Emergency Medicine
MOC ConCert Exam Review

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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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Using authoritative resources such as Rosen's and Tintinalli's emergency medicine textbooks, our emergency medicine physician editors ensure our ABEM ConCert Exam review course is always current and covers the latest ABEM Recertification Exam blueprint. Med-Challenger ConCert 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

In liver transplant patients, complications are common and loss of function of the graft organ may be rapidly fatal. Which statement is not correct regarding liver transplants?

Liver transplant patients are at increased risk of cholangitis.
Opportunistic infection is a life time risk for liver transplant patients.
Rejection often begins 1 to 2 weeks after surgery.
With modern immunosuppressive therapy liver transplant rejection is rare.
Hospitalization is routine if rejection is considered.

Despite modern immunosuppressive therapy, rejection of the liver transplant is the norm. Immunosuppressive therapy must be continued indefinitely.

Sample Question 2

A patient complains of tunnel vision. If this is due to a functional neurological symptom disorder (formerly conversion syndrome), then what will remain constant as you double the patient’s distance to the test screen?

absolute diameter of the field of view on the test screen
subtended angle of the visual field

Educational Objective:

Describe the visual field changes in a patient with tunnel vision due to a functional neurological symptom disorder.

Key Point:

For patients with a functional neurological symptom disorder (no identifiable CNS, metabolic, or toxicological pathology), the actual diameter of the patient's field of view will remain (more or less) the same regardless of the distance of an object.

Explanation:

Patients with functional neurological symptom disorder have (1) symptoms of altered voluntary motor or sensory function that are not better explained by a neurological or medical condition, and (2) experience clinically significant distress or functional impairment from the symptom(s). This is possibly best understood as a dissociation of normally integrated neurological processes (note: dissociative disorder is a separate psychiatric diagnosis).

Heat illness, dysbarism after scuba diving, heavy metal poisonings, and certain types of cerebrovascular accidents can produce tunnel vision. In these cases, the reduced vision the absolute diameter of the field of view of the test screen increases as the screen is moved further away. In this case, the subtended angle is constant, but the diameter of the field of view increases (allowing the patient to see a larger percentage of the image) as an image is moved further away. Basically, moving an object further away moves it to a wider part of the patient’s cone of vision, thus allowing more information to fit within that cone of vision.

By comparison, a patient with tunnel vision due a functional neurological symptom disorder will tend to see more or less (this is not exact) the same percentage of the total image regardless of changes in distance .This implies a narrowing of the cone of vision such that the area where the screen intersects the cone is kept constant, whereas the subtended angle of the cone is altered.

If one were to draw the patient's field of view as a circle onto the actual screen, the circle would have the same diameter at both distances for the patient with the a functional neurological symptom disorder. In the case of tunnel vision due to medically identifiable pathology, the circle drawn onto the screen would become larger as the screen is moved further away).

References:

Ottoboni Winter A. Somatoform Disorders. (Chapter 103) In: Walls R, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018: 1358-1360.e2

McLaughlin C.  Approach to Non-Organic Visual Loss.  June 4, 2016 

Sample Question 3

A group of 5 boy scouts presents to the emergency department via EMS after another member of the group had hiked out for help. The 5 scouts had all participated in a dare to chew oleander leaves to get high and were now experiencing nausea, vomiting, gastrointestinal distress, faintness and confusion.

The youngest member of the group presents with the most significant symptoms, including lethargy, disorientation, and a rapid pulse. His temperature is 98.6°F, respiratory rate is 12 breaths/minute, and systolic blood pressure is 80 mm Hg. A bedside glucose level is normal. Electrocardiography reveals the following rhythm (See figure).

ECG courtesy Mike Cadogan, MD

Which of the following treatments would be most effective for this patient?

hemodialysis
calcium gluconate
antidigoxin antibodies
insulin therapy

Educational Objective:

Identify digoxin toxicity due to significant oleander ingestion and discuss the core aspect of treatment.

Key Point:

The ECG shows bidirectional ventricular tachycardia, which, in the context of a potentially significant oleander ingestion and clinical symptoms that resemble digoxin poisoning strongly suggests severe digoxin toxicity that requires treatment with digibind.

