500 Must-Try Questions Just Added to the EM CAQ Qbank…With No Price Change

October 1, 2019
We added 500 new questions to the Emergency Medicine CAQ Qbank, complete with comprehensive explanations, teaching images, One Step Further™ questions, and Rapid Reviews, bringing the total to 2,000! And better yet, the price remains the same.

Heres a look at one of the new questions:

A 77-year-old woman presents to the emergency department with weakness. She has a history of hypothyroidism and is on levothyroxine. On physical examination her blood pressure is 90/60 mm Hg, heart rate 38 bpm, temperature 98.9°F, respirations 18 bpm. She is oriented only to herself and is notably confused. An ECG reveals sinus bradycardia. An IV is established. The most appropriate next step is administration of which of the following?

A. Atropine
B. Dopamine
C. Epinephrine
D. Transvenous pacing

Answer A

Sinus bradycardia on ECG appears as a regular rhythm with ventricular rates less than 60 beats per minute. The P wave morphology and PR intervals are normal and consistent. If the patient is unstable with either hypotension, altered mental status, or signs of shock, then intervention is necessary. Initial interventions include atropine and transcutaneous pacing. Atropine is a nonselective muscarinic acetylcholinergic antagonist. Its cardiac effects include increasing the firing of the sinoatrial (SA) node and the conduction through the atrioventricular (AV) node. The initial dose is 0.5 mg IV/IO. It can be repeated every 3–5 minutes up to a maximum of 3 mg. Transcutaneous pacing should be considered immediately in any unstable patient, especially those with high-grade AV blocks.

Sinus bradycardia

Beta-agonists, such as dopamine (B) and epinephrine (C), are considered second-line agents when atropine has failed. Transvenous pacing (D) is the definitive treatment for persistent and symptomatic bradycardia.

One Step Further question:
In what subset of patients is atropine not effective?

Patients with a history of cardiac transplant.

Rapid Review:

  • HR less than 60
  • Asymptomatic
  • Symptomatic: Fatigue, syncope
  • Medication side effect
  • Normal in athletes and during sleep
  • Observation, atropine for unstable patients

The Emergency Medicine CAQ Qbank is best suited for PA-Cs looking to earn a Certificate of Added Qualifications (CAQ) in Emergency Medicine to show your advanced expertise in your specialty.

According to the NCCPA, CAQ recipients seeking the following benefits have experienced the following:

  • Over 75% found or anticipate finding a new job
  • Over 40% successfully sought a promotion
  • 60% achieved or expect to increase their job responsibilities
  • Over 50% received or anticipate receiving a pay increase, and 33% received a cash bonus
  • Over 75% found the CAQ useful in documenting qualifications required for external accreditation
  • Over 33% achieved or anticipate a broadening of their eligibility for reimbursement
  • Almost 75% have received greater recognition or regard from physicians or other health care professionals
  • 66% reported greater respect or acceptance from patients

The Emergency Medicine Specialty Exam (Taken from NCCPA website)

Once PAs have satisfied other requirements for the Emergency Medicine CAQ, they can apply for the Emergency Medicine Specialty Exam — 120 multiple-choice questions related to emergency medicine targeted for PAs with experience in the practice of that specialty. It will be based on the Content Blueprint, developed using data gathered during the 2009–2015 PA Practice Analysis conducted by NCCPA.

Maintaining the Emergency Medicine CAQ (Taken from NCCPA website)

The Emergency Medicine CAQ awarded to successful candidates will be valid for ten years. To maintain the CAQ beyond that timeframe, PAs must continue to meet the same PA-C and licensure requirements required of those seeking the CAQ for the first time, pass the Emergency Medicine Specialty Exam before the expiration of the current CAQ, and — during the ten-year CAQ cycle — earn and log at least 125 credits of Category 1 CME focused on the specialty. Those CME credits may also be used to satisfy the CME requirement for maintenance of the PA-C credential.

Rosh Review’s CAQ Qbanks also include Psychiatry CAQ, Hospital Medicine CAQ, and Pediatrics CAQ. Plus, you can earn 100 AMA PRA Category 1 CE credits by completing the Emergency Medicine CAQ Qbank.

Study on,
The Rosh Review Team

By Adam Rosh

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