Common ER Presentations
MoMoney, a 55-year-old businessman, suddenly clutches his chest. What should the ER team do first?
A) Offer him milk to neutralize the spice
B) Perform an ECG
C) Give him antacids
D) Order a CT scan
Answer: B) Perform an ECG
A 30-year-old woman, named Khadija, suddenly feels a sensation of doom with a racing heart. What’s the most likely cause?
A) Heart attack
B) Panic attack
C) Stroke
D) Pulmonary embolism
Answer: B) Panic attack
A patient, Hager, presents with severe right lower quadrant pain and a fever. What condition should you be most concerned about?
A) Gallstones
B) Appendicitis
C) Kidney stones
D) Gastritis
Answer: B) Appendicitis
A 75-year-old woman, Alawiya, falls and lands on her left hip. What’s the most likely diagnosis?
A) Hip dislocation
B) Hip fracture
C) Muscle strain
D) Sciatica
Answer: B) Hip fracture
Margaret, a retired 70-year-old, Omar Albashir, has been forgetting things. What’s the most likely diagnosis?
A) Stroke
B) Alzheimer’s disease
C) Parkinson’s disease
D) Depression
Answer: B) Alzheimer’s disease
After getting stung by a bee, Ayoush, a 30-year-old woman, develops a rash and difficulty breathing. What’s the first thing you should do?
A) Give antihistamines
B) Give epinephrine
C) Give steroids
D) Observe for 30 minutes
Answer: B) Give epinephrine
A 40-year-old, Amir al jak, complains of burning chest pain after eating. What’s the most likely cause?
A) Heart attack
B) GERD (acid reflux)
C) Peptic ulcer
D) Gallbladder disease
Answer: B) GERD (acid reflux)
A 5-year-old child, Hamza, has been drinking excessive amounts of water and has been more tired. What’s the most likely diagnosis?
A) Diabetes insipidus
B) Type 1 diabetes
C) Kidney infection
D) Hyperthyroidism
Answer: B) Type 1 diabetes
A 23-year-old athlete, Abdelqadir, presents with sudden sharp pain in the back of his ankle after hearing a “pop.” What injury has likely occurred?
A) Sprained ankle
B) Achilles tendon rupture
C) Stress fracture
D) Plantar fasciitis
Answer: B) Achilles tendon rupture
A 40-year-old, Hemedti, complains of burning chest pain that worsens after eating spicy foods. What’s the most likely cause?
A) Heart attack
B) GERD (acid reflux)
C) Peptic ulcer
D) Gallbladder disease
Answer: B) GERD (acid reflux)
AbuObeida, a 40-year-old with diabetes, is confused and sweaty. Pt did note that he skipped breakfast. What’s the first thing you should do?
A) Hand him a cheeseburger
B) Check his blood glucose
C) Give him insulin
D) Order an MRI
Answer: B) Check his blood glucose
A patient, Abdelmajeed, with asthma is struggling to breathe despite using his inhaler multiple times. What should be the next step?
A) Give IV steroids
B) Intubate immediately
C) Give more albuterol
D) Give antibiotics
Answer: A) Give IV steroids
Um Kalthoum presents with a high fever and severe headache and is sensitive to light. What’s the most concerning diagnosis?
A) Migraine
B) Meningitis
C) Stroke
D) Brain tumor
Answer: B) Meningitis
A young woman, Mira, is rushed to the ER after a car accident with no visible injuries but has a rigid abdomen. What’s the most likely cause?
A) Concussion
B) Internal bleeding
C) Anxiety
D) Pneumothorax
Answer: B) Internal bleeding
A 34-year-old, Burhan, complains of fatigue, weight gain, and feeling constantly cold. What condition should you suspect?
A) Hyperthyroidism
B) Hypothyroidism
C) Depression
D) Diabetes
Answer: B) Hypothyroidism
A paramedic brings in an unconscious 28-year-old Abdelmutalib with slow breathing and pinpoint pupils. What substance is the most likely cause?
A) Cocaine
B) Opioids
C) Alcohol
D) Benzodiazepines
Answer: B) Opioids
A 27-year-old, Kawthar, complains of sudden onset left-sided chest pain and shortness of breath. What is the most concerning diagnosis?
A) Pneumonia
B) Panic attack
C) Pulmonary embolism
D) GERD
Answer: C) Pulmonary embolism
A 3-year-old girl, named Vardar, is sitting upright, having difficulty breathing, drooling, and refusing to lie down. What’s the most likely diagnosis
A) Asthma
B) Epiglottitis
C) Croup
D) Pneumonia
Answer: B) Epiglottitis
A 27-year-old woman, Khalida, complains of a sudden and severe headache, double vision, weakness, neck pain/stiffness, and nausea. What should be your first concern?
A) Migraine
B) Tension headache
C) Subarachnoid hemorrhage
D) Sinus infection
Answer: C) Subarachnoid hemorrhage
A 60-year-old, Azhari, with a history of alcohol use comes in confused, delirious and unsteady, abd discomfort, irritable. What vitamin deficiency should you suspect?
A) Vitamin B1 (Thiamine)
B) Vitamin B12
C) Vitamin D
D) Folate
Answer: A) Vitamin B1 (Thiamine)
Abdelhafiz, a 22-year-old college student, has been feeling exhausted for weeks, along with sore throat and swollen lymph nodes. What’s the most likely cause?
A) Strep throat
B) Influenza
C) Mononucleosis
D) COVID-19
Answer: C) Mononucleosis
A 17-year-old soccer player, Amna, collapses on the field. What’s the most likely cause?
A) Cardiac arrhythmia
B) Dehydration
C) Low blood sugar
D) Panic attack
Answer: A) Cardiac arrhythmia
A 6-year-old girl, Fawziya, with a sore throat now has a sandpaper-like rash and a bright red tongue. What’s the most likely cause?
A) Scarlet fever
B) Measles
C) Strep
D) Roseola
Answer: A) Scarlet fever
A 4-year-old boy, Haitham, refuses to put weight on his leg after a cold last week. What’s the likely diagnosis?
A) Severe septic arthritis
B) Muscle Strain
C) Transient synovitis
D) Osteosarcoma
Answer: C) Transient synovitis
A 19-year-old college student, Imad, drank heavily and now has chest pain and trouble swallowing. What life-threatening condition should be ruled out?
A) Peptic ulcer disease
B) Boerhaave syndrome (esophageal rupture)
C) Acid reflux
D) Gallstones
Answer: B) Boerhaave syndrome (esophageal rupture)