Explanation:

Cardiac glycosides similar to the ones in digitalis are found in oleander, foxglove, and lily of the valley.

The predominant features of acute poisoning include gastrointestinal symptoms (nausea, vomiting, abdominal pain, diarrhea), generalized weakness, drowsiness and cardiotoxicity. The absence of nausea and vomiting makes severe poisoning unlikely.

Symptoms may appear within a few hours of acute poisoning, with most deaths occurring within the first 24 hours.

Moderate poisoning manifests as prolonged PR interval (first-degree heart block) or sinus bradycardia, the latter being the most common cardiac abnormality after poisoning. Severe poisoning manifests as second or third-degree heart block due to inhibition of the atrioventricular node. Deaths occur due to ventricular fibrillation resistant to electrical cardioversion or asystolic arrest. Biventricular tachycardia is an ominous sign.

Poisonings are mostly treated like poisoning with a cardiac glycoside drug. One difference is that as long as no aspiration risk is present, charcoal is considered more important in poisonings with plant glycosides than manufactured glycosides, since the glycosides from the chewed plant are more slowly absorbed from the intestines, with some remaining in the intestines even after symptoms appear.

Pearl: It is a persistent urban legend (since the 1700’s) that roasting food (hot dogs, marshmallows, etc) over a fire on branches from an oleander bush causes oleander poisoning. This is not true.

References:

Minns A. Naturally Occurring Cardiac Glycoside Poisoning; California Poison Control System. May 30, 2017. Accessed Sep 3, 2019.

Cole JB. Cardiovascular Drugs (Chapter 147) In: Walls R, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018: 1876-1889.e2.

Sample Question 4

Atrial flutter usually occurs in the setting of significant cardiac or pulmonary disease. It occurs at a rate of __ atrial beats per minute, and produces a sawtooth atrial ECG pattern that is usually best seen in the __ leads.

300; inferior
200; lateral
300; lateral
200; inferior

Atrial flutter usually runs at 150 ventricular bpm and 300 atrial bpm. In children with atrial flutter the rate may be as high as 500 atrial beats per minute.

Reference:

Marx: Rosen’s Emergency Medicine, Concepts and Clinical Practice, 6th ed., 2006

Sample Question 5

A 27-year-old prisoner is found in his cell with generalized tonic-clonic seizure activity. He does not have any previous history of seizures. Intravenous (IV) lorazepam is administered by prehospital providers without effect. On arrival, he is intubated and continues to have generalized tonic-clonic seizure activity despite 3 additional doses of lorazepam. IV phenobarbital 15 mg/kg is given without cessation of his seizure activity.

What should be the next intervention?

switch to a different benzodiazepine such as midazolam
do nothing; it is likely a pseudoseizure
administer IV vecuronium
administer IV pyridoxine 5 g
administer IV hydroxocobalamin 5 g

Correct!

Status epilepticus is variably defined, but it generally involves 2 or more seizures without an intervening lucid period or continuous seizure activity for longer than 15 minutes. True toxin-induced status epilepticus is rare, and only a few toxins should be considered in the differential diagnosis, including theophylline, carbamazepine, and hydrazines. Hydrazines (e.g., isoniazid, monomethylhydrazine, Gyromitra mushrooms) cause status epilepticus because of their ability to deplete gamma-aminobutyric acid, the main inhibitory neurotransmitter that works by inhibiting pyridoxine phosphokinase and pyridoxal-5’-phosphate. The replenishment of pyridoxine is an effective antidote. Pyridoxine should be intravenously given at doses of 5 g for unknown overdoses (70 mg/kg in pediatric patients) or gram-for- gram of ingested isoniazid if the dose of the isoniazid ingested is known. Pyridoxine should be given in conjunction with benzodiazepines to provide a synergistic effect.

Hydroxocobalamin has been approved by the FDA as an antidote for cyanide toxicity and chelates with cyanide to form cyanocobalamin; it has no role in status epilepticus treatment.

