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Family Medicine EOR Exam Prep, Over 1400 Questions and Correct Answers (Exam Bank) 100% Correct, Updated Fall 2024/2025.
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Family Medicine EOR Exam Prep, Over 1400 Questions and Correct Answers (Exam Bank) 100% Correct, Updated Fall 2024/2025.

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  • September 26, 2024
  • 117
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • family medicine eor exam prep over 1400 questions

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  • Family Medicine EOR
  • Family Medicine EOR

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Family Medicine EOR Exam Prep, Over
1400 Questions and Correct Answers (Exam
Bank) 100% Correct, Updated Fall
2024/2025.
What are the 3 local vasodilators in the heart?

Nitric oxide, adenosine, and oxygen

Vagal maneuvers _______ heart rate in tachyarrhythmias

decrease

During inspiration, left sided stroke volume __________

decreases

Physiologic splitting of S2

inspiration separates S2 into A2 followed by P2; during inspiration, the decreased L-sided venous return
results in an earlier A2 and increased right-sided flow with inspiration results in later P2

L-sided murmurs are best heard at end ___________; R-sided murmurs are best heard at end
__________

expiration; inspiration

>10 mmHg decline in SBP with inspiration

pulsus paradoxus

Pulsus paradoxus is a sign of what conditions?

Cardiac tamponade, tension pneumothorax

Gold standard diagnosis for CAD

Angiography

Gold standard diagnosis for PAD

Angiography

Gold standard diagnosis for AAA

Angiography

Most useful diagnostic study to diagnose heart failure

Echo

,Primary noninvasive test for assessing cardiac anatomy and function

Transthoracic echocardiogram (TTE)

Bruce protocol

Positive exercise stress test if ST depressions, exercise-induced HTN or hypotension, arrhythmias,
symptoms or HR abnormalities occur during testing

Vasodilators used in pharmacologic stress testing

Adenosine or Dipyridamole

Contraindications of pharmacologic stress testing

Bronchospastic disease (e.g. severe asthma and COPD), 2nd/3rd degree heart block or sick sinus
syndrome

Medication used in stress echocardiography

Dobutamine

MC cause of CAD

Atherosclerosis

Most important modifiable risk factor for CAD

Smoking

Valvular diseases that may lead to CAD

Aortic stenosis
Aortic regurgitation

Substernal chest pain usually brought on by exertion

Angina pectoris

Radiation of angina pectoris

Arm (especially ulnar surfaces of forearm and hand)
Teeth
Lower jaw
Back
Epigastrium
Shoulders

Duration of stable angina pectoris

Less than 30 minutes by definition but typically 1-5 minutes

Angina pectoris is relieved with _______ or ________

nitroglycerin or rest

,Classic EKG finding in ischemic heart disease

ST depression

Initial testing of angina pectoris

EKG

Gold standard diagnosis of angina pectoris

angiography

Most useful noninvasive screening tool for angina pectoris

Stress testing

Paroxysmal chest "squeezing" or pressure, often accompanied by a sensation of smothering and a fear of
impending death

Angina pectoris

Duration of unstable angina pectoris

More than 30 minutes

If stable angina is not completely resolved after ______ doses of nitro, unstable angina, MI, or another
diagnosis should be suspected

three doses

Sublingual nitro can be repeated every __ minutes up to __ times

every 5 minutes up to 3 times

Long-acting nitrate therapy should include a daily __-__ hour treatment-free interval to prevent drug
tolerance

8-10 hours

Major adverse effects of nitro

Headache, nausea, light-headedness, and hypotension

First-line therapy for chronic angina

BB

Medication that prolongs exercise duration and time to angina

Ranolozine

Indications for stress testing

Patients with baseline EKG abnormalities

Indications for PTCA

, 1 or 2 vessel disease NOT involving the left main coronary artery and in whom ventricular function is
normal/near normal

Indications for CABG

Left main coronary artery disease, symptomatic or critical stenotic (>70%) 3-vessel disease or decreased
LVEF <40%

1st line drug for chronic management of angina pectoris

beta blocker

Treatment of choice for Prinzmetal angina

CCB

Classic outpatient regimen for angina pectoris

daily aspirin, sublingual nitro, daily BB and statin

Cardioselective beta-blockers

Metoprolol and atenolol

Nonselective beta-blockers

Propranolol and Nadolol

Nondihydropyridines

Diltiazem and verapamil

Contraindications to nitro

SBP <90mmHg, RV infarction, use of sildenafil an other PDE-5 inhibitors

>____% occlusion of coronary arteries can cause pain at rest

>90%

Pericarditis, fever, leukocytosis, and pericardial or pleural effusion usually 1 to 2 weeks post-MI

Dressler syndrome

PE findings of acute coronary syndrome

usually normal; +/- S4

Chest pain + bradycardia may be suggestive of a _________ wall MI

inferior

ST elevations > or equal to 1mm in > or equal to 2 anatomically contiguous leads

STEMI

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