Emergency Medicine exam questions
3 exam-length papers covering every published domain for Emergency Medicine.
What is riding on this exam
One failed attempt costs you the fee again, plus months of delay on your licence, your visa and your start date. This bank costs about a 4th of one exam fee.
Try two questions from this bank
Real questions from the bank - pick an answer to see the rationale and reference.
A 78-year-old man with dyspnoea has a Wells score of 3 (PE unlikely). His D-dimer is 720 ng/mL FEU (conventional cut-off 500 ng/mL FEU). Using the validated age-adjusted D-dimer threshold, what should happen next?
Choose an answer to see the rationale.
A 16-year-old boy with severe haemophilia A struck his head on a door frame 40 minutes ago. He is alert with a normal neurological examination and a small scalp haematoma. What should be done first?
Choose an answer to see the rationale.
Not sure where you stand? Sit 25 of these questions free, timed at real exam pace, and see which domains you are weakest in.
Take the free mock exam →Liked those? The full bank has 480 questions at this standard - every one with a rationale and a reference.
Get the full bank - AED 289What's inside
- ✓3 full-length papers (~150 Q each)
- ✓480 questions, no overlap between papers
- ✓Four options, one unambiguous best answer
- ✓A full rationale on every question
- ✓A real guideline or textbook reference
- ✓Every sub-topic in the published blueprint
Exam route by authority
| Authority | Delivered by | Specialist title |
|---|---|---|
| DHA - Dubai | Prometric | Computer-based MCQ |
| DOH - Abu Dhabi | Pearson VUE | Computer-based MCQ |
| MOHAP - Northern Emirates | Prometric | Computer-based MCQ |
| SCFHS - Saudi Arabia | Prometric / Pearson | Computer-based MCQ |
| QCHP - Qatar | Prometric | Computer-based MCQ |
| NHRA - Bahrain | Prometric | Computer-based MCQ |
| OMSB - Oman | Prometric | MCQ then oral viva |
Assessment mode depends on your licence title as well as your profession. Confirm your own route on your Sheryan / TAMM eligibility notice.
What the Emergency Medicine exam covers
The published blueprint for this exam breaks into 13 domains and 240 testable sub-topics. Our bank covers every one of them - here is the full map, so you can see exactly what you are expected to know.
Resuscitation, Shock and Airway Management13% (SCFHS official blueprint)19 topics
- Adult cardiac arrest: ACLS algorithms, high-quality CPR metrics, defibrillation strategy, dual sequential defibrillation
- Post-cardiac-arrest care: targeted temperature management, haemodynamic and oxygenation targets, neuroprognostication timing
- Basic and advanced airway assessment: LEMON, MOANS, RODS and SHORT difficult-airway predictors
- Rapid sequence intubation: induction and paralytic agent selection, dosing in shock, delayed sequence intubation, apnoeic oxygenation
- Failed airway algorithm, supraglottic rescue devices, video versus direct laryngoscopy, awake fibreoptic technique
- Surgical airway: cricothyroidotomy indications, bougie-assisted and scalpel-finger-bougie technique, contraindications in children
- +13 more in the bank
Trauma, EMS, Prehospital and Disaster Medicine13% (SCFHS official blueprint)18 topics
- ATLS primary and secondary survey, adjuncts, and the concept of damage-control resuscitation
- Head injury: GCS assessment, Canadian CT Head and New Orleans rules, raised ICP management, herniation syndromes
- Cervical spine and spinal cord injury: NEXUS and Canadian C-spine rules, spinal shock versus neurogenic shock, immobilisation controversy
- Blunt and penetrating chest trauma: tension and open pneumothorax, massive haemothorax, flail chest, pulmonary contusion
- Cardiac tamponade, blunt cardiac injury, traumatic aortic injury, ED thoracotomy indications
- Abdominal trauma: eFAST interpretation, CT versus laparotomy decisions, non-operative management of solid organ injury
- +12 more in the bank
Cardiovascular and Respiratory Emergencies10% (SCFHS official blueprint)19 topics
- Acute coronary syndromes: STEMI recognition, STEMI equivalents (de Winter, Wellens, hyperacute T waves, posterior MI, aVR pattern)
- Reperfusion strategy: primary PCI versus fibrinolysis, door-to-balloon and door-to-needle targets, transfer decisions
