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Best ABEM ConCert exam review for emergency medicine recertification board review

Med-Challenger's ABEM ConCert™ Exam review is the most effective, easiest to use ABEM ConCert board review question bank for the American Board of Emergency Medicine ConCert examination for Emergency Medicine recertification. Med-Challenger's ABEM recertification exam review with intelligent ABEM ConCert self-assessment provides everything you need to pass the ABEM MOC exam and fulfill other emergency medicine certification requirements all in one powerful, effective, and convenient access point online.

Our pass-guaranteed Emergency Medicine recertification board review course gets you prepared for the ABEM recertification exam fast, thanks to our constantly updated Emergency Medicine review questions, detailed answer explanations, and intelligent ABEM ConCert Exam simulators. Plus, our online ABEM ConCert exam prep course keeps serving you after exams too. ABEM Recertification Exam 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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3700+ Emergency Medicine ConCert Exam Review Questions

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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

Some hand injuries develop deformities months after the injury occurred. To prevent these late sequelae, it is important to know what injury patterns of the hand are associated with delayed sequelae. Most of these injury patterns have a special name. Which of the following injuries is correctly matched to its name?

skier's thumb: ulnar collateral ligament sprain or tear at its insertion into proximal phalanx
Bennett thumb: intra-articular fracture at the base of the distal phalanx combined with a dislocation or subluxation of the intraphalangeal joint
swan neck deformity: avulsion of the middle phalanx extensor mechanism
boutonniere deformity: intra-articular fracture of the distal interphalangeal (DIP) joint

Educational Objective:

Characterize the injury pattern of a skier’s thumb.

Key Point:

The skier’s thumb refers to an ulnar collateral ligament sprain or tear at its insertion into the proximal phalanx of the thumb.

Explanation:

The skier’s thumb (also known as gamekeeper’s thumb) is defined as an ulnar collateral ligament sprain or tear at its insertion into proximal phalanx of the thumb (where the thumb separates from the hand to become an individual digit). In addition to a collateral ligament injury, associated injuries of the dorsal capsule and volar plate are common if the ligament is completely severed.

Bennett thumb is defined as intra-articular fracture at the base of the thumb metacarpal (just distal to wrist, visually still part of the hand) combined with a dislocation or subluxation of the carpal-metacarpal joint.

A swan neck deformity is defined as the delayed complication of poorly healed mallet finger (avulsion of extensor tendon from base of distal phalanx). This abnormality develops when the lateral bands gradually contract during the healing process so that they move dorsally and proximally, which results in increased extension forces on the proximal interphalangeal (PIP) that lock the PIP joint into extension.

Boutonniere deformity is caused by a disruption of the central tendon (an extensor tendon) over the PIP area. This leads to an unopposed flexor digitorum superficialis at the PIP, which now locks the PIP joint into flexion. Eventually, the lateral bands (which normally act as auxiliary extensors) displace volarly (opposite to their displacement in the swan neck deformity), and thereby change from being extensors to flexors of the PIP joint. In addition, the extensor hood retracts proximally, causing extension of both the metacarpophalangeal and DIP joints (skipping the rigidly flexed PIP joint). The resulting tendon imbalance leads to the so-called boutonniere (buttonhole) deformity. Although open injuries of the central tendon may cause an acute boutonniere deformity, it usually is the result of a closed athletic injury, in which the initial central tendon injury was not recognized.

Rolando fracture is another synonym that refers to comminuted fracture of the base of the thumb metacarpal (same location as Bennett thumb, but at a different site of fracture).

The Figure shows an image of a Bennet fracture.

Figure.

Reference:

Stearns D, Peak D. Hand (Chapter 43). In: Walls R, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018: 464-507.e2.

Sample Question 2

A scuba diver reports profound weakness, shortness of breath, and minimal pain after being bitten by the following sea animal (see Figure).

Figure.

What is the toxin of this animal, and what is the mechanism of its toxicity?

conotoxin; blockade of multiple ion- and voltage-gated channels
stonustoxin; formation of pores in cell membranes
no toxin; this is a psychogenic response
tetrodotoxin; voltage-gated sodium-channel blockade

Educational Objective:

Relate marine animals to their respective medical dangers.

Key Point:

The scuba diver has been bitten by a blue-ringed octopus. The blue-ringed octopus produces tetrodotoxin, which is a very powerful sodium-channel–blocking toxin.

Explanation:

Octopus bites are rare, usually non-venomous, and typically only cause a local irritation that does not require any special therapy other than wound cleansing and observation for infection. However, a bite from the Indo-Pacific blue-ringed or spotted octopus inoculates the victim with a substance extremely similar to tetrodotoxin, one of the most potent poisons found in nature (also present in puffer fish).

