©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Emergency Medicine (COMAT) Exam
Questions and Answers 100% Solved
TIMI score - ✔✔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
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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 - ✔✔Rhabdomyolysis with associated hyperkalemia
Tx - copious IV Fluid hydration
Contraindications to succinylcholine - ✔✔burns, crush injuries, renal failure,
immobilization for >48 hours, narrow angle glaucoma & malignant
hyperthermia.
What cases is hyperkalemia a huge concern? - ✔✔Severe burns, crush
injuries, & renal failure.
Glasgow Coma Scale - ✔✔
What to do with a patient with a GCS of 8? - ✔✔Intubation
Thoracic injuries secondary to blunt chest - ✔✔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.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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? - ✔✔Vagal maneuvers
Compartment syndrome - ✔✔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 - ✔✔<10 mmHg
Interstitial cystitis - ✔✔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.
Emergency Medicine (COMAT) Exam
Questions and Answers 100% Solved
TIMI score - ✔✔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
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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 - ✔✔Rhabdomyolysis with associated hyperkalemia
Tx - copious IV Fluid hydration
Contraindications to succinylcholine - ✔✔burns, crush injuries, renal failure,
immobilization for >48 hours, narrow angle glaucoma & malignant
hyperthermia.
What cases is hyperkalemia a huge concern? - ✔✔Severe burns, crush
injuries, & renal failure.
Glasgow Coma Scale - ✔✔
What to do with a patient with a GCS of 8? - ✔✔Intubation
Thoracic injuries secondary to blunt chest - ✔✔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.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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? - ✔✔Vagal maneuvers
Compartment syndrome - ✔✔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 - ✔✔<10 mmHg
Interstitial cystitis - ✔✔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.
