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Notice
Medicine is an ever-changing science. As new research and clinical
experience broaden our knowledge, changes in treatment and
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accord with the standards accepted at the time of publication.
However, in view of the possibility of human error or changes in
medical sciences, neither the authors nor the publisher nor any
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publication of this work warrants that the information contained
herein is in every respect accurate or complete, and they disclaim
all responsibility for any errors or omissions or for the results
obtained from use of the information contained in this work.
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information contained in this work is accurate and that changes
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contraindications for administration. This recommendation is of
particular importance in connection with new or infrequently used
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Copyright © 2021 by McGraw Hill. All rights reserved. Except as
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ISBN: 978-1-26-046895-3
MHID: 1-26-046895-X
The material in this eBook also appears in the print version of this
title: ISBN: 978-1-26-046894-6, MHID: 1-26-046894-1.
TERMS OF USE
Shannon M. Burke, MD
Resident, Class of 2021
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Fever
Bram A. Dolcourt, MD
Associate Residency Program Director
Sinai-Grace Hospital, Detroit Medical Center
Assistant Professor
Department of Emergency Medicine
Medical Toxicology
Wayne State University
Detroit, Michigan
Poisoning and Overdose
Jonah Gunalda, MD
Assistant Professor
Clerkship Director
Department of Emergency Medicine
University of Mississippi Medical Center
Jackson, Mississippi
Abdominal and Pelvic Pain
Altered Mental Status
Headache, Weakness, and Dizziness
Professionalism, Ethics, and Communication
Megan E. Gussick, MD
Assistant Professor
Assistant Medical Director, Division of Prehospital Medicine
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Wound Care
Corlin Jewell, MD
Education Fellow
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Environmental Exposures
Aaron Kraut, MD
Residency Program Director
Assistant Professor (CHS)
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Fever
Nicholas A. Kuehnel, MD
Medical Director, Pediatric Emergency Medicine
Assistant Professor (CHS)
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Pediatrics
Benjamin R. Parva, MD
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Resident, Class of 2022
Department of Emergency Medicine
University of Mississippi Medical Center
Jackson, Mississippi
Altered Mental Status
Kaitlin Ray, MD
Assistant Residency Program Director
Assistant Professor (CHS)
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Musculoskeletal Injuries
Dana Resop, MD
Assistant Director of Clinical Ultrasound
Assistant Professor
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Vaginal Bleeding
Ultrasound in Emergency Medicine
Daniel Rutz, MD
Assistant Professor (CHS)
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Eye Pain and Visual Change
Endocrine Emergencies
Psychosocial Disorders
Emerging Infectious Diseases
Lauren M. Titone, MD
Assistant Professor
Department of Emergency Medicine
Columbia University Irving Medical Center
Vagelos College of Physicians and Surgeons
New York, New York
Shortness of Breath
Contents
Introduction
Acknowledgments
Shortness of Breath
Questions
Answers
Fever
Questions
Answers
Gastrointestinal Bleeding
Questions
Answers
Musculoskeletal Injuries
Questions
Answers
Pediatrics
Questions
Answers
Vaginal Bleeding
Questions
Answers
Environmental Exposures
Questions
Answers
Eye Pain and Visual Change
Questions
Answers
Wound Care
Questions
Answers
Endocrine Emergencies
Questions
Answers
Psychosocial Disorders
Questions
Answers
Index
Introduction
Emergency Medicine: PreTest® Self-Assessment and Review, Fifth
Edition, is intended to provide medical students, as well as house
officers and physicians, with a convenient tool for assessing and
improving their knowledge of emergency medicine. The 570
questions in this book are similar in format and complexity to those
included in step 2 of the United States Medical Licensing
Examination (USMLE). They may also be a useful study tool for step
3, the National Board of Medical Examiners (NBME) Emergency
Medicine and other clerkship examinations.
Each question in this book has a corresponding answer and a
short discussion of various issues raised by the question and its
answer. For multiple-choice questions, the one best response to
each question should be selected. A listing of subject-based
recommended readings follows each chapter.
To simulate the time constraints imposed by the qualifying
examinations for which this book is intended as a practice guide, the
student or physician should allot approximately 1 minute for each
question. After answering all questions in a chapter, as much time as
necessary should be spent reviewing the explanations for each
question at the end of the chapter. Attention should be given to all
explanations, even if the examinee answered the question correctly.
Those seeking more information on a subject should refer to the
recommended reading lists or to other standard texts in emergency
medicine.
Acknowledgments
A hearty thanks goes out to my family for their love and support,
Danielle, Ruby, Rhys, and especially my parents, Karl and Marcia; the
dedicated medical professionals of the emergency departments at
New York University/Bellevue Hospital, and Wayne State
University/Detroit Receiving Hospital; Catherine Johnson for giving
me this opportunity, and my patients, who put their trust in me, and
teach me something new each day.
Adam J. Rosh
Ciara J. Barclay-Buchanan
Chest Pain and Cardiac
Dysrhythmias
Lauren J. Curato, DO, FACEP
Questions
The following scenario applies to questions 1-3.
J. Bartholomew, Edin.
CHAPTER V.