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Exam (elaborations)

Emergency Medicine (COMAT) Exam Questions and Answers 100% Solved

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  • Emergency Medicine
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  • Emergency Medicine

Emergency Medicine (COMAT) Exam Questions and Answers 100% Solved TIMI score - a prognostic tool for patients with unstabe angina or NSTEMI Categorizes patient's risk of death and ischemic events & helps clinicians with therapeutic decision-making. A point of one for each of the following: 1...

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  • November 15, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Emergency Medicine
  • Emergency Medicine
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Emergency Medicine (COMAT) Exam

Questions and Answers 100% Solved


TIMI score - ✔✔a prognostic tool for patients with unstabe angina or

NSTEMI



Categorizes patient's risk of death and ischemic events & helps clinicians

with therapeutic decision-making.



A point of one for each of the following:

1) apsirin use in the last seven days

2) ST changes of at least 0.5 mm on EKG

3) Elevated serum cardiac biomarkers

4) Age greater than 65

5) known CAD (coronary stenosis greater than or equal to equal to 50%)

6) At least two angina episodes within the last 24 hours

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
7) At least three risk factors for CAD such as: HTN, DM, current cigarette

smoker, family hx of premature CAD (CAD in male first-degree relative or

father less than 55, or female first-degree relative or mother less than 65)

most common complication associated with giving pediatric patients

succinylcholine - ✔✔Rhabdomyolysis with associated hyperkalemia



Tx - copious IV Fluid hydration

Contraindications to succinylcholine - ✔✔burns, crush injuries, renal failure,

immobilization for >48 hours, narrow angle glaucoma & malignant

hyperthermia.

What cases is hyperkalemia a huge concern? - ✔✔Severe burns, crush

injuries, & renal failure.

Glasgow Coma Scale - ✔✔

What to do with a patient with a GCS of 8? - ✔✔Intubation

Thoracic injuries secondary to blunt chest - ✔✔The plain CXR remains the

standard initial diagnostic remains the standard initial diagnostic study for

the evaluation of chest trauma in a hemodynamically stable patient.

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
CXR in blunt trauma patients are usually taken in the supine position

initially until unstable spinal fractures have been ruled out. Then, it is

important to get a PA view to appropriately evaluate for small hemothorax,

pneumothorax o diaphragm injury.

What is first line in supraventricular tachycardia? - ✔✔Vagal maneuvers

Compartment syndrome - ✔✔Associated with five P's - pain, paraesthesia,

pallor, pulselessness, & poikilothermia



Critical level = Btwn 10 mmHg & 35 mmHg



Poor outcomes = >30 mmHg



Fasciotomy is the definitive treatment

Normal compartment pressure - ✔✔<10 mmHg

Interstitial cystitis - ✔✔also known as bladder pain syndrome



Is a chronic condition diagnosed in patients with symptoms of dysuria,

frequency, urgency with no other causes of such symptoms.

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