- NSTEMI/unstable angina risk stratification: HEART, TIMI, GRACE scores; high-sensitivity troponin pathways and rule-out algorithms
- Undifferentiated chest pain: aortic dissection (Stanford types, imaging), oesophageal rupture, pericarditis, myocarditis
- Acute heart failure and cardiogenic pulmonary oedema: NIV, nitrate strategy, SCAPE presentation, cardiogenic shock
- Tachyarrhythmias: narrow and wide complex, SVT, atrial fibrillation/flutter rate versus rhythm control, WPW and pre-excited AF pitfalls
- +13 more in the bank
Toxicology and Environmental Emergencies8% (SCFHS official blueprint)19 topics
- General approach to poisoning: toxidrome recognition (cholinergic, anticholinergic, sympathomimetic, opioid, sedative-hypnotic, serotonergic)
- Decontamination and elimination: activated charcoal indications, whole bowel irrigation, urinary alkalinisation, haemodialysis-amenable toxins
- Paracetamol/acetaminophen overdose: Rumack-Matthew nomogram, N-acetylcysteine regimens, massive and staggered ingestion
- Salicylate poisoning: mixed acid-base picture, alkalinisation, intubation hazard, dialysis criteria
- Toxic alcohols: methanol, ethylene glycol, isopropanol; osmolar and anion gap, fomepizole, dialysis
- Tricyclic antidepressant, SSRI/SNRI and lithium toxicity; sodium bicarbonate for wide QRS
- +13 more in the bank
Pediatric Emergencies8% (SCFHS official blueprint)18 topics
- Paediatric assessment triangle, age-specific vital signs, weight-based dosing and resuscitation tape use
- Paediatric advanced life support: arrest algorithms, defibrillation energy, bradycardia with poor perfusion
- Paediatric airway differences, croup, epiglottitis, bacterial tracheitis, retropharyngeal abscess and foreign body aspiration
- Bronchiolitis and paediatric asthma: evidence-based therapy, high-flow nasal cannula, admission thresholds
- Fever without a source: age-stratified approach, neonatal fever workup, Rochester/Philadelphia/step-by-step criteria
- Paediatric sepsis and meningitis: fluid bolus strategy, antibiotic timing, lumbar puncture indications and contraindications
- +12 more in the bank
Orthopedic and Musculoskeletal Emergencies7% (SCFHS official blueprint)18 topics
- Fracture description and classification, open fracture (Gustilo) management and antibiotic timing
- Compartment syndrome: clinical features, pressure measurement, fasciotomy urgency
- Shoulder dislocation: anterior, posterior and luminal patterns, reduction techniques, axillary nerve assessment
- Elbow injuries: radial head fracture, fat pad signs, supracondylar fracture, olecranon fracture
- Wrist and hand: scaphoid fracture and occult imaging, distal radius fractures, Colles and Smith patterns
- Hand emergencies: flexor tenosynovitis, high-pressure injection injury, fight bite, nail bed and fingertip injuries
- +12 more in the bank
Neurologic and Psychiatric Emergencies6% (SCFHS official blueprint)18 topics
- Acute ischaemic stroke: NIHSS, thrombolysis inclusion/exclusion, extended windows, thrombectomy criteria, mimics
- Intracerebral and subarachnoid haemorrhage: blood pressure targets, anticoagulation reversal, Ottawa SAH rule, CT-negative LP decision
- Transient ischaemic attack: ABCD2 use and limitations, rapid workup and disposition
- Status epilepticus: benzodiazepine dosing, second- and third-line agents (levetiracetam, valproate, fosphenytoin), refractory management
- First seizure evaluation, alcohol- and toxin-related seizures, eclampsia
- Altered mental status and coma: structured differential (AEIOU-TIPS), delirium versus dementia, Wernicke encephalopathy
- +12 more in the bank
Gastrointestinal and Abdominal Emergencies5% (SCFHS official blueprint)18 topics
- Structured approach to undifferentiated abdominal pain, atypical presentations in elderly and immunocompromised patients
- Upper GI bleeding: risk scores (Glasgow-Blatchford, Rockall), transfusion thresholds, PPI and octreotide, balloon tamponade
- Variceal bleeding and decompensated liver disease: hepatic encephalopathy, spontaneous bacterial peritonitis, hepatorenal syndrome
- Lower GI bleeding: diverticular, angiodysplasia, ischaemic colitis; localisation and disposition
- Appendicitis: scoring systems (Alvarado, AIR), imaging choice by age and pregnancy status, non-operative management
