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COMAT|Comprehensive Osteopathic Medical Achievement Test| Tests Bundle Set
COMAT|Comprehensive Osteopathic Medical Achievement Test| Tests Bundle Set
[Show more]COMAT|Comprehensive Osteopathic Medical Achievement Test| Tests Bundle Set
[Show more]ECG leads representing anterior wall CORRECT ANSWER V1-4 (LAD) 
 
ECG leads representing the inferior portion of the heart CORRECT ANSWER II, III, and aVF (right coronary artery) 
 
ECG leads representing the lateral myocardial wall CORRECT ANSWER I, AVL, V5, & V6 
 
When should you consider immedia...
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Add to cartECG leads representing anterior wall CORRECT ANSWER V1-4 (LAD) 
 
ECG leads representing the inferior portion of the heart CORRECT ANSWER II, III, and aVF (right coronary artery) 
 
ECG leads representing the lateral myocardial wall CORRECT ANSWER I, AVL, V5, & V6 
 
When should you consider immedia...
The first principle in the management of trauma patients CORRECT ANSWER the primary survey is ABCDE and stands for: 
A = airway 
B = breathing 
 C = circulation 
D = disability 
E = exposure. 
 
Classification of Shock CORRECT ANSWER 
 
SIRS criteria CORRECT ANSWER 2/4 of the criteria 
 
-- Temp ...
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Add to cartThe first principle in the management of trauma patients CORRECT ANSWER the primary survey is ABCDE and stands for: 
A = airway 
B = breathing 
 C = circulation 
D = disability 
E = exposure. 
 
Classification of Shock CORRECT ANSWER 
 
SIRS criteria CORRECT ANSWER 2/4 of the criteria 
 
-- Temp ...
TIMI score CORRECT 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 chang...
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Add to cartTIMI score CORRECT 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 chang...
What is the gold standard diagnosis of GABS pharyngitis? CORRECT ANSWER Throat culture 
 
What is the antibiotic of choice for GABS pharyngitis? CORRECT ANSWER Penicillin V = 10-day course 
 
What are the 2 MC complications of acute MI? CORRECT ANSWER V-tach + V-fib 
 
When ACS/MI is suspected, what...
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Add to cartWhat is the gold standard diagnosis of GABS pharyngitis? CORRECT ANSWER Throat culture 
 
What is the antibiotic of choice for GABS pharyngitis? CORRECT ANSWER Penicillin V = 10-day course 
 
What are the 2 MC complications of acute MI? CORRECT ANSWER V-tach + V-fib 
 
When ACS/MI is suspected, what...
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DSM-IV Axes CORRECT ANSWER *Axis I* = All mental illness EXCEPT personality disorders & mental retardation 
 
*Axis II* = Personality disorders & Mental retardation 
 
*Axis III* = General medical conditions 
 
*Axis IV* = Psychosocial & Environmental problems 
 
*Axis V* = Global Assessment of Func...
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Add to cartDSM-IV Axes CORRECT ANSWER *Axis I* = All mental illness EXCEPT personality disorders & mental retardation 
 
*Axis II* = Personality disorders & Mental retardation 
 
*Axis III* = General medical conditions 
 
*Axis IV* = Psychosocial & Environmental problems 
 
*Axis V* = Global Assessment of Func...
What is the size guideline for treatment of a spontaneous pneumothorax? CORRECT ANSWER Spontaneous pneumothorax: 
<2 cm observe 
>2 cm large and stable = needle aspiration or chest tube 
 
5 W's of Post-op surgery? CORRECT ANSWER 5 W's 
 • Wind 
 ○ Pneumonia, PE, Aspiration 
 • Wound 
...
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Add to cartWhat is the size guideline for treatment of a spontaneous pneumothorax? CORRECT ANSWER Spontaneous pneumothorax: 
<2 cm observe 
>2 cm large and stable = needle aspiration or chest tube 
 
5 W's of Post-op surgery? CORRECT ANSWER 5 W's 
 • Wind 
 ○ Pneumonia, PE, Aspiration 
 • Wound 
...
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A 25-day-old female is brought into the emergency department by her parents who report the neonate has been fussy and had a fever at home of 101.5°F (38.6°C). Her parents state that she has been having increased difficulty breathing but report that she has been feeding well. Vital signs reveal a t...
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Add to cartA 25-day-old female is brought into the emergency department by her parents who report the neonate has been fussy and had a fever at home of 101.5°F (38.6°C). Her parents state that she has been having increased difficulty breathing but report that she has been feeding well. Vital signs reveal a t...
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Add to cartOMM COMAT questions with correct answers
treatment for organophosphate poisoning CORRECT ANSWER atropine 
 
