Urgent Care Exam Review


Med-Challenger Urgent Care is the highest quality, easiest to use Urgent Care board review question bank for the American Board of Urgent Care (ABUCM) Certification exam and ABUCM Maintenance of Certification (MOC). With built-in urgent care CME credits and ongoing updates, the Med-Challenger Urgent Care 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.

With 230 AMA credits built-in, ongoing updates, and Med-Challenger’s Urgent Care board exam review Qbank of over 3300 board-style questions, urgent care professionals are provided with everything needed to ace exams and fulfill MOC requirements year after year.

Useful year after year for Exams, MOC & CME requirements.
With Med-Challenger, it’s well in hand.

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Med-Challenger Urgent Care

urgent care exam review

Asset Overview

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

  • Adaptive ABUCM board exam prep & Urgent Care review Qbank
  • 3300+ ABUCM blueprint-based board exam questions
  • Earn AMA PRA Category 1 credits™ annually
  • 100% Pass-guaranteed

Combined with the adaptive tools in your account,
Our platform gives you the most benefits.

up to date content - asset overview

Ace the Urgent Care Exam.
And everything else.

Get prepared in the shortest amount of time.
Take care of annual requirements after.


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    100% Pass-guaranteed

    There’s little risk given our 99% pass-rate. But, if you use Med-Challenger, and don’t pass, we’ll refund your asset purchase.

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    Blueprint-based Board Exam Simulation

    Tailored to the actual exam content specifications so you get the right amount of study in each area.

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    Time-saving Adaptive Learning

    Every use finds and fixes knowledge gaps by re-issuing missed Q&A. Ensures you see and master all content without repeats or wasted time.

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    Automatic Prescriptive Guidance

    Instantly receive paths to remediative content based on missed questions. Complete prescribed topic assessments and earn CME credit too.

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    Works Anytime, Anywhere

    Enjoy 24/7/365 access to your assets and tools via any Internet-enabled computer, tablet or smartphone.

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    Great After Exams Too

    New and newly-revised content is constantly being applied to your assets. Self-assess and repair your specialty knowledge using the most up-to-date information anytime – exams or not.


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Board Exam Pass-rate
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Avg. Score Improvement
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Avg. Study Time Saved

ace the urgent care exam with Med-Challenger

Content + Q&A

For Med-Challenger Urgent Care Exam Review Qbank

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Topics Covered
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Board-style Questions

Urgent Care Question Topics

ABUCM 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.

Administration, Ethics, and Medical Legal2%
Cardiovascular Disorders6%
Dermatology4%
ENT and Oral Surgery5%
Endocrinology and Metabolic Disorders2%
Gastrointestinal Disorders5%
Hematology and Oncology2%
Infectious Diseases and Travel Medicine7%
Nephrology2%
Neurology3%
Obstetrics and Gynecology4%
Ophthalmology4%
Orthopedics and Sports Medicine9%
Pediatrics7%
Pharmacology and Toxicology2%
Wound Care, Anesthesia, Other Procedures and Skills5%
Pulmonology5%
Psychiatry2%
Triage and Stabilization of Critically-ill Patient4%
Urology2%
Occupational Medicine3%
Disaster Medicine and Environmental Injuries2%
Diagnostics3%
Rheumatology2%
Public Health and Preventative Medicine2%
Research, Epidemiology, and EBM4%
Allergy and Immunology2%
TOTAL100%

Author Information

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

Editor-in-Chief:

Mark W. Perdue, PA-C
Physician Assistant
Mednow Urgent Care
Broken Arrow, OK

Contributing Editors / Clinical Reviewers:

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

Kimberly Collins, MD
Emergency Physician
MedExpress Urgent Care
Tampa, FL

Ann Dietrich, MD
Professor
Nationwide Children’s Hospital
Pediatric Director for the Center for EMS
Ohio State University
Wexler Medical Center
Columbus, OH

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

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

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

Janice Katz, MD
Pediatrician
Womack Army Medical Center
Fort Bragg, NC

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

Mary Alice O’Brien, DNP, APRN, FNP-BC
Nurse Practitioner
CareSpot Urgent Care Centers
Jacksonville, FL

Joseph Scott Savage, DO, FAAEM, FACHE, FSCP, FAIHQ
Staff Physician
Emergency Dept.
Yale-New Haven Health System
Bridgeport Hospital
New Haven, CT

Charles E. Stewart, MD, EMDM, MPH
Medical Director
EMS Programs
Tulsa Tech
Tulsa, OK

Grace Thomas, MD
Attending Physician
Emergency Department
Level I Trauma Center
Wake Medical Hospital
Raliegh, NC

Ruby S. Thomas, MD, MPH, FAAP
Assistant Professor
Department of Community Health and Preventive Medicine
Morehouse School of Medicine
Atlanta, GA

Frank Townsend, III, MD, JD
Attending Physician
Emergency Department
Greater Baltimore Medical Center
Baltimore, MD

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

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

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



Our Urgent Care Questions

NBME-style, blueprint-based Q&A.
Just like you’ll see on the actual ABUCM 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 16-year-old patient presents 24 hours after a motor vehicle collision, complaining of retrosternal chest pain. He was a restrained driver who initially refused medical care because he “felt ok”. An AP chest x-ray is obtained that is later followed up by a lateral chest x-ray:

urgent care X-ray image

urgent care questions example

Which of the following answers is correct?

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.