Conotoxins are produced by cone snails, which may envenomate the unwary handler. Stonustoxin is produced by the stonefish and does induce the formation of pores in cell membranes with resultant shifts in calcium.

Reference:

Auerbach PS. Hazardous Aquatic Life and Aquatic Infections. Medicine for the Outdoors 6^th ed., 2016. 347-360.

Sample Question 3

A 32-year-old immigrant woman has a progressive neurologic deficit. She initially had left-sided spastic hemiplegia that then developed into full spastic quadriplegia. She had spastic dysarthria, but appeared to be able to follow instructions within the limitations of her disease. She has no prodromal illness, no ill contacts, and has no recent travel. The disease has been steadily progressive without any form of remission. She has otherwise been healthy all her life. There is no known toxin exposure, and she was normal 3 months ago.

Today, she presents to the emergency department because her family has become unable to care for her because she has also developed urinary incontinence and recurrent constipation. The family members state that they went to the urgent care facility of a smaller hospital 1 month ago, and that doctor first performed a “bunch of blood tests”, then called another doctor, who told him to perform additional tests at a follow-up visit. They did not go back for follow-up because they could not pay for the visit. The laboratory values obtained from the urgent care visit, including a Venereal Disease Research Laboratory (VDRL) test, as well as measurements for rheumatoid factor, antinuclear antibodies, and HIV, were all negative. Computed tomography, which was obtained at the same time as the laboratory studies, was also negative. You call the neurologist who requests urgent magnetic resonance imaging. The T1W gadolinium magnetic resonance imaging shows open ring lesions, also known as C lesions or arc lesions.

Which of the following is the most likely diagnosis in this patient?

Aggressive variant multiple sclerosis (MS)
Aarskog syndrome
Post-viral multiple sclerosis (MS)
Acute disseminated encephalomyelitis

Educational Objective:

Discuss the presentation of a patient with Marburg-variant multiple sclerosis.

Key Point:

Marburg-variant multiple sclerosis is a rapid progression without remission form of MS that differs from acute disseminated encephalomyelitis in that it lacks the prodromal illness.  

Explanation:

This patient likely has Marburg-variant MS, which is an aggressive, unrelenting form of MS. Although the disease takes on the clinical features of acute disseminated encephalomyelitis (namely, rapid progression without remission and an open-ring sign on MRI), no prodromal illness is present in patients with Marburg-variant MS. In addition, acute disseminated encephalomyelitis is generally a disease of childhood (< 15 years of age), whereas Marburg-variant MS has an adult onset. Aarskog syndrome is a rare skin disorder.

References:

Hu W, Luchinetti CF. The pathological spectrum of CNS inflammatory demyelinating diseases. Semin Immunopathol. 2009;31:439-453.

Santra G, Ray AC. Marburg’s variant of multiple sclerosis. J Assoc Physicians India. 2009;57:580.

Sample Question 4

Which statement best describes proper positioning of a healthy, full-term newly born at the perineum before clamping the cord?

Keep the newly born at the same level as the placenta.
Position the newly born on his back.
Keep the newly born above the placenta until the cord is clamped.
Keep the newly born below the placenta until the cord is clamped.

Educational Objective:

Discuss positioning of the infant the first few seconds after delivery.

Key Point:

The infant should be the same level as the placenta to prevent anemia or plethora. 

Explanation:

The newly born should also be held head downward to allow gravity to help drain his mouth and nose of blood and amniotic fluid.

References:

Kliegman RM, et al. Nelson Textbook of Pediatrics. 20th ed., 2016.

American Heart Association. Web-based Integrated Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (This site blends the 2019 Focused Updates with the 2015 AHA Guidelines for CPR and emergency cardiovascular care) – Part 13: Neonatal Resuscitation. https://eccguidelines.heart.org/circulation/cpr-ecc-guidelines/part-13-neonatal-resuscitation/  (Accessed on April 20, 2020)

Sample Question 5

A 23-year-old man is involved in a motorcycle collision. Initially, he was conscious at the scene, but his pulse was lost approximately 1 minute before his arrival to your facility. When performing cardiopulmonary resuscitation (CPR), the American Heart Association (AHA) recommended maneuver for opening the airway of a patient with suspected injury to the cervical spine is which of the following (based on the 2010 guidelines, unchanged for 2015 and 2017)?

Head tilt/chin lift
Jaw thrust only
Head tilt/chin lift if jaw thrust without head extension is ineffective
Chin lift only

Educational Objective:

List the sequence of recommended maneuvers for opening the airway in a trauma patient.

