Lumbar Puncture Andrew N. Chalupka Emily E. Naoum 1. What is the level most anatomically amenable to spinal puncture in the elderly? A. L2-L3 B. L3-L4 C. L4-L5 D. L5-S1…

Abscess Evaluation and Drainage Chuan-Jay Jeffrey Chen Jarone Lee 1. A 24-year-old man with a history of intravenous heroin use presents with erythema and swelling of the left second finger…

Transcranial Doppler Etienne J. Couture Andre Y. Denault 1. What is the correct association of signal depth and direction when assessing the middle cerebral artery through the temporal window? A….

Esophageal Versus Endotracheal Intubation Alberto Goffi Paolo Persona 1. A 65-year-old man with a history of locally advanced oropharyngeal squamous cell carcinoma and previous treatment with chemotherapy and localized radiation…

Pseudoaneurysm Trent Lee Wei Alejandro Pino 1. A pseudoaneurysm is a collection of blood that forms in which of the following areas? A. Between the adventitia and vasa vasorum B….

Optimization and Facilitation of Weaning From The Ventilator Vinca W. Chow 1. A 72-year-old man with severe chronic obstructive pulmonary disease and lung cancer is recovering from a right upper…

Aneurysm Trent Lee Wei Alejandro Pino 1. For which of the following patients is ultrasound screening recommended for abdominal aortic aneurysm (AAA)? A. A 75-year-old man with a 30 pack-year…

Paracentesis Jonathan T. Jaffe Casey D. Bryant John P. Gaillard 1. A 56-year-old man with a history of peptic ulcer disease and cirrhosis is admitted to the Emergency Department for…

Kidney Etienne J. Couture William Beaubien-Souligny Andre Y. Denault 1. A 60-year-old man presents with acute renal failure in the context of septic shock from community-acquired pneumonia. What is the…

Small Bowel Obstruction, Perforation, and Other Bowel Pathology Gunter Michael Krauthamer John T. Moeller 1. An 87-year-old man is admitted to the intensive care unit (ICU) for ascending cholangitis. Two…