FAMILY MEDICINE EOR EXAM 2024-2025 ACTUAL EXAM 400+ QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
URGENT CARE: Respiratory arrest has a multitude of causes including pulmonary,
cardiac, neurologic, toxic/metabolic, etc. Name some. - correct answerCOPD,
asthma, foreign objects, angioedema, DKA, cancer etc.
Abnormal breath sounds:
____is an airway obstruction. ____ suggests obstruction above the vocal cords
and ___ suggests obstruction below the vocal cords.
____suggests obstruction below the level of the trachea.
____suggests presence of interalveolar fluid (PNA), pulmonary fibrosis. - correct
answerStridor, inspiratory stridor, expiratory stridor; Wheezing; crackles & rales
Ddx for _____respiratory arrest includes ACS, acute heart failure, arrhythmia,
pericardial tamponade, PE, PNA, COPD, asthma, angioedema, anaphylaxis, CO
poisoning, trauma. - correct answerrespiratory arrest
D/D for ____ includes DKA, hypoglycemia, UTI, sepsis, drug overdose, stroke, and
seizure. - correct answerdeteriorating mental status or unconscious patient
D/D for ____ includes appendicitis, pancreatitis, PID, obstruction, AAA, perforated
viscous, diverticulitis, mesenteric ischemia, or infarction. - correct answeracute
abdomen
What is the treatment for allergic reaction? immediate & subsequent? - correct
answerepi 1:1000 IM q 10 min 0.5mg
antihistamine (H1 & H2),
steroids,
bronchodilators
,What is the rule of 9's in burn management? - correct answer9 head, 9 left arm,
9 right arm,
18 anterior torso, 18 posterior torso,
1 genitals
What is the Parkland formula in burn management? - correct answer4 cc LR per
% body burned per kg body weight --- insert 2 large bore IV's into unburned skin
Placenta previa presents with ____. - correct answerpainless vaginal bleeding.
Placenta abruption presents with ____.
RF:
Labs: - correct answerpainful vaginal bleeding.
RF: maternal HTN, smoking, cocaine, multiples, PROM, inherited thrombophilia.
Labs: decreased fibrinogen, decreased platelets
Uterine rupture is a _____
RF: - correct answersurgical emergency.
RF: previous c/s, prior uterine surgery, hyperstimulation w oxytocin, trauma,
parity >4.
Vasa Previa - correct answerbleeding from umbilical cord resulting in loss of fetal
blood.
With a black widow bite, what can be used for muscle spasms & rigidity? What
about antivenom? - correct answerdiazepam, calcium gluconate, robaxin;
use antivenom judiciously
Which pit viper snake has the most potent vemom: rattlesnake, cottonmouth, or
copperhead? - correct answerrattlesnake
What's the classic triad of foreign body aspiration? - correct answergeneralized
wheezing
,cough
diminished breath sounds
Explain the Salter-Harris classification of growth plate injuries? - correct answerI -
Straight
II - Above
III - Lower
IV - Through
V - Ram
Sprain - correct answerinjury to a ligament. Graded I-III (complete).
Ottawa Ankle Rules - correct answera. pain at medial malleolus/distal
fibula/inability to walk
b. pain at midfoot/5th metatarsal
c. pain at navicular bone/inability to bear weight for 4 steps
Strain - correct answertearing of muscle or tendon fibers caused by excessive
stretch during vigorous activity. Graded I-IV (complete).
ST Elevations in II, III, aVF - correct answerInferior MI; right coronary artery
ST Elevations in I, aVL, V4, V5, V6 - correct answerlateral wall MI, left circumflex
artery
ST Elevations in V1, V2, V3, V4, V5 - correct answerAnterioseptal MI, left anterior
descending artery
ST Elevations in V1, V2 - correct answerposterior wall MI, posterior descending
artery
No nitroglycerin in which type of MI? - correct answerinferior wall MI bc of
possible hypotension
What are the pre hospital treatments for ACS? - correct answerMONA;
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 answerBB - unless brady or severe COPD - then do
NDCCB (verapamil/diltiazem)
ACEi - if cough, use ARB
How long should Plavix/Clopidogrel be used for bare metal or drug eluting stents?
- correct answerbare metal - 30d-12m
drug eluting - >/=12mon
What meds should a patient go home with after ACS? - correct
answerNitroglycerin
BB
ACEi
ASA/Clopidogrel
anticoagulant (up to 8days for LMWH)
aldosterone agonist
statin
LIFESTYLE CHANGES
Cardiac Markers: _____is detectable within 1-2 hours after acute MI. Duration <1
day. Low specificity. - correct answerMyoglobin
Cardiac Markers: _____is the test of choice and appears 2-6 hours after MI and
stays elevated for 5-10 days. - correct answerTroponin
Cardiac Markers: _____appears 3-6 hours after MI and stays elevated for 2-4
days. Specific to heart muscle. - correct answerCreatine Kinase Mb
Timeline:
Reperfusion should take place before ___hours of symptom onset.
Door to needle time for fibrinolysis is ____min.