The patient’s physical exam will most likely reveal Beck’s triad
The patient should be sent for an esophagram
Auscultation will very likely reveal a Hamman’s crunch
The patient requires a pericardiocentesis
Preparations should be made to place a chest tube

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.

Explanation:

The x-ray findings are consistent with traumatic pneumomediastinum, which is the result of rapid increases in intraluminal pressure during sudden chest wall compression and/or significant shearing forces during rapid decelerations. These forces can cause isolated trauma to any combination of the mediastinal soft tissues (airway, esophagus, heart, great vessels).

The key point is that both traumatic esophageal tears and minor tracheobronchial tears are rare but potentially fatal injuries that can present with a 24-hour delay and with very subtle initial physical and X-ray findings. If initially undetected, tracheobronchial trauma may lead to tracheobronchial stenosis from granulation tissue and possibly lead to chronic airway obstruction. Undiagnosed esophageal tears can rapidly lead to fatal purulent mediastinitis.

Tracheobronchial tears occur in about 1-3% of patients with blunt chest trauma. Combined esophageal and tracheal rupture is seen in approximately 20% of these cases of tracheobonchial injury. Since esophageal injuries have a high morbidity and mortality, it is important to evaluate the esophagus in patients who have pneumomediastinum or a proven tracheobronchial injury from blunt trauma.

Signs and Symptoms of esophageal injury are dependent on the depth of esophageal wall involvement. The most common symptom of esophageal injury is retrosternal pleuritic chest pain. Other nonspecific symptoms include dysphagia, odynophagia, pleuritic chest pain, vomiting, and dyspnea. Signs of a full-thickness tear with or without tracheal trauma include subcutaneous emphysema, pneumomediastinum, pneumothorax, and demonstration of gastric contents in the pleural fluid.

Signs and symptoms of tracheobronchial trauma are mostly nonspecific: dyspnea, cough, hoarseness, hemoptysis, respiratory distress, and hypoxia. Subcutaneous emphysema is the only slightly more specific sign. About 80% of cases of tracheobronchial tears due to blunt trauma occur within 2.5 cm of the carina. Such tears result in a pneumomediastinum because the main bronchi are mediastinal structures up until the point where they divide to become the major lobar bronchi. The right main stem bronchus tends to be injured more commonly than the left because there is less protection from surrounding structures. Endo/bronchoscopy can confirm the diagnosis when the clinical and radiological signs raise suspicion about the presence of such an injury.

A Hamman’s crunch is a crunching sound of crepitation auscultated with each heartbeat (caused by the heart beating within air bubbles). Hamman’s crunch is classically considered to be a sign of pneumopericardium, but may be present in 30% of patients with pneumonmediastinum. However, the above patient had no signs of a pneumopericardium, so it is not VERY likely to hear Hamman’s crunch in the above scenario.

Interpretation of Chest X-Ray:

The AP chest-x-ray demonstrates free air dissecting along the superior mediastinum bilaterally, and also shows apical shadows over the left lung, which is consistent with subcutaneous emphysema. Vertical air densities can also be noted that are extending upward from the mediastinum (more noticeable on the left than on the right). There is also air superimposed over the inferior aspect of the aortic arch. The CXR is otherwise within normal limits. The lateral chest x-ray demonstrates mediastinal air trapping with thymic demarcation. An oblique air space is also present anteriorly and superiorly to the heart. There are also vertical air densities outlining the trachea. Neither x-ray shows any signs of a pneumothorax (no need for chest tube) or pericardial effusion (no Beck’s triad).

Pearls: The thymus reaches maximum size during adolescence.

References:

Eckstein M. Thoracic Trauma. Chpt. 45 in Marx: Rosen’s Emergency Medicine, Concepts and Clinical Practice, 8th ed., 2014

Takada K, Matsumoto S, Hiramatsu T, Kojima E, Shizu M, Okachi S, et al. Spontaneous pneumomediastinum: an algorithm for diagnosis and management. Ther Adv Respir Dis 2009;3:301-7.

Devaraj U. Recurrent spontaneous pneumomediastinum in a young female: Hamman’s crunch revisited. Oxford Journals. Oxf Med Case Rep (2014) 2014 (2): 18-20.doi: 10.1093/omcr/omu008

Imaging of thymic epithelial neoplasms. Rosado-de-Christenson ML – Hematol Oncol Clin North Am – 01-JUN-2008; 22(3): 409-31



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.

  • media enhanced learning
  • high resolution media
  • Q&A answer explanations
  • clarify core concepts

CME Credits Included

Earn while you learn. Knock out requirements fast.

Earn Up To
0
AMA PRA Category 1 CME Credits™

Earn and Claim Credits Easily

  • Score 80% or better on topic-based CME assessments
  • CME earnings will appear in your CME Claims Center
  • Produce PDF CME Certificates (claim credits) instantly
  • PDFs list all topics claimed for hassle-free submission
  • Return anytime to reprint or review historical earnings

earn and claim CME

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Features & Utilities



board exam simulation

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All QBanks come with comprehensive exam simulations that emulate the exact content specifications of exams every time.

  • Case-based NBME-style Q&A
  • Instant Feedback
  • Prescriptive Remediation

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Our adaptive learning engine is always working to find and fix weak areas of knowledge.

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smarter board exam review
create custom exams

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While we provide standard board-focused exams, you can also make your own - and save them for re-use.

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Program directors can assign self-assessment and testing adjunct to existing rotational programs.

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custom assignments
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efficient board review

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  • Weekly Quick Quiz CME Game
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Additional features for Group Education applications.


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