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EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+ $17.99   Add to cart

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EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+

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EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+/EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+

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  • September 12, 2024
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  • 2024/2025
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EMERGENCY MEDICINE EOR EXAM LATEST 2024-2025 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+




Dilated Cardiomyopathy: most common cause is ____. Others? - correct answer alcohol; may
also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1 in 3 cases of heart failure are caused
by dilated cardiomyopathy

What PE and EKG changes are seen with dilated cardiomyopathy? - correct answer PE: S3, JVD,
crackles - possible mitral regurg

EKG: nonspecific ST and T wave changes, LBBB

Hypertrophic cardiomyopathy: is due to hypertrophy of the _____. PE reveals mitral
regurgitation, a ____heart sound, and prominent left ventricular impulse. EKG reveals LVH -
correct answer cardiac septum; S4

Restrictive cardiomyopathy: often caused by a ____process, or post-radiation or post open-
heart surgery. What is the most common first symptom? - correct answer --infiltrative process
- amyloidosis, sarcoidosis, and hemochromatosis -- changes in myocardium

--most common first symptom is exertion intolerance and fluid retention, signs of right heart
failure

Atrial fibrillation - regularly irregular - the most common sustained arrhythmia in adults - what
three treatments are used? - correct answer 1. rate control w BB, CCB, or digoxin

2. Anticoagulation w heparin & warfarin

3. rhythm control w amiodarone or cardioversion

Atrial flutter - sawtooth pattern in II, III, aVF - what three treatments are used? - correct
answer 1. cardioversion if no contraindications

2. acute rate control tx w BB, CCB - amiodarone, sotalol, quinidine, or procainamide

3. If site of reentrant is known, catheter ablation

Multifocal atrial tachycardia - noted in patients with COPD or severe systemic illness - EKG
shows multiple shaped P waves and differing PR intervals. ____are agents of choice? - correct
answer CCB

BLOCKS

,1. ____=prolonged PR interval

2.____=progressive increase in PR until Pwave is blocked.

3._____=sudden block in P wave w no change in PR

4._____=atrial and ventricular rhythm are independent of each other. - correct answer First
degree; Wenckebach Mobitz type I; Mobitz type II, Third degree block

A _____may develop after acute MI, PE, aortic stenosis and is due to a conduction delay in the
right or left bundles. - correct answer Bundle branch block

Paroxysmal supraventricular tachycardia is a reentry tachycardia, commonly noted in elderly
patients with underlying heart disease. What treatment may be helpful before using adenosine
ie. the drug of choice? - correct answer vagal maneuvers or antianxiety medication

What are some drugs associated with Torsades de pointes? - correct answer tricyclic
antidepressants, erythromycin, ketoconazole, haloperidol, cisapride, disopyramide,
pentamidine, sotalol, class I anti-arrhythmics

CHF - Systolic dysfunction means a problem with the ____. What drug is contraindicated? -
correct answer pump; CCB!

CHF - Diastolic dysfunction means a problem with the ____. - correct answer compliance or
relaxation of the heart during ventricular filling

The ________principle means that as preload increases, the ventricle is stretched during
diastole filling and the ejection fraction is increased. - correct answer Frank-Starling principle

_____is released from cardiac ventricles in response to increased wall tension. - correct
answer BNP - B-type natriuretic peptide

What is the pharmacologic therapy for heart failure? - correct answer 1. diuretics for fluid
retention

2. ACEi

3. vasodilators (hydralazine & nitrates)

4. BB for LV dysfunction

5. digitalis to increase cardiac contractility

Functional Classification of Heart Failure:

___-No cardiac symptoms with ordinary activity.

___-Cardiac symptoms w MARKED activity but asymptomatic at rest

,___-Cardiac symptoms w MILD activity but asymptomatic at rest

___-Cardiac symptoms at rest. - correct answer Class I, Class II, Class III, Class IV

Stage 1 Hypertension is defined as greater than ____. Stage 2 Hypertension is defined as
greater than ____. - correct answer 140/90; 160/100

Hypertension Drug of Choice for:

angina

diabetes

hyperlipidemia

CHF

Previous MI

Chronic Renal Failure

Asthma, COPD - correct answer Angina - BB, CCB

Diabetes - ACEi & CCB, avoid diuretics

Hyperlipidemia - ACEi & CCB, avoid diuretics/BB

CHF - diuretics & ACEi, avoid CCB/BB

Previous MI - BB/ACEi

Chronic renal failure - diuretics, CCB

Asthma - diuretics & CCB, avoid BB

Secondary hypertension is HTN due to an ______. - correct answer identifiable cause ie.
renovascular disease, coarctation of the aorta, primary aldosteronism, Cushing's,
Pheochromocytoma, OSA, renal parenchymal hypertension

____hypertension is potentially life threatening - HTN plus rentinopathy, cardiovascular/renal
compromise, or encephalopathy. - correct answer Malignant

Malignant hypertension bp? What is the rule of thumb for lowering? - correct answer greater
than 220/140; 10% in first hour and 15% for the next 3-12 hours, to normal over next 2 days

What is the agent of choice for BP lowering for patients with hypertensive encephalopathy,
intracranial bleeding, and heart failure? Use with what for dissecting aneurysm? - correct
answer nitroprusside; propranolol -- clonidine can also be used but sedation is common

, Hypotension is defined as a systolic blood pressure less than _____mm Hg or a decrease from
baseline by more than 30mmHg. What are the 3 treatments for improving blood pressure? -
correct answer 90mmHg;

1. IV Fluids

2. Vasopressors - dopasmine, dobutamine (risk is aggravation of arrhythmias and increase
myocardial oxygen demand)

3. intra-aortic balloon pump

ST Elevations in II, III, aVF - correct answer Inferior MI; right coronary artery

ST Elevations in I, aVL, V4, V5, V6 - correct answer lateral wall MI, left circumflex artery

ST Elevations in V1, V2, V3, V4, V5 - correct answer Anterioseptal MI, left anterior descending
artery

ST Elevations in V1, V2 - correct answer posterior wall MI, posterior descending artery

No nitroglycerin in which kind of MI? - correct answer inferior

What are the pre hospital treatments for ACS? - correct answer MONA; morphine, oxygen,
nitroglycerin (0.4mg SL x3 prn), aspirin (325mg)

What two meds should be given to all ACS patients that do not have contraindications? -
correct answer BB - unless brady or severe COPD - then do NDCCB (verapamil/diltiazem)

ACEi - if cough, use ARB

What are the adjunctive tx for fibrinolysis or PCI? - correct answer 1. antiplatelets (ASA,
clopidogrel)

2. anticoagulants (UFH, LMWH, DTI, direct factor Xai)

How long should Plavix/Clopidogrel be used for bare metal or drug eluting stents? - correct
answer bare metal - 30d-12m

drug eluting - >/=12mon

What meds should a patient go home with after ACS? - correct answer Nitroglycerin

BB

ACEi

ASA/Clopidogrel

anticoagulant (up to 8days for LMWH)

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