- Bowel obstruction and ileus: small versus large bowel, volvulus, closed-loop obstruction, imaging interpretation
- +12 more in the bank
Obstetric and Gynecologic Emergencies5% (SCFHS official blueprint)18 topics
- Early pregnancy bleeding: threatened, inevitable, incomplete and missed miscarriage; Rh immunoglobulin indications
- Ectopic pregnancy: discriminatory zone, beta-hCG trends, ultrasound findings, ruptured ectopic resuscitation
- Heterotopic pregnancy and pregnancy of unknown location - follow-up safety-netting
- Hyperemesis gravidarum: fluid and antiemetic choice, thiamine, ketosis correction
- Hypertensive disorders of pregnancy: pre-eclampsia severe features, magnesium sulfate regimen and toxicity, eclampsia management
- HELLP syndrome and acute fatty liver of pregnancy
- +12 more in the bank
Endocrine, Metabolic, Electrolyte, Renal and Genitourinary Emergencies5% (SCFHS official blueprint)19 topics
- Diabetic ketoacidosis: diagnostic criteria, fluid and insulin protocols, potassium replacement, bicarbonate controversy, euglycaemic DKA on SGLT2 inhibitors
- Hyperosmolar hyperglycaemic state: differences from DKA, corrected sodium, slower correction rates
- Hypoglycaemia: causes, sulfonylurea-induced hypoglycaemia and octreotide, recurrent hypoglycaemia disposition
- Thyroid storm: Burch-Wartofsky criteria, sequenced therapy (beta-blocker, thionamide, iodine, steroid)
- Myxoedema coma: hypothermia, hyponatraemia, thyroid and steroid replacement
- Adrenal crisis: precipitants, stress-dose steroid, diagnosis in the undifferentiated shocked patient
- +13 more in the bank
Hematologic and Oncologic Emergencies5% (SCFHS official blueprint)18 topics
- Anaemia in the ED: transfusion thresholds, restrictive versus liberal strategy, transfusion reactions and their management
- Blood product selection: packed cells, platelets, fresh frozen plasma, cryoprecipitate, prothrombin complex concentrate
- Anticoagulation reversal: warfarin (vitamin K, PCC), direct oral anticoagulants (idarucizumab, andexanet alfa), heparin (protamine)
- Bleeding disorders: haemophilia factor replacement, von Willebrand disease, desmopressin use
- Thrombocytopenia: ITP, TTP (pentad and plasma exchange urgency), HIT, DIC recognition and management
- Sickle cell disease: vaso-occlusive crisis analgesia, acute chest syndrome, splenic sequestration, aplastic crisis, priapism, stroke
- +12 more in the bank
Infectious Disease, HEENT, Ophthalmology, Dermatology and Palliative/End-of-Life Care5% (SCFHS official blueprint)18 topics
- Sepsis recognition beyond the resuscitation bay: qSOFA/NEWS limitations, occult sources, source control principles
- Regionally important infections: MERS-CoV, brucellosis, tuberculosis, malaria, dengue, typhoid, leishmaniasis; travel and pilgrimage history
- HIV in the ED: acute retroviral syndrome, opportunistic infections, post-exposure prophylaxis, needlestick management
- Antimicrobial stewardship, local resistance patterns, and appropriate ED antibiotic selection
- Necrotising fasciitis, cellulitis versus abscess, MRSA management, incision and drainage technique
- Infection prevention and control: isolation categories, PPE, outbreak and notifiable disease reporting
- +12 more in the bank
Patient Safety, Professionalism, Ethics, Evidence and ED Operations10% (SCFHS official blueprint: Patient Safety 5% + Professionalism and Ethics 5%)20 topics
- Triage systems and acuity scales (CTAS, ESI, Manchester), undertriage risk and reassessment intervals
- ED crowding, boarding, and access block: flow interventions, left-without-being-seen risk, ambulance offload delay
- Handover and transitions of care: structured tools (ISBAR/SBAR), shift-change error reduction
- Diagnostic error in emergency medicine: cognitive biases (anchoring, premature closure, availability), debiasing strategies
- Medication safety: high-alert drugs, look-alike/sound-alike errors, weight-based paediatric dosing errors, reconciliation
- Incident reporting, root cause analysis, morbidity and mortality review, just culture and second-victim support
- +14 more in the bank
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Frequently asked questions
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