FAMILY MEDICINE EOR EXAM 2023-2024 TEST BANK
ACTUAL EXAM 500 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. - ANSWER-COPD, 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. - ANSWER-Stridor, inspiratory
stridor, expiratory stridor; Wheezing; crackles & rales
_____of respiratory arrest includes ACS, acute heart failure, arrhythmia, pericardial tamponade, PE,
PNA, COPD, asthma, angioedema, anaphylaxis, CO poisoning, trauma. - ANSWER-Differential Diagnosis
D/D for ____ includes DKA, hypoglycemia, UTI, sepsis, drug overdose, stroke, and seizure. - ANSWER-
deteriorating mental status or unconscious patient
D/D for ____ includes appendicitis, pancreatitis, PID, obstruction, AAA, perforated viscous, diverticulitis,
mesenteric ischemia, or infarction. - ANSWER-acute abdomen
What is the treatment for allergic reaction? immediate & subsequent? - ANSWER-epi 1:1000 IM q 10
min 0.5mg; antihistamine (H1 & H2), steroids, bronchodilators
What is the rule of 9's in burn management? - ANSWER-9 head, 9 left arm, 9 right arm, 18 anterior
torso, 18 posterior torso, 1 genitals
What is the Parkland formula in burn management? - ANSWER-4 cc LR per % body burned per kg body
weight --- insert 2 large bore IV's into unburned skin
,Placenta previa presents with ____. - ANSWER-painless vaginal bleeding.
Placenta abruption presents with ____. RF: maternal HTN, smoking, cocaine, multiples, PROM, inherited
thrombophilia. Labs: decreased fibrinogen, decreased platelets - ANSWER-painful vaginal bleeding.
____is a surgical emergency. RF: previous c/s, prior uterine surgery, hyperstimulation w oxytocin,
trauma, parity >4. - ANSWER-Uterine rupture
____ is bleeding from umbilical cord resulting in loss of fetal blood. - ANSWER-Vasa previa
With a black widow bite, what can be used for muscle spasms & rigidity? What about antivenom? -
ANSWER-diazepam, calcium gluconate, robaxin; use antivenom judiciously
Which pit viper snake has the most potent vemom: rattlesnake, cottonmouth, or copperhead? -
ANSWER-rattlesnake
What do you apply to a jellyfish sting? - ANSWER-acetic acid or vinegar
What's the classic triad of foreign body aspiration? - ANSWER-generalized wheezing, cough, diminished
breath sounds
Explain the Salter-Harris classification of growth plate injuries? - ANSWER-I - Straight
II - Above
III - Lower
IV - Through
V - Ram
____ is injury to a ligament. Graded I-III (complete). - ANSWER-Sprain
,____ =
a. 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 - ANSWER-Ottawa ankle rules
____ = tearing of muscle or tendon fibers caused by excessive stretch during vigorous activity. Graded I-
IV (complete). - ANSWER-Strain
What are the pre hospital treatments for ACS? - 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? - ANSWER-BB -
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? - ANSWER-bare metal
- 30d-12m
drug eluting - >/=12mon
What meds should a patient go home with after ACS? - ANSWER-Nitroglycerin
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. -
ANSWER-Myoglobin
, Cardiac Markers: _____is the test of choice and appears 2-6 hours after MI and stays elevated for 5-10
days. - ANSWER-Troponin
Cardiac Markers: _____appears 3-6 hours after MI and stays elevated for 2-4 days. Specific to heart
muscle. - ANSWER-Creatine Kinase Mb
Timeline:
Reperfusion should take place before ___hours of symptom onset.
Door to needle time for fibrinolysis is ____min.
Door to balloon time for PCI is ___min. - ANSWER-12 hours; 30 minutes; 90 minutes
If a patient has nondiagnostic changes in ST segment or T wave, consider what? - ANSWER-serial cardiac
markers -- repeat EKGs
All patients should be on _____treatment for the 1st year after MI, then ____ indefinitely. - ANSWER-
dual antiplatelet for 1st year; then ASA indefinitely
____ develops in 10-20% of anterior MI's; ST elevation present 4-8 weeks post MI & pulging scar is
diagnostic. - ANSWER-LV aneurysm
In what patients should a "silent MI" be a concern? - ANSWER-elderly, women, DM
ST elevation progresses to ____ which is a sign of dead muscle. - ANSWER-Q waves
Hypertensive urgency is a bp > ____. While closely monitoring, use clonidine, nifedipine, captopril, or
labetalol. - ANSWER-bp>220/110
Hypertensive ____ is severe elevation with evidence of rapidly progressive end organ damage --
encephalopathy, nephropathy, pulmonary edema etc. Decrease 10-20% in 1st hour, 5-10% over next 23
hours to target <160/100. Use IV meds. - ANSWER-hypertensive emergency
