ABEM ACCM case studies
ABEM ACCM · Put your knowledge to work in context.
ABEM ACCM is treated on this page as a continuing-certification assessment associated with the American Board of Emergency Medicine (ABEM), the certifying body whose materials are linked from abem.org. ABEM's public site organizes continuing certification ("Stay Certified") around modules, LLSA reading, Improvement in Medical Practice, Professionalism and Professional Standing, and an annual fee, and it names module brands including MyEMCert for Emergency Medicine, MyToxCert, MyEMSCert, and MySonoCert. Important limitation: when this page was compiled on 2026-10-31, the ABEM URLs that would normally describe the MyEMCert program and its modules both returned HTTP 404 "Sorry, this page does not exist." No item count, time limit, passing standard, fee, retake policy, or domain weighting could be read from the source. Every numeric field on this page is therefore shown as unverified, and the ten-domain list with equal 10% weights is a provisional study taxonomy, not an ABEM-published blueprint. The ABEM ACCM case studies are 5 cases and about 2,278 words.
1Tearing Chest Pain With Inferior ST Elevation
58-year-old man presents with sudden severe anterior chest pain that began while lifting a heavy box 45 minutes ago. He describes it as tearing and radiating to the interscapular region.
536 words, about 3 min2Silent Chest and Drowsiness in Severe Asthma
28-year-old woman with a history of asthma presents after 3 days of upper respiratory infection with progressive dyspnea. She is drowsy but arousable, unable to speak in full sentences, and using accessory muscles.
455 words, about 2 min3Variceal Bleed on Direct Oral Anticoagulant
67-year-old man with alcohol-related cirrhosis (Child-Pugh C) and atrial fibrillation on apixaban 5 mg twice daily presents with hematemesis and melena. Last apixaban dose was 10 hours ago.
460 words, about 2 min4Wake-Up Stroke With Large Vessel Occlusion
72-year-old woman is found by her family at 7 AM with right hemiparesis and aphasia. She was last known well at 10 PM the previous night (9 hours ago).
423 words, about 2 min5Mixed Overdose With Wide QRS and Seizure
22-year-old woman is brought in after intentional ingestion of unknown pills. She was somnolent at home, then had a 2-minute tonic-clonic seizure in the ED.
404 words, about 2 min