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Emergency Medicine EOR Exam Questions and Answers 100% Solved
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Emergency Medicine EOR Exam Questions and Answers 100% Solved Dilated Cardiomyopathy: most common cause is ____. Others? - alcohol; may also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1 in 3 cases of heart failure are caused by dilated cardiomyopathy What PE and EKG changes are seen...

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  • November 15, 2024
  • 65
  • 2024/2025
  • Exam (elaborations)
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  • Emergency Medicine
  • Emergency Medicine

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Emergency Medicine EOR Exam

Questions and Answers 100% Solved


Dilated Cardiomyopathy: most common cause is ____. Others? -

✔✔alcohol; may also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1

in 3 cases of heart failure are caused by dilated cardiomyopathy

What PE and EKG changes are seen with dilated cardiomyopathy? -

✔✔PE: S3, JVD, crackles - possible mitral regurg

EKG: nonspecific ST and T wave changes, LBBB

Hypertrophic cardiomyopathy: is due to hypertrophy of the _____. PE

reveals mitral regurgitation, a ____heart sound, and prominent left

ventricular impulse. EKG reveals LVH - ✔✔cardiac septum; S4

Restrictive cardiomyopathy: often caused by a ____process, or post-

radiation or post open-heart surgery. What is the most common first

symptom? - ✔✔--infiltrative process - amyloidosis, sarcoidosis, and

hemochromatosis -- changes in myocardium

--most common first symptom is exertion intolerance and fluid retention,

signs of right heart failure

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Atrial fibrillation - regularly irregular - the most common sustained

arrhythmia in adults - what three treatments are used? - ✔✔1. rate control

w BB, CCB, or digoxin

2. Anticoagulation w heparin & warfarin

3. rhythm control w amiodarone or cardioversion

Atrial flutter - sawtooth pattern in II, III, aVF - what three treatments are

used? - ✔✔1. cardioversion if no contraindications

2. acute rate control tx w BB, CCB - amiodarone, sotalol, quinidine, or

procainamide

3. If site of reentrant is known, catheter ablation

Multifocal atrial tachycardia - noted in patients with COPD or severe

systemic illness - EKG shows multiple shaped P waves and differing PR

intervals. ____are agents of choice? - ✔✔CCB

BLOCKS

1. ____=prolonged PR interval

2.____=progressive increase in PR until Pwave is blocked.

3._____=sudden block in P wave w no change in PR

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
4._____=atrial and ventricular rhythm are independent of each other. -

✔✔First degree; Wenckebach Mobitz type I; Mobitz type II, Third degree

block

A _____may develop after acute MI, PE, aortic stenosis and is due to a

conduction delay in the right or left bundles. - ✔✔Bundle branch block

Paroxysmal supraventricular tachycardia is a reentry tachycardia,

commonly noted in elderly patients with underlying heart disease. What

treatment may be helpful before using adenosine ie. the drug of choice? -

✔✔vagal maneuvers or antianxiety medication

What are some drugs associated with Torsades de pointes? - ✔✔tricyclic

antidepressants, erythromycin, ketoconazole, haloperidol, cisapride,

disopyramide, pentamidine, sotalol, class I anti-arrhythmics

CHF - Systolic dysfunction means a problem with the ____. What drug is

contraindicated? - ✔✔pump; CCB!

CHF - Diastolic dysfunction means a problem with the ____. -

✔✔compliance or relaxation of the heart during ventricular filling

The ________principle means that as preload increases, the ventricle is

stretched during diastole filling and the ejection fraction is increased. -

✔✔Frank-Starling principle

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
_____is released from cardiac ventricles in response to increased wall

tension. - ✔✔BNP - B-type natriuretic peptide

What is the pharmacologic therapy for heart failure? - ✔✔1. diuretics for

fluid retention

2. ACEi

3. vasodilators (hydralazine & nitrates)

4. BB for LV dysfunction

5. digitalis to increase cardiac contractility

Functional Classification of Heart Failure:

___-No cardiac symptoms with ordinary activity.

___-Cardiac symptoms w MARKED activity but asymptomatic at rest

___-Cardiac symptoms w MILD activity but asymptomatic at rest

___-Cardiac symptoms at rest. - ✔✔Class I, Class II, Class III, Class IV

Stage 1 Hypertension is defined as greater than ____. Stage 2

Hypertension is defined as greater than ____. - ✔✔140/90; 160/100

Hypertension Drug of Choice for:

angina

diabetes

hyperlipidemia

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