Emergency Medicine In-Training Examination (EM-ITE) Practice Test

These questions are part of the practice quiz. Start practicing

• Which tax form is used for independent contractors?
• What is the first line of treatment for a patient experiencing a vaso-occlusive crisis with abdominal pain due to splenic infarction?
• What is the first step in the treatment of priapism?
• How much of the total body surface area does the head represent in the Rule of Nines?
• What condition commonly resembles laryngomalacia due to similar stridor symptoms?
• Which position is likely to worsen stridor in infants with laryngomalacia?
• What is the most likely diagnosis for a child presenting with hematochezia, pain with defecation, and constipation?
• In cases of myocarditis, when are antibiotics indicated?
• What is a Jefferson fracture?
• What is a classic finding in a clay shoveler fracture?
• What is the immediate treatment for a non-pregnant patient with life-threatening vaginal bleeding?
• In unstable atrial flutter, what is the most effective immediate treatment?
• Which of the following is the reversal agent for Dabigatran?
• Which endocrine disease is associated with exophthalmos?
• What is the gold standard for diagnosing myocarditis?
• What is the best approach to mitigate the risk of ligation in the emergency department?
• Which type of cervical spine injury is characterized by type I odontoid fractures?
• What is the most common sign associated with pulmonary embolism?
• What is the morphology of the epsilon wave in the context of arrhythmogenic right ventricular cardiomyopathy?
• Which treatment is commonly recommended for Meniere disease?
• In a patient with cirrhosis and spontaneous bacterial peritonitis, what is one of the treatments indicated?
• Which laboratory test results would indicate a hemolytic process in a patient with anemia?
• Which nerve root injury can present with symptoms affecting the ulnar aspect of the forearm?
• In which condition is a patient likely to experience an acute change in mental status, specifically impaired alertness?
• What condition is associated with fever, chills, headache, fatigue, and a diffuse erythematous maculopapular rash after traveling to Africa?
• What is the most likely diagnosis for an HIV-positive patient with multiple ring-enhancing lesions on a CT scan?
• A bilateral facet dislocation is typically associated with which type of injury?
• Where is the fascia iliaca block typically performed?
• What diagnostic study is recommended for suspected Boerhaave syndrome?
• What initial treatment is recommended for blepharitis?
• After a child has a strep skin infection (impetigo), what is the time frame for PSGN to develop?
• Which clinical presentation is characterized by irregular fever paroxysms?
• In patients with vaso-occlusive crisis, which area is most commonly associated with pain?
• What medication is indicated for life-threatening vaginal bleeding, especially when it's not endometrial in origin?
• What are the components of the HiNTs exam used for assessing vertigo?
• What is the first-line treatment for proctitis caused by Neisseria gonorrhoeae?
• Which part of the brain is affected in truncal ataxia?
• What is a common association with pneumonia secondary to Chlamydia pneumonia?
• What organism is commonly associated with atypical pneumonia characterized by dry cough, dyspnea, and gastrointestinal symptoms?
• Which form of ataxia is characterized by oscillation of the trunk when free of external support?
• What is the reversal agent for Rivaroxaban and Apixaban?
• What is the most likely cause of hypotension in a trauma patient with negative FAST and imaging studies?
• What is the most common cause of congenital stridor in infants?
• What physiological change occurs when an infant with laryngomalacia is crying?
• In the treatment of testicular torsion, what is the recommended maneuver?
• What is the recommended treatment for spontaneous bacterial peritonitis in a patient on peritoneal dialysis?
• A patient with rectal pain, purulent discharge, and a history of high-risk sexual activity is likely suffering from?
• What is the most typical clinical presentation for hemolytic uremic syndrome in children?
• What criteria are considered for massive pulmonary embolism?
• What is the most common age range for croup?
• What is the most common predisposing condition for spontaneous pneumomediastinum with subcutaneous emphysema?
• What is the responsibility of an independent contractor regarding taxes?
• How should a scalp laceration that continues to bleed after 15 minutes of direct pressure be treated?
• Which condition is characterized by inspiratory stridor primarily occurring during feeding?
• In a bite from a black widow spider, which symptom is commonly observed alongside general abdominal pain?
• What is the recommended treatment for a patient diagnosed with Chlamydia Trachomatis and sterile pyuria?
• A recent trip to Africa resulted in fever, headache, malaise, myalgia, and diarrhea. What is the likely diagnosis?