Key Point:

Because maintaining a patent airway and providing adequate ventilation are priorities in CPR, trained health care professionals should switch to the head tilt/chin lift maneuver even in a trauma patient with possible cervical spine injuries if the jaw thrust does not adequately open the airway (unchanged in 2015 guidelines, not addressed in 2017 mini-updates).

Explanation:

A properly performed jaw-thrust maneuver should cause minimal movement of the cervical spine. The technique involves kneeling above the head and placing the thumbs symmetrically across the maxillary sinuses with the fingers hooked behind the mandibular rami (just cephalad to the angles). The thumbs gently press down on the face to create counter leverage while the fingers elevate the mandible.

The 2018 Advanced Trauma Life Support (ATLS) guidelines recommend either the chin-lift or jaw thrust maneuver without mention of the head tilt. For either maneuver, the ATLS guidelines provide an illustration of a second person maintaining manual cervical spine stabilization. The accompanying graphic for the chin lift also shows a hand on the forehead that appears to be engaged in a gentle head tilt.

This can lead to confusion about the time-honored teaching point that practitioner should reserve a head tilt-chin lift maneuver for patients in medical cardiac arrest and should only do a jaw thrust maneuver (no head tilt) in patients with traumatic cardiac arrest with possible C-spine injury.

Synthesizing the seemingly conflicting teaching points:

First of all, the chin lift and the jaw thrust are essentially identical maneuvers that result in the same outcome: Both elevate the mandible relative to the skull and thereby lift the tongue off the airway. In either case, the neck should be manually immobilized.

The issue is whether or not to add a gentle head tilt, which must be decided on a case-by-case basis. A person with a C-spine injury in whom the airway remains blocked despite a jaw thrust maneuver will not survive. So, a head tilt should be added to pursue survival. In either case–medical or trauma patient—the common denominator is that the airway should be opened while the cervical spine is moved as little as possible.

References:

American College of Surgeons. Advanced Trauma Life Support (ATLS). 10th ed., 2018.

Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(suppl 2):S414-S435.

Olasveengen TM, de Caen AR, Mancini ME, et al; ILCOR Collaborators. 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary [Erratum appears in: Circulation. 2017;136(25):e468]. Circulation. 2017;136(23):e424-e440

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 MOC Exam Dates

About the Emergency Medicine ConCert Exam and ABEM MOC Requirements

Spring 2021
April 5-26

Registration
January 11 - March 18
$1,400 registration fee*

*The fee for those with certifications expiring in 2020, and those taking the exam to regain certification is $1,950.

Fall 2021
September 7-28

Registration
June 14 - August 19
$1,400 registration fee

Other Internal Medicine Exam Dates:

IM-ITE: August 19–September 8, 2021 (except September 6)

Other Internal Medicine Certification Requirements:

Knowledge Self-Assessment (KSA): Either complete KSA topic-based modules annually, or complete CKSA questions sets quarterly for one year.
Professionalism
Family Medicine CME
State CME

Information about the
ABEM ConCert™ Examination

Pass your ABEM boards with Med-Challenger

The ABEM ConCert™ Examination for ABEM continuing certification assesses knowledge, judgment, and skills of Emergency Medicine physicians. ABEM-certified physicians are required to pass the ABEM ConCert™ Examination - also referred to as the "ABEM Recertification Exam" or "ABEM MOC exam" - once in years six through ten of their certification as part of ABEM maintenance of certification (ABEM MOC).

The ABEM ConCert exam is administered during one week in the spring and fall each year at Pearson VUE testing centers around the United States and Canada.

The ABEM ConCert exam contains approximately 205 single-best-answer, standard multiple choice questions.

What is on the ABEM ConCert Exam?

What's in the ABEM ConCert Examination for ABEM MOC?

ABEM publishes a content blueprint of the material that will appear on the ConCert exam. This is how we determine which material appears in ABEM board exam simulations.

Cardiovascular Disorders10%
Traumatic Disorders10%
Signs, symptoms, presentations9%
Abdominal and Gastrointestinal Disorders8%
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%
Environmental3%
Renal and Urogenital Disorders3%
Other Components3%
Musculoskeletal Disorders (Non-traumatic)3%
Endocrine, Metabolic & Nutritional Disorders 2%
Hematologic Disorders2%
Immune System Disorders2%
Cutaneous1%
TOTAL100%

Acuity Frames

Acuity Frames: Target (± 5%)

• Critical: 30%
• Emergent: 40%
• Lower Acuity: 21%
• None: 9%

Physician Tasks

For this dimension, the Board has assigned the following specific percentage weights to the Modifying Factor of age:

• Pediatrics: 8% minimum
• Geriatrics: 6% minimum

ABEM selects ConCert exam questions for emergency medicine MOC based on how closely they align with the EM Model, as seen in the ABEM MOC exam blueprint. While questions can originate from any content area within the model, some areas are routinely selected. The list above describes the relative weight given to different elements of the EM Model in constructing the ABEM ConCert exam.

