted self-remediation - and dive deeper on the spot

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.

15 / 15 Topics Complete

4 / 10 Topics Complete

Keep track of what's been completed and what's not.

See how you're performing and improve your knowledge in problem areas.



Evaluate your performance on board exam simulations and more.

See the likelihood of you passing your exam at any time.

Excellent - 98%
Predict the likelihood of passing board exams

"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

Blueprint-based Exam Simulation

ABEM publishes a content blueprint of the material that will appear on the exam.

This is how we determine which material appears in EM board exam simulations.

Traumatic Disorders10%
Signs, symptoms, presentations9%
Abdominal and GI8%
Thoracic-Respiratory Disorders8%
Procedures and Skills8%
Head, Ear, Eye, Nose and Throat Disorders5%
Nervous System Disorders5%
Systemic Infectious Disorders5%
Toxicologic Disorders5%
Obstetrics and Gynecology4%
Psychobehavioral Disorders4%
Renal and Urogenital Disorders3%
Other Core Competencies3%
Musculoskeletal Disorders (Non-traumatic)3%
Hematologic Disorders2%
Immune System Disorders2%


EM Board Review Course

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Emergency Medicine Board Review

ABEM Recertification ConCert Exam

Crush your MOC Boards & Earn CME.


One-time purchase. One year of initial access.
Includes low cost Premium renewal option.

+ 100% Pass Guaranteed
+ Over 3600 Questions & Explanations
+ Exam Simulation, Study by Topic & Custom Exams
+ Continuous Updates
+ 275 AMA PRA Category 1 CME Credits
+ 60 ACEP-approved CME Credits

Emergency Medicine Board Review

ABEM Certification Qualifying Exam

Crush your Boards.


One-time purchase. One year of initial access.
Includes low cost Premium renewal option.

+ 100% Pass Guaranteed
+ Over 3600 Questions & Explanations
+ Exam Simulation, Study by Topic & Custom Exams
+ Continuous Updates

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

See Full Details
Emergency Medicine review products

$3372 in value for only $1999. You save over 40%.

More Than Just An Emergency Medicine Board Review Course

Account Benefits

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!

New Content Weekly

Just by having a free Med-Challenger online account, you can stay up-to-date and informed to changes in current practice.

  • Our Medical Education Blog offers practice pearls, guideline news, and diagnostic challenges from our clinician authors.
  • Our popular Free CME Quick Quiz game let's you try new board review questions each week. No purchase necessary to play.
Free Board Review Questions
free board review questions
CME Credit On-Demand

Most Med-Challenger products include required continuing education credit(s). Any earned credits will accrue in your account's CME Claims manager. Easily batch-claim earned credits and produce custom CME certificate PDFs, anytime. Makes MOC a snap.

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We offer a money-back pass-guarantee on all exam review courses. We only succeed, when you do. Start a no-obligation full trial of any product today.

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We provide free, live US-based support and a 24/7 knowledge base, so you'll never be without clear answers to your questions and needs.