Theophylline and carbamazepine at toxic doses are adenosine antagonists. Adenosine is a neuroprotective neurotransmitter. The blocking adenosine contributes to the difficult-to-manage seizures that are characteristic of these two poisonings. Unlike isoniazid, there is no specific antidote for the seizures due to these 2 drugs.

Vecuronium is a nondepolarizing paralytic agent, and, although it will stop motor seizures, it has no effect on actual seizure activity within the brain and will mask continued electrical seizures.

References:
Hernon CH, Boyer EW. Antituberculous medications. In: Nelson LS, et al, eds. Goldfrank’s Toxicologic Emergencies. 9th ed., 2011.
Nelson LS, et al, eds. Initial evaluation of the patient: vital signs and toxic syndromes. In: Nelson LS, et al, eds. Goldfrank’s Toxicologic Emergencies. 9th ed., 2011.

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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ABEM ConCert™ Exam Dates

ABEM MOC Examination Dates for 2020

ABEM ConCert Exam
Summer 2020

ABEM MOC Examination Dates for 2020

Summer Exam date:
July 27 - August 16, 2020

Registration:
Mid-June - July 13, 2020

Source: ABEM

ABEM ConCert Exam
Fall 2020

ABEM MOC Examination Dates for 2020

Fall Exam date:
November 2 - 22, 2020

Registration:
August 31 - October 19

Source: ABEM

* Exam fees & deadlines subject to change.

Information about the
ABEM ConCert™ Examination

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!

Read the ABEM Board Exam Survival Guide

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Med-Challenger Emergency Medicine Reviews

See what family physicians have said about
our #1 emergency medicine board review - Med-Challenger EM

Thank you for an excellent emergency medicine review. I would recommend this to anyone who is looking for a convenient method to prepare for the ABEM ConCert exam. Thanks again!
Marc Gelman, MD

Excellent ABEM question bank, high-yield explanations, and useful long-term. EM PRO gives me everything I need! This is ideal for emergency physicians.
Kristy Jackson, MD

Just scored my highest score on the ABEM recertification exam. Have used Med-Challenger for years. Always well done and does the trick. Keep it up!
David Mathis, MD

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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Medical Education Blog

Our Medical Education Blog offers practice pearls, guideline news, and diagnostic challenges from our clinician authors.

MyEMCert – Here’s the Latest Information about ABEM’s New EM Exam Model for Emergency Medicine Recertification Starting in 2021

September 22, 2020

Bacterial Infections Review Questions, Free CME Quiz – Now Earn AMA and ANCC Credit when you play!

September 17, 2020

CME Quick Quiz Game

Our popular Free CME Quick Quiz game let's you try new board review questions each week. Free to play.

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Emergency Medicine Review Packages

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EM Cert

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ABEM Qualifying Exam Details

EM MOC

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ABEM MOC ConCert Details

EM PRO

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ABEM Board Review (ABEM)

Pass-guaranteed
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258 AMA & 60 ACEP CMEs
Value $599

PEM Board Review (ABEM)

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105 AMA Category 1 credits
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State-required CME Course

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Value $229

Care Center CME Requirements

Malpractice & Risk Management

Legal course for physicians
Value $229

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Emergency MedicineMOC ConCert Exam Review

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ABEM ConCert™ Exam Dates

ABEM ConCert ExamSummer 2020

ABEM ConCert ExamFall 2020

Information about theABEM ConCert™ Examination

What is on the ABEM ConCert Exam?

Acuity Frames

Physician Tasks

What is the format of the ABEM ConCert Exam?

ABEM ConCert exam review questions

How to best prepare for the ABEM ConCert Exam

ABEM ConCert exam review guides

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Med-Challenger Emergency Medicine Reviews

Emergency Medicine Board ReviewProduct Comparison

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Medical Education Blog

MyEMCert – Here’s the Latest Information about ABEM’s New EM Exam Model for Emergency Medicine Recertification Starting in 2021

Bacterial Infections Review Questions, Free CME Quiz – Now Earn AMA and ANCC Credit when you play!

CME Quick Quiz Game

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Emergency Medicine Review Packages

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ABEM ConCert Exam
Summer 2020

ABEM ConCert Exam
Fall 2020

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ABEM ConCert™ Examination

Emergency Medicine Board Review
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