What is the format of the ABEM ConCert Exam?

What's the ABEM MOC Exam format?

The ConCert™ Examination for ABEM continuing certification (i.e. ABEM recertification or ABEM MOC) is a proctored, high-stakes examination that covers the breadth of the clinical practice of Emergency Medicine. The exam contains approximately 205 single-best-answer, standard multiple choice questions. Each question is in paragraph form with an answer set containing one correct answer and three or four incorrect answers.

Each exam question has only one correct answer and each question is worth one point. Only one answer can be selected for each question and you should try to answer as many questions as possible. Each question answered correctly is counted in the total correct score. Unanswered questions are treated as incorrect. Incorrect answers do not count in the total correct score, nor is there a subtraction from the total correct score for incorrect answers.

After check-in, the test administrator will seat you in the testing room. Each ConCert™ Exam appointment is 5 hours and 15 minutes in length. However, only 4 hours and 15 minutes of this time is actual testing time, which is divided into two separately timed testing sessions. The first session lasts 2 hours and 5 minutes, and the second 2 hours and 10 minutes, with a 20-minute break between each section.

Your best strategy for completing the exam is to first complete the initial book, answering all questions with your initial best answer. Two reference documents are available during the examination: a list of common abbreviations used in the exam, and a list of normal laboratory values. You may flag questions you would like to return to for later review. The computer system facilitates this test-taking strategy by requiring one initial pass through an examination book before allowing you to select and go to a specific question in that examination book, in any desired order. Once an initial pass-through is completed, you may review all of the questions in that book in any order you choose before selecting the “End Review” button to finish the examination book. Once you exit an examination book by clicking on the “End Review” button, that section of the examination is completed, and you may not re-enter it.

Some questions are not scored and are used only to assure future question quality. These field test questions will not be apparent to the candidate. Including them on the exam allows ABEM to conduct research to determine if the questions are appropriate for scoring future examinations.

Approximately 1 hour of the appointment time is devoted to a 20-minute scheduled break between the two testing sessions, and several accessory activities related to the exam administration. These accessory activities include acceptance of the ABEM Policy on Examination Irregularities, an optional test tutorial, examination instructions, and a candidate survey

Each book of the examination consists of both pictorial and non-pictorial multiple choice questions. Pictorial questions refer to stimulus images such as photos of X-rays, ECGs, rhythm strips, pictures, etc. These images will be presented in a separate tab along with the relevant test question on the computer screen. CT scans may be used as stimuli but for views of the head only. Beginning with the fall 2019 exam, you may be required to interpret FAST exam and pericardial window ultrasound images. You'll see a wide variety of questions so a comprehensive EM MOC review Qbank is best.

The entire exam appointment takes approximately 5.25 hours to complete.

Before the exam do not forget to see the guidelines in the ABEM website.

ABEM ConCert exam review questions

ABEM provides several sample questions on its site. You can also start a free trial of Med-Challenger: ABEM MOC CONCERT EXAM REVIEW.

How to best prepare for the ABEM ConCert Exam

Study tips and tricks for passing the Emergency Medicine ConCert exam.

Recent Med-Challenger customer surveys indicate that residents spent, on average, 10 weeks preparing for the Emergency Medicine boards (written exam), and 5 weeks preparing for the oral exam. Pass rates were generally in the mid-90% and length of time had no correlation with a higher pass rate.

From the interviews, we also learned that there are a few key areas to focus on: Cardiovascular Disorders, Toxicology, and Traumatic disorders tended to show up more frequently. While there were few Ophthalmologic disorders, those questions tended to be a little more difficult. (However, the test does change, so pay careful attention to the percent distribution that the Board Writers publish). There will be questions that are not regularly found in day to day Emergency care. Pediatric rashes, recognition of specific stroke presentations, etc.

ABEM ConCert exam review guides

If it's time to prepare for emergency medicine recertification exam, and you’re wondering where to begin … Let us help you!

Our emergency medicine boards study guide is full of tips, tricks, and valuable insight into the art of emergency medicine MOC exam prep and the inner-workings of the ABEM ConCert exam itself. After all, this is the only thing standing between you and your new career!

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Information about theABEM ConCert™ Examination

What is on the ABEM ConCert Exam?

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