ST segment elevation in leads V5, V6, I and avL CORRECT ANSWER lateral wall infarction 
 
ST segment elevation in leads V3, V4 (also V1 and V2 which would be more septal) 
ST segment reciprocal depression in leads (II, III, avF) CORR...
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Add to carttreatment for organophosphate poisoning CORRECT ANSWER atropine 
 
ST segment elevation in leads V5, V6, I and avL CORRECT ANSWER lateral wall infarction 
 
ST segment elevation in leads V3, V4 (also V1 and V2 which would be more septal) 
ST segment reciprocal depression in leads (II, III, avF) CORR...
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Causes of secondary HTN CORRECT ANSWER *renal artery stenosis* → most common cause of 2° HTN 
 
endocrine causes: hyperaldosteronism, thyroid or parathyroid disease, Cushing syndrome, pheochromocytoma, hyperthyroidism, acromegaly 
 
medications: *oral contraceptives* → most common 2° cause of ...
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Add to cartCauses of secondary HTN CORRECT ANSWER *renal artery stenosis* → most common cause of 2° HTN 
 
endocrine causes: hyperaldosteronism, thyroid or parathyroid disease, Cushing syndrome, pheochromocytoma, hyperthyroidism, acromegaly 
 
medications: *oral contraceptives* → most common 2° cause of ...
When can fetal heart tones be detected w/doppler? CORRECT ANSWER 10-12 weeks 
 
When is fetal movement appreciated? CORRECT ANSWER 17-18 weeks 
 
When should you get a "quantitative" beta-hCG CORRECT ANSWER -to diagnose & follow ectopic pregnancy 
-monitor trophoblastic dz 
-screen for fetal aneup...
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Add to cartWhen can fetal heart tones be detected w/doppler? CORRECT ANSWER 10-12 weeks 
 
When is fetal movement appreciated? CORRECT ANSWER 17-18 weeks 
 
When should you get a "quantitative" beta-hCG CORRECT ANSWER -to diagnose & follow ectopic pregnancy 
-monitor trophoblastic dz 
-screen for fetal aneup...
Bloody discharge in one nipple from one duct in the breast CORRECT ANSWER Intraductal papilloma (in the large subareolar ducts under the nipple) 
 
Hepatobiliary scan CORRECT ANSWER Cholescintigraphy (99mTc-hepatic iminodiacetic acid or HIDA scan) - radiiolabeled substances upatke by the liver, gall...
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Add to cartBloody discharge in one nipple from one duct in the breast CORRECT ANSWER Intraductal papilloma (in the large subareolar ducts under the nipple) 
 
Hepatobiliary scan CORRECT ANSWER Cholescintigraphy (99mTc-hepatic iminodiacetic acid or HIDA scan) - radiiolabeled substances upatke by the liver, gall...
indirect inguinal hernia// 
Valsalva or cough CORRECT ANSWER What hernia increases in size with increased abd pressure? Done how? 
 
12 or more weeks// 
21 day course of Antibiotics (Augmentin or ceph)// 
less than 4 weeks CORRECT ANSWER Length of chronic sinusitus? Tx? Length of acute? 
 
contact d...
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Add to cartindirect inguinal hernia// 
Valsalva or cough CORRECT ANSWER What hernia increases in size with increased abd pressure? Done how? 
 
12 or more weeks// 
21 day course of Antibiotics (Augmentin or ceph)// 
less than 4 weeks CORRECT ANSWER Length of chronic sinusitus? Tx? Length of acute? 
 
contact d...
AAA screening guidelines CORRECT ANSWER Grade B 
Men: one time routine abdominal ultrasound is indicated in men 65-75 with a history of smoking 
 
Alcohol misuse: screening and counseling CORRECT ANSWER Adults age 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous...
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Add to cartAAA screening guidelines CORRECT ANSWER Grade B 
Men: one time routine abdominal ultrasound is indicated in men 65-75 with a history of smoking 
 
