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Emergency Medicine (COMAT) Exam Study Guide Solutions

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Emergency Medicine (COMAT) Exam Study Guide Solutions TIMI score - ANSWER-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) aps...

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  • November 19, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMAT
  • COMAT
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SophiaBennett
Emergency Medicine (COMAT) Exam
Study Guide Solutions

TIMI score - ANSWER✔✔-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




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/26

,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 -

ANSWER✔✔-Rhabdomyolysis with associated hyperkalemia




Tx - copious IV Fluid hydration


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

immobilization for >48 hours, narrow angle glaucoma & malignant hyperthermia.


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

injuries, & renal failure.


Glasgow Coma Scale - ANSWER✔✔-


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


Thoracic injuries secondary to blunt chest - ANSWER✔✔-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.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/26

, 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? - ANSWER✔✔-Vagal maneuvers


Compartment syndrome - ANSWER✔✔-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 - ANSWER✔✔-<10 mmHg


Interstitial cystitis - ANSWER✔✔-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.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/26

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