Urgent Care Board Practice Questions

Based on the American Board of Family Medicine format.

Highlights

  • Just like you'll see on the actual exam
  • No negatively phrased questions
  • Case-based presentations
  • Image-based questions
  • Continually updated

Sample Stem:

Two hours ago, a 26-year-old man slipped and fell while he was jumping off crates at work. He states that his right ankle twisted such that he felt a sharp pain. He was able to bear weight on that foot immediately after the injury. However, because this was causing some pain, he decided to use his brother’s old crutches.

On examination, there is significant soft tissue swelling over the lateral malleolus. There is no bony tenderness over the lateral and medial malleoli or proximally over the fibula or tibia. After some hesitancy, the patient is able to bear weight and slowly walks a few steps while avoiding flexion and extension of his right ankle.

Based on the Ottawa Ankle rules, the next best step is which of the following?

Answers

Challenging distractors are one of the most important features of a high quality Urgent Care board question.

Highlights

  • Challenging distractors (incorrect answer options)
  • Practice Modes for self-testing instant feedback
  • Review Modes for read-friendly questions & answers

Answer Options:

 Obtain radiography of his right ankle.
 Prescribe him nonsteroidal anti-inflammatory drugs.
 Prescribe him semi-rigid ankle support, crutches, and no weight bearing for 4 weeks.
 Obtain an orthopedic consultation before you discharge him.

Explanations

Understanding why an answer choice is incorrect is just as important as knowing why it is correct for a truly effective Urgent Care board review course.

Highlights

  • Detailed explanation for the correct and incorrect answer choices
  • Integrated media for visual learning
  • Key points link associated concepts and practice guidelines

Correct Answer:

Prescribe him nonsteroidal anti-inflammatory drugs.

Educational Objective:

Describe treatment for isolated, minor blunt ankle trauma.

Key Point:

In most cases of isolated blunt ankle trauma evaluated within 48 hours of injury, the Ottawa Ankle rules should be used to determine whether radiography of the ankle is necessary. These rules state that ankle x-rays (there is a separate set of Ottawa rules for foot x-rays) are required if there is pain in the malleolar region with any of the following findings:

  • Bony tenderness at the posterior edge of the distal 6 cm or the tip of the lateral malleolus
  • Bony tenderness at the posterior edge of the distal 6 cm or the tip of the medial malleolus
  • Inability to bear weight for ≥ 4 steps both immediately after the injury and at the time of evaluation
Explanation:

According to the Ottawa Ankle rules (not to be confused with the Ottawa Foot rules), which approach a nearly 100% sensitivity rate for detecting ankle fractures in adults, this patient would not benefit from radiography. Soft tissue magnetic resonance imaging or computed tomography would not be appropriate in this case either, because such a study would not change the management of an ankle sprain in which the patient can still ambulate.

Ligamentous ankle injuries are initially treated with rest, ice, compression, and elevation. In addition, studies show that analgesics such as nonsteroidal anti-inflammatory drugs, acetaminophen, topical diclofenac, or oral opioids are effective in severe cases. For grade 1/2 injuries, short-term protection with a tensor bandage, taping, a lace-up ankle brace, or a commercial walking boot, with the optional use of crutches for a few days, is appropriate.

For severe grade 2/3 injuries, splinting or casting for up to 3 weeks occasionally is necessary. Because there is no evidence for a more favorable outcome with immobilization than with functional treatment, use of a lace-up support or air cast that permits some ankle motion is generally preferable, even in patients with more severe sprains. Such patients also should use crutches for 2 to 3 weeks to avoid weight bearing until they can stand and walk several steps on the injured ankle without pain.

Urgent orthopedic consult before discharge is mostly a consideration in patients who might require emergent surgery. This is not the case in this patient.

By comparison, the Ottawa Foot rules state that foot radiographic series is required if there is pain in the midfoot region with any of the following findings:

  • Bone tenderness at the navicular bone
  • Bone tenderness at the base of the fifth metatarsal
  • Inability to bear weight for ≥ 4 steps both immediately after the injury and at the time of evaluation
References:

Rose NG, Green TJ. Ankle and foot. In: Walls R, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018:634-658.e3.

