Physician Assistant CAQ in Emergency Medicine Review Question Bank


Med-Challenger PA CAQ: EM is the highest quality, easiest to use Physician Assistant Certificate of Added Qualifications (CAQ) in Emergency Medicine exam review question bank for the shelf exam, PA CAQ in EM Certification exam and NCCPA Maintenance of Certification (MOC). With built-in CME credits and ongoing updates, the Med-Challenger PA CAQ: EM Qbank provides everything you need to ace exams and fulfill requirements without having to attend an in-person board review course or buy products over and over.

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Med-Challenger PA CAQ: EM

Physician Assistant CAQ, Med-Challenger PA CAQ: EM, Complete Review, Ongoing Updates, CME Credits

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Up-to-date content and Q&A for PA CAQ in EM board exam review, self-assessment, and CME requirements – year after year.

  • Adaptive NCCPA board exam prep & PA CAQ EM review Qbank
  • 2000+ NCCPA blueprint-based board exam questions
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Avg. Score Improvement
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Avg. Study Time Saved

CAQ EM Review, Med-Challenger Prescriptive Learning, Pass Guarantee, Board Exam Simulation, Adaptive Learning

Content + Q&A

For Med-Challenger PA CAQ: EM Physician Assistant Added Qualifications in EM Exam Review Qbank

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Topics Covered
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Board-style Questions

Physician Assistant CAQ in EM Question Topics

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

This is how we determine which material appears in your adaptive Qbank.

Abdominal & Gastrointestinal Disorders10%
Cardiovascular Disorders11%
Dermatologic Disorders2%
Endocrine, Metabolic & Nutritional Disorders4%
Environmental Disorders2%
Head, Ear, Eye, Nose & Throat Disorders5%
Hematologic Disorders2%
Immune System Disorders2%
Systemic Infectious Disorders6%
Musculoskeletal Disorders (Nontraumatic)5%
Nervous System Disorders5%
Obstetrics And Gynecology5%
Psychobehavioral Disorders3%
Renal And Urogenital Disorders3%
Pulmonary Disorders9%
Toxicologic Disorders4%
Traumatic Disorders12%
Procedures & Skills7%
Other Components3%
TOTAL100%

Author Information

Continually Updated
All content is continually maintained by clinical expert peer-review.

Chief Editors:

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

Mark E. Deutchman, MD, FAAFP
Professor, Department of Family Medicine
Director, Advanced Training Track
Director, Rural Health Track
University of Colorado Health Sciences Center
Denver, CO

Contributing Authors:

Kathleen K. Aiello, MD, FAAP
Pediatrician
Ambler Pediatrics
Ambler, PA

Jennifer Amani, MD
Attending Physician
MBI Occupational Healthcare
Phoenix, AZ

David Auerbach, MD
Attending Physician
Montgomery Radiology Associates
Pottstown, PA

Kelly Bradley-Dodds, MD, FAAP
Program Director, Pediatric Residency
Attending Physician – Pediatrics, Emergency Medicine
Crozer-Chester Medical Center
Upland, PA

Gina Chung, MD
Assistant Professor
Dept. of Internal Medicine, Section of Medical Oncology
Yale University School of Medicine
New Haven, CT

Adam Cohen, MD
Depatment of Oncology
Huntsman Cancer Institute
Salt Lake City, UT

Michael Anthony Darracq, MD, MPH
Emergency Physician
Kaiser Permanente Medical Group, Southern California
San Diego, CA

Michael France, MD
Emergency Room Physician
Memorial Hospital of Carbon County
Rawlins, WY

Arthur Frazzano, MD, FAAFP
Founding Director, Area Health Education Center of RI Network
Director, Division of Health Policy and Advocacy and Associated
Fellowship Program
Associate Professor
Department of Family Medicine
Warren Alpert Medical School
Brown University
Providence, Rhode Island

Gerard Kiernan, MD
Hospitalist
Dartmouth Hitchcock Clinic
Keene, NH

Daniel Hayes, MD
Internal Medicine Physician
West Linn, OR

Michael J. Hodgman, MD
Assistant Clinical Professor
SUNY Upstate Medical University
Upstate New York Poison Center
Syracuse, NY

Jassin M. Jouria, Jr., MD
University of Miami
Leonard M. Miller School of Medicine
Miami, FL

Alex Kadner, PhD
Medical Writer/Scientific Consultant, Neuroscience
Ballston Spa, NY

Miguel G. Madariaga, MD, MSc, FACP, DLSHTM
Director, Center for Wound Healing and Hyperbaric Medicine
Physician, Infectious Disease
Doylestown Hospital
Doylestown, Pennsylvania

Jeanna M. Marraffa, Pharm.D., DABAT
Clinical Assistant Professor, Department of Emergency Medicine
SUNY Upstate Medical University
Clinical Toxicologist
Upstate New York Poison Center
Syracuse, NY

Luis A. Mojicar, MD
Physician
Center for Living Well Clinic
Orlando, FL

George Smolinksi III, MD
Major, Medical Corps, U.S. Army
Officer-In-Charge
Physical Medicine Clinic
Landstuhl Regional Medical Center
Landstuhl, Germany

Richard Snyder, DO
Nephrologist
Integrative Medicine Practitioner
LeHigh Valley Nephrology Associates