• What antibiotic has shown the greatest reduction in mortality in variceal hemorrhage for patients with cirrhosis?
• What is a defined characteristic of Wellens Syndrome?
• Which of the following is part of the diagnostic criteria for hyperemesis gravidarum?
• What is the first-line outpatient treatment for atypical pneumonia?
• A farmer experiences acute respiratory distress after being exposed to silos. What is the likely diagnosis?
• Which condition is dependent on the patent ductus arteriosus?
• Which condition is highly associated with blepharitis?
• What condition is characterized by bilateral motor/sensory deficits with greater involvement of the upper extremities?
• Which of the following is a major modified Duke criterion for infective endocarditis?
• What factor has no association with the prognosis for drowning victims?
• In a torus fracture, what is the primary cause of this injury?
• What is the most common associated injury in hanging strangulation injuries?
• Which pathogen is most often responsible for causing croup?
• What is the initial treatment for a central retinal artery occlusion?
• What is the characteristic aminotransferase pattern in hepatitis A?
• A patient suffering from a scorpion sting presents with tongue fasciculations and temperature reversal. What is the organism?
• What is the initial treatment for a traumatic septal hematoma?
• What is one of the T's that can cause pulseless electrical activity (PEA)?
• What type of hypersensitivity is associated with serum sickness?
• Which type of stridor is associated with an extra thoracic trachea that collapses during inspiration?
• What type of injury is treated with methylprednisolone in liver transplant patients whose immune system is invading the graft?
• What is commonly found in a torus fracture compared to a greenstick fracture?
• What is the initial treatment for acute lithium toxicity?
• In a patient with nursemaid's elbow, what should be the first step in the management?
• A patient presents with spontaneous ocular hyphema; which risk factor is known to increase the risk of complications?
• What is the characteristic EKG morphology for Type 1 Brugada syndrome?
• What visual complication is associated with craniopharyngioma?
• Which organism is responsible for a bite that can lead to muscle paralysis?
• What is the first-line treatment for hyperemesis gravidarum?
• Which treatment is the initial recommendation for a pinworm infection?
• Electrical alternans on an ECG is commonly associated with which condition?
• Which congenital heart lesion is characterized by a right-to-left shunt and can lead to cyanosis?
• In the case of a patient presenting with fever, abdominal pain, diarrhea, and rose spots after travel, what is the most likely diagnosis?
• Which type of fracture is referred to as a Jefferson fracture?
• What condition is indicated by elevated alkaline phosphatase and GGT post liver transplant with normal bilirubin and aminotransferases?
• In a young woman with a history of infertility presenting with a spontaneous right hemothorax, what is the most likely diagnosis?
• What is the expected diagnosis for a patient with persistent hypoglycemia after administration of D50?
• In patients with decreased creatinine clearance on ACE Inhibitor or ARB, which drug significantly increases the risk of hyperkalemia?
• What is the ophthalmic exam finding in a patient with central retinal artery occlusion (CRAO)?
• Which sign suggests vascular cutoff in pulmonary embolism?
• What are characteristic symptoms of blepharitis?
• What is the typical time frame for the onset of symptoms in Ebola viral hemorrhagic fever?
• Which symptom is commonly associated with febrile illnesses following travel to endemic areas?
• Which component is included in the intracerebral hemorrhage score?
• A child presents with hematuria, hypertension, and periorbital edema. What is the most likely diagnosis?
• What type of diplopia is experienced from unilateral CN VI palsy?
• What is the most common sequel of lightning strikes?
• What are the criteria for diagnosing spontaneous bacterial peritonitis in patients undergoing peritoneal dialysis?
• What neurological sign is associated with an ipsilateral cerebellar lesion?
• What sedative should be avoided in rapid sequence intubation (RSI) in septic patients?
• What is a common adverse reaction to corticosteroid therapy such as prednisone?
• In the case of a head injury with brief loss of consciousness and no focal neurological deficits, what is the diagnosis?
• What are the characteristic EKG findings of De Winter T waves in a patient with complete LAD occlusion?
• What is the initial treatment for a child presenting with diabetic ketoacidosis (DKA)?
• What examination finding can help differentiate infectious mononucleosis from streptococcal pharyngitis?
• What potentially life-threatening condition can result from rapid cessation of longstanding glucocorticoid therapy?
• On chest X-ray, where is the sentinel eye located to confirm the correct placement of a chest tube?
• What is the recommended treatment for sydenham chorea?