Alcohol misuse: screening and counseling CORRECT ANSWER Adults age 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous...
Light's criteria exudative pleural effusion CORRECT ANSWER LDH:Serum LDH > 0.6 
fluid protein: serum protein > 0.5 
pleural fluid LDH > 2/3 upper limit of normal 
 
if none met then exudate is transudative 
 
Causes of cardiogenic shock CORRECT ANSWER *Acute MI (most common)* 
*cardiac tam...
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Add to cartLight's criteria exudative pleural effusion CORRECT ANSWER LDH:Serum LDH > 0.6 
fluid protein: serum protein > 0.5 
pleural fluid LDH > 2/3 upper limit of normal 
 
if none met then exudate is transudative 
 
Causes of cardiogenic shock CORRECT ANSWER *Acute MI (most common)* 
*cardiac tam...
Antidote for Acetaminophen CORRECT ANSWER N-acetylcysteine 
 
antidote for anticholinergics (antimuscarinics- atropine, antinicotinics) CORRECT ANSWER Physostigmine 
 
antidote for anticholinesterases (organophosphates) CORRECT ANSWER atropine, pralidoxime 
 
Antidote for benzodiazepines CORRECT ANS...
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Add to cartAntidote for Acetaminophen CORRECT ANSWER N-acetylcysteine 
 
antidote for anticholinergics (antimuscarinics- atropine, antinicotinics) CORRECT ANSWER Physostigmine 
 
antidote for anticholinesterases (organophosphates) CORRECT ANSWER atropine, pralidoxime 
 
Antidote for benzodiazepines CORRECT ANS...
New strains of MDRTB should be reported to? CORRECT ANSWER The CDC 
 
Human bites should be treated with what antibiotic? CORRECT ANSWER Amox-clav 
Because Eikenella 
 
urge incontinence CORRECT ANSWER detrusor overactivity causing sudden urge 
 
Functional incontinence CORRECT ANSWER Physical/menta...
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Add to cartNew strains of MDRTB should be reported to? CORRECT ANSWER The CDC 
 
Human bites should be treated with what antibiotic? CORRECT ANSWER Amox-clav 
Because Eikenella 
 
urge incontinence CORRECT ANSWER detrusor overactivity causing sudden urge 
 
Functional incontinence CORRECT ANSWER Physical/menta...
Fluoroquinolone use is assocaited with what side effect on foot? CORRECT ANSWER Tendinopathy(Achilles tendinopathy). 
 
Diabetic neuroipathy symptoms for large and small axons nerve fibers? CORRECT ANSWER Axonopathy of large fiber neuropathy: Causes loss of proprioception, vibration sense, pressure,...
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Add to cartFluoroquinolone use is assocaited with what side effect on foot? CORRECT ANSWER Tendinopathy(Achilles tendinopathy). 
 
Diabetic neuroipathy symptoms for large and small axons nerve fibers? CORRECT ANSWER Axonopathy of large fiber neuropathy: Causes loss of proprioception, vibration sense, pressure,...
Winging of scapula: 
-->Muscle 
--> Nerve 
--> Root CORRECT ANSWER 1) Serratus Anterior mm. 
2) Long thoracic nerve 
3) C5-C7 
 
Medial winging of scapula caused by? 
Lateral winging of scapula caused by? When? CORRECT ANSWER Damage to Long thoracic nerve 
 
Damage to Spinal Accessory nerve...
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Add to cartWinging of scapula: 
-->Muscle 
--> Nerve 
--> Root CORRECT ANSWER 1) Serratus Anterior mm. 
2) Long thoracic nerve 
3) C5-C7 
 
Medial winging of scapula caused by? 
Lateral winging of scapula caused by? When? CORRECT ANSWER Damage to Long thoracic nerve 
 
Damage to Spinal Accessory nerve...
Most commonly injured ligament in ankle sprain? 
At what ankle position is it torn? CORRECT ANSWER - Anterior Talofibular ligament 
- Injury when plantarflexion 
 
Ottowa Ankle Rules? 
What do they indicate? CORRECT ANSWER 1. Tenderness to palpation on posterior medial/lateral malleolus 
2. Unable t...
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Add to cartMost commonly injured ligament in ankle sprain? 
At what ankle position is it torn? CORRECT ANSWER - Anterior Talofibular ligament 
- Injury when plantarflexion 
 
Ottowa Ankle Rules? 
What do they indicate? CORRECT ANSWER 1. Tenderness to palpation on posterior medial/lateral malleolus 
2. Unable t...
In a patient with scoliosis due to short leg syndrome, what should be measured to determine the height of the heel lift? CORRECT ANSWER sacral base unleveling 
 
For a forward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type I mechanics (neutral d...
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Add to cartIn a patient with scoliosis due to short leg syndrome, what should be measured to determine the height of the heel lift? CORRECT ANSWER sacral base unleveling 
 
For a forward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type I mechanics (neutral d...
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