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Emergency Medicine · Oral Board Simulator

Department Board

Pick a patient to enter the room, or take a full multi-patient shift. Every encounter is debriefed against the certifying exam's critical actions.

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EMERGENCY DEPARTMENT

108 of 108 cases

Found Unresponsive

ESI 1

28 F · Found unresponsive, suspected opioid overdose

Enter roomFree demo

Choking Toddler

ESI 1

3 Y · Choking, stridor

Chest and Back Pain

ESI 1

82 M · Sudden tearing back pain

Fussy Toddler

ESI 2

3 Y · Inconsolable crying, grabbing at abdomen

Abdominal Pain After Travel

ESI 3

28 F · Bloating and frequent loose stools

Facial Trauma

ESI 1

24 M · Facial trauma after assault, airway compromise

Toxic Ingestion

ESI 2

17 F · Nausea, tremors, ringing in the ears

Severe Respiratory Distress

ESI 1

37 M · Severe shortness of breath

Weakness and Lethargy

ESI 2

68 F · Generalized weakness and lethargy

Abdominal Pain and a Rash in a Child

ESI 2

6 M · Vomiting, abdominal pain, bloody diarrhea, and leg pain

Abdominal Pain and Groin Mass

ESI 2

55 M · Severe abdominal pain and vomiting

Acute Back Pain

ESI 2

38 M · Severe low back pain with leg weakness and inability to urinate

Acute Pelvic Pain

ESI 2

19 F · Acute left lower quadrant pain

Acute Shortness of Breath

ESI 1

78 M · Acute shortness of breath, gasping for air

Agitation and Tachycardia

ESI 1

42 F · Altered mental status with agitation and tachycardia

Alcohol Intoxication

ESI 2

52 M · Confused and unsteady, found by family this morning

Allergic Reaction

ESI 1

7 F · Facial swelling and trouble breathing after eating a snack

Altered Mental Status

ESI 2

85 M · Progressive confusion over two days

Altered While Skiing

ESI 2

38 F · Worsening confusion, severe headache, and trouble walking straight

Arm Pain in a Child

ESI 4

3 M · Left arm pain and refusal to move the arm after playground play

Blunt Abdominal Trauma

ESI 1

58 M · Severe abdominal pain and dizziness after a motorcycle crash

Burn

ESI 2

28 M · Severe pain and burns to the face and arms after a warehouse explosion

Cardiac Arrest

ESI 1

68 M · Crushing chest pain, then sudden unresponsiveness

Cat Bite

ESI 3

42 M · Worsening hand pain, swelling, and new fever after a bite

Chest Pain After Drug Use

ESI 2

42 M · Chest pain after recreational drug use

Chest Pain and Vomiting

ESI 2

26 M · Severe chest pain after vomiting

Chest Tube Insertion

ESI 2

35 M · Left chest pain and worsening shortness of breath after a motorcycle crash

Collapse While Working

ESI 2

78 M · Collapse, weakness, and dizziness

Confusion

ESI 1

58 M · Altered mental status and abdominal pain

Constipation in an Elderly Patient

ESI 2

72 F · Progressive confusion, refusal to eat, and severe constipation

Diarrhea and Discolored Urine

ESI 2

4 F · Bloody diarrhea and tea-colored urine

Diffuse Abdominal Pain

ESI 1

48 F · Severe diffuse abdominal pain, nausea, and vomiting

Drowning

ESI 1

16 M · Cold-water submersion with cardiac arrest and ROSC

Early Pregnancy

ESI 2

28 F · Severe lower abdominal pain and heavy vaginal bleeding

Elderly Patient with Dementia

ESI 2

78 M · Fever and altered mental status

Emergent Pericardiocentesis

ESI 1

62 M · Progressive shortness of breath and near-syncope

Exercise-Induced Syncope in an Adolescent Athlete

ESI 2

14 M · Collapsed during track practice

Exertional Collapse

ESI 2

32 M · Legs giving out, feels like he is dying

Facial Swelling

ESI 2

42 F · Jaw pain and progressive neck swelling with trouble swallowing saliva

Facial Swelling and Respiratory Distress

ESI 2

58 M · Progressive facial swelling and dyspnea

Fever and Altered Mental Status

ESI 2

67 M · Fever, confusion, and worsening abdominal pain

Fever and Confusion

ESI 1

20 M · Severe headache, neck stiffness, and confusion

Fever and Thoracic Back Pain in a Spinal Cord Injury Patient

ESI 2

