CME Quiz: June 2015
Choosing wisely 2.0: ACEP’s 2nd list (part 1)
1. All patients with syncope require a head CT as part of ED evaluation.
a. True
b. False
2. Historical features that suggest a potentially serious etiology of syncope in young healthy patients
include all of the following EXCEPT:
a. Exertional syncope
b. History of structural cardiac disease
c. Nausea and Vomiting
d. Family history of sudden cardiac death
3. Which of the following is NOT a clinical decision tool for the evaluation of syncope?
a. The ROSE rule
b. The San Francisco Rule
c. The Boston Rule
d. The Philadelphia Criteria
4. The PERC (Pulmonary embolism rule-out criteria) rule is:
a. A clinical decision tool
b. A risk Stratification tool
c. Neither of the above
5. Which of the following is NOT one of the seven PERC criteria?
a. Age <50
b. No exogenous estrogen use
c. No unilateral leg swelling
d. No smoking
6. In healthy patients, D-dimer gradually increases as pregnancy progresses.
a. True
b. False
7. D-dimer cannot be used for the evaluation of an elderly patient with moderate risk of PE.
a. True
b. False
8. A 52 year-old male patient with a high pretest probability of pulmonary embolism should be
evaluated with a D-dimer as the initial test.
a. True
b. False