• A patient presenting with tachycardia that is disproportionate to symptoms of fever and discomfort may have which condition?
• What is the primary treatment approach for stable atrial flutter?
• In a patient with hemoptysis, shortness of breath, and bilateral hilar adenopathy, what condition is suggested by elevated ACE levels?
• A patient with chest discomfort, dyspnea, and fever, with a history of chronic anemia and scleral icterus, is most likely experiencing which condition?
• What are the symptoms associated with a pit viper bite?
• What common physical exam finding in a child with Legg-Calve-Perthes disease should be noted?
• What is the time frame for developing post-streptococcal glomerulonephritis (PSGN) after a child has strep pharyngitis?
• What EKG changes are typically seen in a patient with a left ventricular aneurysm following a myocardial infarction?
• Which is an indication for emergent laparotomy in cases of penetrating abdominal trauma?
• What type of nerve injury presents with weakness in finger abduction, adduction, thumb opposition, and wrist flexion?
• What is the common complaint among patients with arrhythmogenic right ventricular cardiomyopathy?
• What type of diplopia is associated with unilateral CN IV (trochlear) palsy?
• What is the expected outcome of a flexion injury characterized by complete loss of motor and pain/temp sensation below the injury?
• What ultrasound finding is expected for a glass foreign body?
• What characterizes submassive pulmonary embolism?
• In a case of tachycardia with a wide QRS and short PR interval, what diagnosis should be considered?
• Which of the following is a recommended treatment for arrhythmogenic right ventricular cardiomyopathy?
• What is the primary treatment for sulfonylurea toxicity?
• What is the laboratory finding associated with diffuse scleroderma?
• Which organism is associated with shortness of breath, livestock exposure, and increased liver function tests?
• What is the treatment protocol for a patient who has not previously been vaccinated against rabies?
• What does Hampton's Hump indicate in a clinical setting?
• Which test is utilized to determine if priapism is ischemic or nonischemic?
• In Wellens Syndrome, what are the EKG findings and the associated lesion?
• What is the appropriate treatment for a patient with strawberry cervix?
• What is one specific finding that may indicate sexual abuse?
• What is a key characteristic of type I odontoid fractures?
• A patient presents with dysuria and urinary frequency. The urinalysis shows positive WBCs and leukocyte esterase but negative bacteria. What is the likely diagnosis?
• In infants with laryngomalacia, which positions improve their condition?
• For a child presenting with cough and a normal physical examination, what is the most common cause of chronic cough?
• What is the treatment of choice for antidromic WPW?
• For a brown recluse spider bite that progresses from a papule to necrotic blister, what is the correct organism?
• What characterizes a hangman fracture?
• What is the distinguishing feature between laryngomalacia and a vascular ring?
• In which scenario would tranexamic acid (TXA) be preferred for treatment?
• In croup, what is a common radiographic finding?
• Which acid-base disorder is typically seen in salicylate toxicity?
• Which symptom is less commonly associated with laryngomalacia than stridor?
• In choledocholithiasis, what is the significance of the common bile duct being dilated to more than 6mm?
• In the case of a patient exposed to a rabid animal who has had previous vaccinations, what is the recommended treatment?
• What is the primary treatment for methanol toxicity?
• What is a common complication associated with craniopharyngioma?
• What type of cervical injury is described as resulting from a diving accident or head-on collision?
• Following a scorpion sting, which type of medication usage is discouraged to prevent overdose complications?
• Which condition is closely associated with musculoskeletal pain from hypoxia in sickle cell patients?
• What is the pathophysiology of Legg-Calve-Perthes disease?
• During targeted temperature management in a patient who has achieved return of spontaneous circulation, what should be done if bradycardia occurs?
• Which of the following is associated with adverse effects of hyperkalemia in patients on ACE inhibitors?
• In acute mesenteric ischemia, which source is a common cause of arterial embolism?
• What should not be used as a treatment for antidromic WPW?
• What type of treatment is typically given for an adrenal crisis?
• What is the most common symptom in pulmonary embolism?
• What diagnostic method is used to confirm arrhythmogenic right ventricular cardiomyopathy?
• What is the hypotension threshold for children aged 1-10 years old?
• What is the first step in managing testicular torsion?
• What are Tardieu spots?
• What condition is characterized by episodic vertigo, sensorineural hearing loss, and tinnitus?
• What defines a bifacet dislocation?
• According to Sgarbossa Criteria, how many points is discordant ST elevation of 5 mm in leads with a negative QRS worth?
