Emergency Medicine Shelf Exam Practice Questions

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Emergency Medicine Shelf Exam Board Review Topics Covered:

  • Musculoskeletal
  • Infectious Disease
  • Trauma
  • Cardiovascular
  • Neurology
  • Psycho-Behavioral
  • Immune System
  • OB GYN
  • Pediatric
  • Renal and Urogenital
  • Thoracic and Respiratory
  • Cutaneous
  • Endocrine, Metabolic, Nutritional
  • Environmental
  • GI and Abdominal
  • Head, Ear, Eye, Nose, Throat Disorders
  • Hematologic
  • Toxicology
  • Ethics
  • Signs, Symptoms, and Presentations
  • Procedures and Skills
  • Other Components

About the NBME Emergency Medicine Advanced Clinical Exam

As outlined by the NBME, the Advanced Clinical Examinations (ACE) are designed to evaluate examinees’ performance at the end of the medical school sub-internship during the third year of medical school. Residency program directors often use the results as a tool to assess the weaknesses and strengths of incoming residents.

What is tested on the NBME Emergency Medicine Shelf Exam?

According to the NBME Emergency Medicine Advanced Clinical Exam Content Outline, the exam covers the following topics:

Systems*

  • Immune System 1%–5%
  • Blood & Lymphoreticular System 1%–5%
  • Behavioral Health 1%–5%
  • Nervous System & Special Senses 5%–10%
  • Skin & Subcutaneous Tissue 1%–5%
  • Musculoskeletal System 5%–10%
  • Cardiovascular System 10%–15%
  • Respiratory System 10%–15%
  • Gastrointestinal System 10%–15%
  • Renal & Urinary System 1%–5%
  • Pregnancy, Childbirth & the Puerperium 1%–5%
  • Female Reproductive System & Breast 1%–5%
  • Male Reproductive System 1%–5%
  • Endocrine System 5%–10%
  • Multisystem Processes & Disorders 10%–15%
  • Social Sciences, Including Medical Ethics and Jurisprudence 1%–5%

Physician Task

  • Applying Foundational Science Concepts 5%-10%
  • Diagnosis: Knowledge Pertaining to History, Exam, Diagnostic Studies, & Patient Outcomes 25%-30%
  • Health Maintenance, Pharmacotherapy, Intervention & Management 60%-65%

Patient Age

  • Birth to 17 8%–12%
  • 18 to 65 60%–70%
  • 66 and older 20%–25%

*A subset of items across the organ systems includes content that focuses on resuscitation/trauma (~10%-15%) and environmental/toxicologic disorders (~10%-15%).

How long is the NBME Emergency Medicine Shelf Exam?

The Emergency Medicine Shelf Exam is made up of 110 items in traditional multiple choice, single best answer format as well as several sequential item sets.

The entire exam lasts for 2 hours and 45 minutes.