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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.

emergency medicine review - emergency medicine question bank

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 28-year-old woman who is 9 weeks pregnant presents to the emergency department after a motor vehicle collision. She is clinically stable and has no neurologic deficit. She has midline neck pain, so her condition fails both the Canadian C-Spine (cervical-spine) Rule and National Emergency X-Radiography Utilization Study criteria for clinical clearance.

Which of the following is the most appropriate method to look for cervical fracture pathology in this patient?

plain film radiography
resonance imaging (MRI) with contrast
computed tomography (CT) without contrast
magnetic resonance imaging (MRI) without contrast

Educational Objective:

Describe the appropriate trauma cervical spine imaging in the pregnant patient.

Key Point:

CT is superior to MRI for showing bony pathology. MRI is better to show soft-tissue injury. With shielding, CT of the head, neck, and chest are considered to be low-risk studies.

Explanation:

There only is a known fetal risk at levels of 100 mGy and above during the first trimester. CT of the head produces 0 mGy estimated exposure for the fetus; CT of the chest is only associated with a 0.2 mGy estimated exposure. While clinical judgment should be used to decide whether plain film, CT, or MRI would be used in any single case, CT should not be ruled out as an option just because of pregnancy. CT is superior to MRI for showing bony pathology, which is the concern in this case.

Reference:

Dobiesz VA, Robinson DW. Trauma in pregnancy. In: Wall R, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018:2313-2321.

Sample Question 2

A 65-year-old woman weighing 65 kg, with an acute exacerbation of long-standing chronic obstructive pulmonary disease (COPD) and respiratory arrest has been intubated in the emergency department. Her vital signs are blood pressure 135/75 mm Hg; pulse 80 beats/minute; temperature, 98.6°F, and pulse oximetry 100% on the ventilator. Her ventilator is set at assist control mode with 8 breaths/minute, FiO2 100%, and tidal volume of 500 mL/kg. Which approach will be most beneficial to the ventilator management of this or other intubated patients with COPD?

permissive hypercapnia
neuromuscular blockade
positive end-expiratory pressure (PEEP)
continuous positive airway pressure (CPAP)
hyperventilation alkalosis

Educational Objective:

Discuss initial ventilator settings/goals in an intubated patient with COPD.

Key Point:

A compensatory metabolic alkalosis often accompanies the baseline respiratory acidosis in patients with COPD. Further exacerbation of this metabolic derangement by overly rapid correction of the respiratory acidosis can cause seizures and cardiac rhythm disturbances.

Explanation:

Patients with COPD often have baseline low blood pH and elevated PCO2 levels, and permissive hypercapnia allows for a gradual correction of these parameters to normal levels.

Initial settings of FiO2 should be at 100% and then titrated to lower levels to avoid prolonged hyperoxia. Patients with COPD often perform auto-PEEP maneuvers through pursed-lip exhaling, which maintains the patency of bronchial walls. The addition of PEEP will facilitate the delivery of ventilator breaths (inhalation) but will interfere with exhalation, which may worsen air trapping and result in barotrauma.

During rapid-sequence intubation, a neuromuscular-blocking agent, such as succinylcholine, is commonly needed; however, after intubation, the patient should be sedated (but not paralyzed) to allow spontaneous respiratory efforts.

CPAP is not applicable to a paralyzed patient immediately following intubation, but it may become an important strategy in the spontaneously breathing patient.

References: Manthous CA. Avoiding circulatory complications during endotracheal intubation and initiation of positive pressure ventilation. J Emerg Med. 2010;38(5):622-631.

Swadron SP, Gruber PF. Chronic obstructive pulmonary disease. In: Marx JA, et al. Rosen's Emergency Medicine. 8th ed., 2013: 956-964.

Sample Question 3

A 72-year-old man presents after experiencing an out-of-hospital cardiac arrest. There was a bystander on the scene who immediately performed cardiopulmonary resuscitation. When emergency medical services arrived, ventricular fibrillation was noted, followed by return of spontaneous circulation with a carotid pulse after 1 shock with an automated defibrillator.