Our Urgent Care Review Course Gives You More Ways To Study

Study Modes

Enhanced uptake and retention

Programmed learning - the self-study progression of Practice > Review > Assess - is an educational methodology scientifically proven to enhance information uptake and retention. Our topic-based review segments provide this progression, so you can absorb content faster - and remember it for a longer time.


Tutor Modes
  • Practice - non-scored self-testing with answer feedback
  • Review - read-friendly question & answer review
Easy Self-Assessment
  • Start, Pause, Resume, Score - assess as you like
  • Flag Questions - flag questions for review
Self-Assessment Options
  • Board Exam "Smart" Simulator - exam-specific comprehensive review prioritizes missed and unseen / unanswered questions on subsequent use. Fastest path to complete mastery.
  • Board Exam "Crash" Review - comprehensive review prioritizes unseen / unanswered questions on subsequent use. Great for anytime "check up" or when time is short.
  • Chapter Exams - both Smart and Crash options, adaptive review per chapter
  • Baseline Exams - curated set of core questions for quick, initial knowledge assessment
  • Topic CME Assessments - topic-based question set, passing score earns CME credit
  • Custom Exams - exams you've built via our Exam Builder

Multimedia From Real Cases Strengthens Urgent Care Training

Media Banks

Integrated audio and visual media for enhanced learning.

Highlights

  • Audio and visual content reinforce core concepts
  • Media banks organized by topic
  • Tables, images, diagrams, videos and more
  • Great resource for education program faculty

Our board reviews offer high resolution imagery and other media.

ABUCM Board Review Options You Won’t Find Anywhere Else

Custom Tools

Use our "out-of-the-box" content & exams - or build your own. Your call.

It's important to know, Med-Challenger courses require NO exam building labor on your part - unlike other board review QBanks. Our courses come with pre-built, exam-mapped, adaptive self-assessments so there's no set up required - you can just dive in. However, we also include custom build tools, so if you DO want to build something special - you can.


Custom Exam Builder

Build custom exams that dynamically issue selected content based on your specifications and create a personal review solution that fits your study preferences and lifestyle.

Highlights
  • Build your own adaptive exams using Q&A from one or more course assets
  • Set how many questions are issued from your selected question pool on each attempt
  • Save your custom exams and re-use them. They'll follow your content specifications every time.

Build custom exams and more.

Themes and Settings

Select from light and dark themes and customize your experience within your account profile.

customize your screen

Custom CME Certificates

Review completed work, batch claim CME credits, and produce printable CME certificate PDFs. Review, reproduce & email CME certificates anytime.

print cme certificates on-demand
More authoring tools for program directors

Our program director suite also includes custom question authoring, custom assignment creation, scheduling and more.


Each Urgent Care Board Practice Question Has A Detailed Answer

Prescriptive Learning

Receive targeted self-remediation in detected "weak areas"

Every board simulation self-assessment analyzes missed questions and issues both full answer keys and a post-assessment self-remediation prescription to targeted review content so you can address any and all "weak areas" of knowledge on the spot - and save valuable time.


Highlights
  • Get a comprehensive breakdown of assessment performance in all categories and sub-topics
  • View full answer keys - filter by question results - view missed, unanswered, and flagged questions
  • Understand specific areas of knowledge that should be improved
  • Receive suggested links to targeted self-remediation - and dive deeper on the spot

Know If You’re Ready For Urgent Care Board Certification

Analytics

Know what you've done, how well, and where you're headed.

Med-Challenger provides you with key statistics and robust analytics to create an efficient and effective learning strategy - and predict outcomes.


Progress

Quickly see what's complete and what's left to review.

15 / 15 Topics Complete

4 / 10 Topics Complete

Keep track of what's been completed and what's not.
Performance

See how you're performing and improve your knowledge in problem areas.

