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1,428CASES COMPLETED
110USERS JOINED
83TIMED CASES
CDM Practice Case: Chest Pain
Chest Pain
07:32
Initial Presentation

63-year-old male presents with chest pain. BP 173/92, HR 98, SpO2 99% on room air.

Examiner: History

What 3–5 history questions would be most important to ask?

Onset and character of the pain, radiation to jaw or left arm…
RecordingSpeaking now
Stop
Reassessment Case: Dyspnea
Nurse Update

Your patient from earlier is more short of breath. Repeat vitals: HR 112, RR 26, SpO2 91% on 2L.

Patient: Doctor… I've been getting more short of breath… the last couple hours.
Doctor: When did it start, and any chest pain with it?
Patient: Maybe two hours ago… and yes, it's sharp, right here when I breathe in.
Speak to the patient… Dictate
Procedure Case: Chest Tube
Case Parameters

42-year-old man after a car crash with right-sided chest pain. BP 96/58, HR 122, RR 28, SpO2 91% on 4 L.

Task Statement

Describe how you would perform a chest tube thoracostomy.

Examiner

Identify your landmarks and walk me through your procedure, step by step.

Safe triangle, fifth intercostal space at the anterior axillary line…
Type or dictate your answer… Dictate
Ultrasound Case: Flank Pain
Examiner

Interpret this image. Describe the normal and abnormal findings, the important structures, and any artifact.

US Image
Round aorta in cross-section, echogenic material layered along the wall…
Type or dictate your answer… Dictate
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WHO BUILT IT

A board-certified emergency physician who sat and passed the redesigned Certifying Exam. I keep my name off the site for professional reasons, but I'm not hiding.

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Every case and question is original, written from published guidelines and core emergency-medicine knowledge. No confidential ABEM examination content has been reproduced, and no ABEM examination policy has been violated.

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