32 F · Three days of progressive mid-back pain and fever

Found Down at Home

ESI 2

89 F · Found down at home, confused

Frontal Headache

ESI 2

48 F · Worsening frontal headache, fever, and right eye swelling and pain

Headache and Petechiae

ESI 2

28 F · Severe headache for 2 days and a new rash with easy bruising

Headache with Vision Loss

ESI 2

44 M · Severe right-sided headache and neck pain with transient vision loss

HIV with Respiratory Failure

ESI 1

42 M · I cannot breathe and I am burning up

Hypercyanotic Spell in an Infant

ESI 1

4-month-old M · Turned dark blue during a feeding

Hypertension

ESI 2

62 M · Worst headache of his life with confusion

Hypotension After a Fall

ESI 1

78 M · Hypotension and confusion after a ground-level fall

Hypotension During Dialysis

ESI 1

58 F · Dyspnea, anxiety, and dizziness that began during hemodialysis

Industrial Burn

ESI 2

42 M · Severe, burning left hand pain after a workplace exposure

Intentional Overdose

ESI 2

42 M · Took a large quantity of pain medication in a suicide attempt

Left Lower Quadrant Pain

ESI 3

58 M · Severe left lower quadrant abdominal pain for 36 hours

Left Sided Weakness

ESI 2

68 M · Acute confusion and left-sided weakness

Lethargic Elderly Patient

ESI 1

68 M · Fever and lethargy

Limping Teenager

ESI 3

16 M · Progressive right leg pain and a limp

Lower Abdominal Pain with Fever

ESI 3

22 F · Worsening lower abdominal pain and high fever

Lower Extremity Swelling Postoperative

ESI 3

52 M · Progressive left leg swelling and pain for three days

Lower Extremity Weakness

ESI 2

38 M · Severe low back pain and left leg weakness

Massive Hematemesis in a Cirrhotic

ESI 1

58 M · Vomiting large volumes of bright red blood

Nausea and Vomiting

ESI 2

58 M · Abdominal pain, vomiting, and inability to pass flatus

Neonatal Hematochezia

ESI 1

24 d M · Bloody stools, poor feeding, and increasing fussiness

Neonatal Shock

ESI 1

8-day-old F · Not waking up to feed, breathing fast

Neurologic Deficits

ESI 2

58 F · Left-sided weakness and slurred speech

Oral Rash

ESI 2

34 M · Fever and a painful spreading rash with lip lesions

Painful Red Eye

ESI 2

67 F · Sudden severe right eye pain and headache

Paroxysmal Cough in 9-Month-Old

ESI 2

9 mo F · Severe coughing spells with color change and apnea

Paroxysmal Crying

ESI 2

10 mo F · Screaming on and off for 8 hours, now hard to arouse

Pediatric Cardiac Arrest

ESI 1

5 mo M · Unresponsive infant, ongoing CPR

Pediatric Trauma

ESI 2

4 M · Abdominal pain after a reported fall

Pelvic Trauma

ESI 1

64 M · Severe pelvic and left thigh pain after being struck by a vehicle

Penetrating Chest Trauma in the Agitated Patient

ESI 1

34 M · Stab wound to the left chest with chest pain and difficulty breathing

Penetrating Chest Trauma with Decompensation

ESI 1

31 M · Gunshot wound to the left chest with worsening breathing

Post-Transplant Fever

ESI 2

62 F · Fever and right upper quadrant abdominal pain for 2 days

Postpartum Seizure

ESI 1

38 F · Witnessed generalized seizure 5 days postpartum

Procedure Refusal

ESI 2

58 M · Acute left knee pain and fever, demanding antibiotics and discharge

Progressive Weakness

ESI 2

41 F · Progressive fatigue and proximal muscle weakness over 10 weeks

Rectal Pain

ESI 3

32 M · Severe perianal pain for three days

Reflux Symptoms

ESI 2

58 F · Persistent indigestion and upper back discomfort

Respiratory Failure

ESI 2

67 F · Worsening shortness of breath over 48 hours

Right Flank Pain with Clinical Deterioration

ESI 2

28 F · Severe right-sided flank pain

Right Lower Quadrant Pain in a Young Woman

ESI 3

26 F · Right lower quadrant pain, nausea, and anorexia

Seizing and Altered

ESI 2

48 M · Witnessed seizure, now confused, with one week of fevers and new bruising

Seizure

ESI 1

38 F · Actively seizing for 20 minutes

Seizure and Fever

ESI 2

18 mo F · Shaking episode with fever, difficult to arouse

Severe Abdominal Pain