Rodrigo Tanchanco, MD, FACP
Hospitalist
Christiana Medical Group
Newark, DE

Pranav Virmani, MD
Dept. of Emergency Medicine
Inova Loudoun Hospital and Medical Center
Leesburg, VA

Tricia A. Walters, MD
Family Medicine w/ Obstetrics
Wyatt, IN

Mary Wilson, MD
Emergency Medicine Physician
Mercy Hospital
Coon Rapids, MN

Cezary Wojcik, MD, PhD
Deaconess Hospital
Assistant Professor
Dept. of Anatomy & Cell Biology
Indiana University School of Medicine
Evansville, IN

Melissa Wolf, MD
Physician
Bozeman Deaconess Women’s Specialists
Bozeman, MT

Sean Wormuth, MD
Emergency Medicine Physician
Kaiser Permanente Medical Center
Vallejo, CA



Our PA CAQ: EM Questions

NBME-style, blueprint-based Q&A.
Just like you’ll see on the actual NCCPA exam.

Positively-stated, Case-based Question Stems

No “negatively phrased” questions, no “A and B”…you know what we mean. Our questions always address important “key point” blueprint-based content in a well structured manner.

A 50-year-old woman presents with left arm tingling and slurred speech for approximately 30 minutes today. Her vital signs are: blood pressure 135/85 mm Hg, pulse 110 beats/minute, respiratory rate 16 breaths/minute (irregular), temperature 37 °C, and oxygen saturation 99% on room air. On examination, you note that her symptoms have completely resolved. Electrocardiography results are shown in the Figure.

Figure 1

Findings on computed tomography of her head are normal. She is not aware of any heart problems and takes no medications.

Appropriate neuroprotective management would consist of which of the following?

Clear Answer Options

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.

Start aspirin
Start heparin
Start an oral anticoagulant (eg, warfarin, dabigatran, apixaban, rivaroxaban)
Start dipyridamole

High-yield Remediation

Understanding why an answer choice is incorrect is just as important as knowing why it is correct. Med-Challenger questions contain detailed explanations for the correct and incorrect answer choices along with integrated media for those that learn best by visual stimuli.

Educational Objective:

Describe different therapeutic options for patients with certain risk factors.

Explanation:

After a cerebral ischemic event that does not require fibrinolysis or endovascular therapy, patients with atrial fibrillation (AF) or other cardioembolic risk factors (eg, artificial valves) receive different treatment than patients without cardioembolic risk factors.

In its 2014 update of guidelines for stroke prevention in patients with atrial fibrillation, the American Academy of Neurology recommends routinely offering oral anticoagulation with warfarin, dabigatran, apixaban, or rivaroxaban–rather than aspirin–to patients with nonvalvular AF if they are at acceptably low risk (eg, common-sense risks such as aortic dissection, recent surgery) for hemorrhagic complications.

Studies have shown that anticoagulants are more effective than aspirin in reducing the incidence of cardioembolic events in patients with AF and a history of a cerebral embolic event. By contrast, aspirin remains the primary treatment in patients at risk for stroke who do not have AF or other cardioembolic risk factors.

In patients with AF and who have contraindications to oral anticoagulants, aspirin 325 mg daily remains the second choice.

If oral anticoagulation is indicated after an ischemic event, then therapy should be immediately started. In patients with AF or other cardioembolic risk factors, studies have shown that there is no advantage in delaying anticoagulation after either transient ischemic attack (TIA) or stroke. The common fear of causing hemorrhage into a previously infarcted area is misplaced; there is a far greater risk of further embolism to the cerebral circulation if treatment is withheld.

Full anticoagulation with heparin is no longer recommended for patients with AF and TIA that has completely resolved (as in this patient). Heparin continues to be indicated on a case-to-case basis for slow-to-resolve TIAs, recurrent TIAs, and for patients with proven vertebral or carotid artery dissections. Guidelines published on AF in 2011 of the American College of Cardiology and American Heart Association (unchanged from 2014) state:

“Full-intensity parenteral anticoagulation with unfractionated heparin or low-molecular-weight heparinoids is not recommended for patients with extracranial cerebrovascular atherosclerosis who develop transient cerebral ischemia or acute ischemic stroke.” (Level of evidence B)

It is important to note that some institutions bridge with enoxaparin, for example, during the start-up phase of warfarin after TIA; however, this practice is not supported or addressed in current guidelines.

References:

Brott TG, Halperin JL, Abbara S, et al; 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. Catheter Cardiovasc Interv. 2013;81(1):E76-E123.
Bushnell C, McCullough LD, Awad IA, et al; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council for High Blood Pressure Research. Guidelines for the prevention of stroke in women: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(5):1545-1588.
Crocco TJ, Goldstein JN. Stroke. In: Marx JA, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2014:1363-1374.
Meschia JF, Bushnell C, Boden-Albala B, et al; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Functional Genomics and Translational Biology; Council on Hypertension. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(12):3754-3832.



Media Enhanced Learning

High-resolution media – radiographs, ECG, photos, diagrams, video, audio, and more – are included in Q&A case stems and answer explanations to clarify meaning of core concepts. Select topics also provide media galleries for additional reference.

  • high resolution media
  • radiographs, ECG, photos and diagrams
  • clarify core concepts
  • media galleries for additional reference

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