The patient remains unresponsive with unstable vital signs. Another paramedic subsequently arrives and requests catheterization laboratory activation and gives the order to initiate cooling protocols.

While loading the patient into the ambulance, the paramedic drops the cardiac monitor, and no further electrocardiographic (ECG) findings are available.

What is the correct response to the second paramedic's request to activate the catheterization laboratory and initiate cooling?

Do not activate the catheterization laboratory because the patient is unstable, but do begin cooling.
Do not activate the catheterization laboratory, and do not begin cooling.
Activate the catheterization laboratory and begin cooling.
Activate the catheterization laboratory, but hold cooling until the patient arrives at your facility.

Educational Objective:

List the catheterization laboratory activation criteria in the setting of return of spontaneous circulation.

Key Point:

Witnessed, out-of-hospital cardiac arrest with return of spontaneous circulation is an equivalent of ST elevation myocardial infarction, and the catheterization laboratory should be activated, regardless of postresuscitation ECG findings or the neurologic status of the patient.

Explanation:

For a patient who has experienced out-of hospital cardiac arrest and return of spontaneous circulation, a large study found that survival-to-discharge rates went from 10% when receiving medical care alone to 40% when receiving emergent primary percutaneous coronary intervention. Likewise, in the same study, 94% of patients with in-hospital arrest who had early therapeutic hypothermia had a good neurologic outcome. Therefore, it is reasonable to grant the paramedic's request to activate the catheterization laboratory and begin cooling.

References:

ECG Courtesy of Mike Cadogan

Rokos IC, French WJ, Mattu A, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160(6):995-1003, 1003.e1-e8.

Sample Question 4

What is the most common malignancy presenting in children younger than 15 years of age?

Wilms tumor
Acute lymphocytic leukemia
Chronic lymphocytic leukemia
Chronic myelogenous leukemia
Acute myelogenous leukemia

Acute lymphocytic leukemia is the most common malignancy of childhood. Treatment has increased mean survival by more than 15 years.

Janz Glen et al. Anemia, Polycythemia, and White Blood Cell Disorders. In: Marx JA, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed., 2009

Sample Question 5

You are urgently called to see a 48-year-old woman for new-onset dyspnea. She was transfused packed red blood cells (PRBCs) about 6 hours ago because of a severe laceration involving her femoral artery. Now she has a fever of 38.4 °C, a blood pressure of 105/70 mm Hg, a heart rate of 100 beats/minute, and an oxygen saturation of 82% on room air.

You obtain a chest x-ray that shows bilateral interstitial and alveolar infiltrates. Her hematocrit level is 36% and her B-type natriuretic peptide level is 220 pcg/dL. She has no edema on clinical examination.

Which of the following transfusion complications best matches her situation?

transfusion-related lung injury (TRALI)
anaphylaxis
intravascular hemolysis
congestive heart failure due to volume overload

Educational Objective:

Manage blood transfusions in an emergency situation when time is limited.

Explanation:

This patient likely has TRALI, which is indistinguishable from acute respiratory distress syndrome. TRALI is defined as a new acute lung injury manifested as bilateral pleural edema (diffuse infiltrates on chest x-ray) and hypoxemia occurring during or within 6 hours of transfusion of a blood product. Additional symptoms include respiratory distress and often fever and hypotension. Care is supportive and may include mechanical ventilation. Diuretics are not indicated because TRALI is a noncardiogenic pulmonary edema. TRALI is now considered the leading cause of transfusion-related mortality. If further transfusion is required, then it is usually safe to proceed with blood products from a different blood donor.

References:

Emery M. Blood and blood components. In: Marx JA, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2014:75-80.

Goodnough LT. Risks of blood transfusion. Crit Care Med. 2003;31(12 suppl):S678-S686.

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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EMS and Disaster Response Review Questions, Free CME Quiz – Earn AMA and ANCC Credits Free

January 19, 2021

2021 NIH COVID-19 Influenza Co-infection Guidelines – Guideline Knowledge Check

January 15, 2021

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ABEM MOC ConCert Details

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ABEM Board Review (ABEM)

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