Saem Practice 2016 |546 Questions| With Correct Answers.

A 45 year old female presents to the ED brought in by her husband. He is concerned that the patient is not acting appropriately and has been confused and repeating herself. She even tried to drive in the wrong direction just prior to presentation He does note that yesterday she complained of a headache. She is otherwise healthy, except for occasional NSAIDS, thyroid medication, and prn valcyclovir for oral herpes. He denies alcohol or other substances. On exam, the patient's temperature is 99.8 F, Pulse 108, RR 22, BP 118/77, O2sat 99% RA. Her airway is patent, GCS is 14, and her neck is supple. The rest of the physical exam is non focal. For which of the following conditions is the patient at greatest risk? A. Narcotic abuse B. Influenza C. Encephalitis D. Epilepsy {Ans: C. Encephalitis}A 22 year old G2P1 female with history of pelvic inflammatory disease presents to the Emergency Department with worsening LLQ pain over the past six hours. Pelvic exam reveals scant blood on speculum exam, closed os, and left adnexal tenderness. The beta hCG is 571. Following ACEP's clinical policy, you obtain a pelvic ultrasound to assess the probability of ectopic pregnancy. Which