• What does the ECG show when a transvenous pacemaker is appropriately placed?
• Which viral infection is the most common cause of erythema multiforme?
• Cyanotic congenital heart lesions include all of the following except?
• Which drug toxicity is associated with hyperthermia?
• What is the classic appearance described in an ophthalmic exam for central retinal vein occlusion?
• A patient with systemic sclerosis shows signs of esophageal dysmotility. Which of the following is also a common association?
• What underlying condition is associated with G6PD deficiency in pediatric patients?
• In cases of pulseless electrical activity (PEA), which of the following is one of the H's that can be a reversible cause?
• What is the most likely diagnosis for a patient with fever, cough, shortness of breath, and normal vital signs with nonspecific infiltrative changes on chest X-ray?
• What is the main focus of treatment for severe lithium toxicity with renal failure?
• In a patient with systemic sclerosis presenting with hypertension and renal failure, what is the likely diagnosis?
• What is the recommended disposition for a patient with suspected fat necrosis of the breast?
• What is the most common site for chest tube malposition?
• A patient with recent strep infection presenting with restless involuntary movements is likely diagnosed with which condition?
• Osmolar gap without anion gap acidosis is commonly associated with which substance?
• What is the hypotension threshold for a neonate under 28 days old?
• In the context of opioid withdrawal due to excess naloxone, what is the recommended treatment?
• What is a critical aspect of preventing infection after an incision for a septal hematoma?
• Which of the following is NOT typically a feature of laryngomalacia?
• What is the hallmark of RV dysfunction associated with pulmonary embolism?
• A patient presents with a painful lump in the breast weeks after trauma. What is the likely diagnosis?
• What disease process can mimic acute diverticulitis and should be evaluated with a colonoscopy post-symptoms?
• What is the appropriate initial management for a patient experiencing a concussion?
• What does discordant ST depression of > 1 mm in leads V1-V3 score on the Sgarbossa Criteria?
• What is the most significant factor of the EKG with saddleback type Brugada pattern?
• What is the most likely diagnosis for a patient with a 'strawberry cervix'?
• What is the recommended treatment for a concussion?
• What condition is indicated by a diagnosis of sarcoidosis with noncaseating granulomas?
• Which clinical finding is commonly seen in delirium but not in dementia?
• What respiratory symptom is manifested in children with Chlamydia pneumonia infection?
• A patient presents with bilateral pitting edema and sleep apnea. What is the appropriate next diagnostic step?
• Which macrolide is recommended for the treatment of whooping cough in infants under one month old?
• Facial plethora is a clinical sign indicative of which condition?
• What is a key symptom of nitrogen dioxide pneumonitis?
• In children, what condition is suggested by bloody diarrhea, abdominal pain, vomiting, and low platelets?
• What is the minimum chest tube drainage volume indicating the need for emergent thoracotomy in a patient with hemothorax?
• Which of the following conditions can be caused by nitrofurantoin use in children?
• A hangman fracture is associated with which type of injury?
• What is a contraindication for the placement of a transvenous pacemaker?
• In Lyme carditis, what is the most common objective manifestation observed?
• Which drug is most commonly associated with serum sickness?
• For snakebite management, which medication should be avoided due to potential histamine release?
• What congenital syndromes can be exacerbated by cold water immersion leading to fatal dysrhythmias?
• How is the low back pain associated with IBD-related sacroiliitis typically characterized?
• At what age do most cases of laryngomalacia resolve by?
• What is a common symptom of salicylate toxicity?
• A child with a wet cough refractory to typical medications may be suffering from which condition?
• At what age range does hypotension threshold change for infants?
• What is the purpose of administering misoprostol in the context of postpartum hemorrhage?
• What laboratory finding is typically associated with limited scleroderma?
• Which of the following symptoms is associated with Wallenburg syndrome?
• What is the most characteristic lab abnormality associated with ehrlichiosis?
• What is a significant vestibular effect caused by lateral medullary infarction?
• What are the two most commonly injured organs in blunt abdominal trauma, in order?
• What condition is indicated by a dilated common bile duct with gallbladder stones but no wall thickening?
• What is a common symptom of opioid withdrawal?
• Which of the following is NOT a criterion listed in the Jones criteria for acute rheumatic fever?
• What treatment regimen is commonly administered for cerebral toxoplasmosis?
• What type of stridor indicates an intrathoracic compression of the trachea?