ESI 2

78 M · Acute severe abdominal pain

Severe Pneumonia with Septic Shock

ESI 1

52 M · Fever, productive cough, worsening shortness of breath

Shallow Water Accident

ESI 1

32 M · Severe neck pain and inability to move arms or legs after a dive

Shortness of Breath with Leg Swelling

ESI 2

45 F · Acute shortness of breath and a swollen right leg

Sickle Cell and Chest Pain

ESI 2

19 F · Progressive chest pain and shortness of breath

Snake Bite

ESI 2

14 M · Something bit my leg and it burns

Sudden Abdominal Pain

ESI 1

82 M · Sudden severe abdominal pain for three hours

Syncope

ESI 2

67 F · Witnessed fainting episode

Syncope with Rash

ESI 2

29 F · Syncope while jogging, three days of fatigue and dizziness

Tachycardia

ESI 2

42 F · Sudden palpitations and mild chest tightness

The Irritable Infant

ESI 1

5-week-old M · Fussiness and not eating

The Weak Dialysis Patient

ESI 2

68 F · Generalized weakness and palpitations

Thigh Swelling

ESI 1

62 F · Severe right thigh pain and swelling

Toddler with Fever

ESI 2

2 F · Fever and refusal to walk or move the neck

Toxic Alcohol Ingestion

ESI 1

38 M · Found unresponsive, confused and somnolent

Unresponsive Elderly Patient

ESI 1

76 F · Found unresponsive at home

Upper Abdominal Pain

ESI 3

58 M · Epigastric and right upper quadrant pain

Vision Loss

ESI 3

70 F · Painless vision loss in the right eye

Visual Disruption and Bradycardia

ESI 2

82 F · Syncope, confusion, weakness, nausea, and strange vision

Weakness and Blurred Vision

ESI 2

28 F · Progressive weakness and double vision over 5 days

Shoulder Dislocation

ESI 3

18 M · Right shoulder pain and deformity after a fall

Multi-patient shifts

7 available

Double Resuscitation

🔒 Full access2 patients

Two simultaneous critical patients, one with sudden tearing chest and back pain and one found unresponsive from a suspected opioid overdose. Manage both as the shift clock runs.

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Multiple Trauma Patients

🔒 Full access3 patients

As trauma team leader at a Level II center with the surgeon scrubbed in elsewhere and only a resident, one nurse, and one tech, triage and manage three simultaneous arrivals while anticipating delayed deteriorations and competing family demands.

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Multiple Medical Emergencies

🔒 Full access3 patients

Sole attending in a community ED when three ambulances arrive at once with critically ill patients. Evaluate, prioritize, and manage all three concurrently while navigating a one-bed ICU shortage.

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Multiple Patients and Boarding Issues

🔒 Full access3 patients

Sole attending at 02:00 in a 30-bed ED at capacity with 15 boarders. Stabilize a new high-speed motorcycle trauma while two deteriorating boarders decompensate, all under severe resource constraints.

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Multiple Triages and Limited Beds

🔒 Full access5 patients

Triage attending in a busy urban ED when five new patients arrive at once. Evaluate each, order the initial workup, assign to the correct care area, hand off the critically ill, and reassess as results return.

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Multiple Pediatric Patients

🔒 Full access3 patients

Attending in the pediatric ED during peak respiratory season when three children arrive at once in moderate respiratory distress. Triage, manage parental expectations, and monitor for deterioration with only two monitored beds.

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Triage with Pediatric Patient in Waiting Room

🔒 Full access5 patients

Triage attending on a chaotic evening with a full waiting room at 120 percent capacity. Evaluate five new patients, order diagnostics, assign each to the right care area, and reassess those who remain in the waiting room.

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