87%

53%

Evaluate your performance on board exam simulations and more.
Predictions

See the likelihood of you passing your exam at any time.


Excellent - 98%
Predict the likelihood of passing board exams

"Outstanding board review & continuing education with lasting value. Web-based system is fantastic and easy to use. Makes exam review and CME super easy. Best investment I've ever made for my career."


Don Hill, MD

Urgent Care Board Review Topics

Blueprint-based Exam Simulation

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

This is how we determine which material appears in ABUCM board exam simulations.

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%

Pricing

Urgent Care Review Course


Interested in group subscriptions of 10 or more?
Request Quote | 1-800-676-0822

Learn about Program Director
ABUCM Board Review

Urgent Care Board Certification Exam Prep

Crush your Boards & Earn CME.


$599

One-time purchase. One year of initial access.
Includes low cost Premium renewal option.

+ 100% Pass Guaranteed
+ Over 3200 Questions & Explanations
+ Exam Simulation, Study by Topic & Custom Exams
+ Continuous Updates
+ 230 AMA PRA Category 1 CME Credits


Family Medicine PRO Bundle

Everything in Family Medicine.


$1999

See Full Details
family medicine review products

$2801 in value for only $1999. You save over 28%.

One-time purchase. One year of initial access.
Includes low cost Premium renewal option.

Course Assets Included:

+ Family Medicine Board Review with CME
+ KSA Subscription: All 16 Modules, Summaries & Review
+ Urgent Care Board Review
+ State CME Requirements Course
+ Trauma Center CME
+ Stroke Center CME
+ Cardiac Center CME
+ Dermatology Review CME
+ Risk Management Review
+ 755 AMA PRA Category 1 CME Credits
+ 248 AAFP Prescribed CME Credits


Internal Medicine PRO Bundle

Everything in Internal Medicine.


$1999

See Full Details
internal medicine review products

$2572 in value for only $1999. You save over 22%.

One-time purchase. One year of initial access.
Includes low cost Premium renewal option.

Course Assets Included:

+ Internal Medicine Board Review with CME
+ Urgent Care Board Review
+ State CME Requirements Course
+ Trauma Center CME
+ Stroke Center CME
+ Cardiac Center CME
+ ECG Special Cases Review
+ Risk Management Review
+ 553 AMA PRA Category 1 CME Credits
+ 157 ABIM MOC Points
+


More Than Just An Urgent Care Board Review Course

Account Benefits

Premium Membership - A Better Plan

"You can treat the symptoms or you can cure the condition."  We're known for high quality board review courses, but we're built to protect your practice and quality of life throughout your medical career. The others aren't. It all starts with your single online account.

Everything in one spot. Useful forever.

With your single Med-Challenger account you can add multiple MOC products under one login, use them all year. Then, simply renew your Premium Membership for one low annual fee ($199/yr). You'll get another full year of access to EVERYTHING you've ever bought. We'll keep everything in your account up-to-date and on-call to serve your MOC & CME needs every year throughout your career. Buy once. Use assets year after year. Never pay full price again!

New Content Weekly

Just by having a free Med-Challenger online account, you can stay up-to-date and informed to changes in current practice.

  • Our Medical Education Blog offers practice pearls, guideline news, and diagnostic challenges from our clinician authors.
  • Our popular Free CME Quick Quiz game let's you try new board review questions each week. No purchase necessary to play.
Free Board Review Questions
free board review questions
CME Credit On-Demand

Most Med-Challenger products include required continuing education credit(s). Any earned credits will accrue in your account's CME Claims manager. Easily batch-claim earned credits and produce custom CME certificate PDFs, anytime. Makes MOC a snap.

100% Risk-free

We offer a money-back pass-guarantee on all exam review courses. We only succeed, when you do. Start a no-obligation full trial of any product today.

Free Support

We provide free, live US-based support and a 24/7 knowledge base, so you'll never be without clear answers to your questions and needs.