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Emergency Medicine Clerkship Review Questions With Correct Answers
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10/22/24, 10:24 AMEmergency Medicine Clerkship Review Questions With
Correct Answers
Terms in this set (1165)
1. IV
2. O2
Immediate management of patient 3. Complete VS (including temp and pulse ox)
presenting with abdominal pain (5) 4. Consider EKG (ACS)
5. Consider STAT portable upright CXR to assess for free air and obtain surgery
consult (if abdo exam is positive)
1. Previous surgeries (SBO)
2. EtOH (hepatitis, pancreatitis, cirrhosis)
3. Pregnancy status
High yield history for patient with 4. Recent abx use (C. diff)
abdominal pain (8) 5. Relation to food (gallbladder, ulcer, ischemic colitis)
6. GI bleed (upper/lower)
7. Trauma
8. Last bowel movement (obstruction, constipation)
Can help distinguish between gastroenteritis and SBO
Importance of nausea/vomiting in patient
Gastro if with diarrhea
with abdominal pain
SBO if without
1. Location of tenderness
2. Rebound/guarding (surgical abdomen/perforation)
3. Distention (SBO)
4. Fluid wave (ascites)
Exam for patient presenting with abdominal
5. Bowel sounds (high pitched/absent for SBO)
pain (8)
6. Pelvic exam for females with pelvic pain (adnexal tenderness - ovarian cyst,
torsion, ectopic, TOA, appendicitis)
7. Rectal exam + guaiac (GI bleed, diverticulitis, colitis)
8. Subcutaneous/mediastinal air (esophageal rupture)
Murphy's sign
McBurney's point
Special signs on abdominal exam (5) Obturator sign
Emergency Medicine Clerkship Review
Psoas sign
Rovsing sign
1/11
, 10/22/24, 10:24 AM
Pain with flexion and internal rotation of right hip
Associated with appendicitis
Obturator sign
Patient on left side, pain with hyperextension of
right hip
Psoas sign
Associated with appendicitis
UA
HCG
CBC
Initial labs for patient presenting with
BMP
abdominal pain (7)
LFTs
Lipase (if concern for pancreatitis)
Lactate (if sick)
EKG (cardiac cause in women, elderly, diabetics; arrhythmias in mesenteric ischemia)
X-ray: upright CXR for free air, KUB for dilated loops of bowel
Initial investigations for patient presenting CT: IV contrast to visualize vasculature, abscesses, masses; Oral contrast to visualize
with abdominal pain (7) hollow viscous structures
RUQ US: Biliary system
Pelvic US: GYN pathology
Gastritis
Pancreatitis
Conditions presenting with epigastric pain
ACS
(5)
PUD
Biliary colic
Biliary colic
Cholecystitis
GERD
Hepatitis
Conditions presenting with RUQ pain (8)
Ulcer
Cholangitis
RLL pneumonia
PE
Appendicitis
Meckel's diverticulitis
Ectopic
Ovarian torsion/cyst
PID
Conditions presenting with RLQ pain (10)
Endometriosis
Psoas abscess
UTI
TOA
Kidney stone
Gastritis
Splenic infarction/rupture
Pericarditis
Conditions presenting with LUQ pain (7) Myocarditis
LLL PNA
Pleural effusion
PE
2/11
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