Emergency Medicine (COMAT)
[ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH
PRACTICE EXAM DETAILED AND
VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
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 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
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 -
CORRECT ANSWER Rhabdomyolysis with associated hyperkalemia
Tx - copious IV Fluid hydration
Contraindications to succinylcholine - CORRECT ANSWER burns, crush injuries,
renal failure, immobilization for >48 hours, narrow angle glaucoma & malignant
hyperthermia.
What cases is hyperkalemia a huge concern? - CORRECT ANSWER Severe burns,
crush injuries, & renal failure.
Glasgow Coma Scale - CORRECT ANSWER
, What to do with a patient with a GCS of 8? - CORRECT ANSWER Intubation
Thoracic injuries secondary to blunt chest - CORRECT ANSWER 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.
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? - CORRECT ANSWER Vagal
maneuvers
Compartment syndrome - CORRECT ANSWER 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 - CORRECT ANSWER <10 mmHg
Interstitial cystitis - CORRECT ANSWER 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.
Tx'ment of DKA (steps) - CORRECT ANSWER 1) Volume expansion with IVF (0.45%
NACl or 0.9% NaCl at 250-500 ml/hour)
--Bolus anywhere from 2-4 liters of fluid prior to starting IV insulin
2) Check potassium levels is checked and replace as needed
3) An insulin drip will need to be started at 0.1 unit/kg/hour
--after serum glucose
4) Check serum pH level to determine if bicarbonate is needed in the fluids
5) When serum glucose is at a reasonable level 200 mg/dL), the fluids should be
changed to D5 0.45% NaCl & the insulin drip is weaned.
Influenza Treatment - CORRECT ANSWER Immunoprophylaxis - inactivated vaccine
---Trivalent vaccine - prepared on annual basis with two strains of influenza A & one
strain of influenza B----
Chemoprophylaxis - influenza-specific antiviral agents
1) Anantadine
2) Rimantadine
[ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH
PRACTICE EXAM DETAILED AND
VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
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 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
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 -
CORRECT ANSWER Rhabdomyolysis with associated hyperkalemia
Tx - copious IV Fluid hydration
Contraindications to succinylcholine - CORRECT ANSWER burns, crush injuries,
renal failure, immobilization for >48 hours, narrow angle glaucoma & malignant
hyperthermia.
What cases is hyperkalemia a huge concern? - CORRECT ANSWER Severe burns,
crush injuries, & renal failure.
Glasgow Coma Scale - CORRECT ANSWER
, What to do with a patient with a GCS of 8? - CORRECT ANSWER Intubation
Thoracic injuries secondary to blunt chest - CORRECT ANSWER 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.
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? - CORRECT ANSWER Vagal
maneuvers
Compartment syndrome - CORRECT ANSWER 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 - CORRECT ANSWER <10 mmHg
Interstitial cystitis - CORRECT ANSWER 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.
Tx'ment of DKA (steps) - CORRECT ANSWER 1) Volume expansion with IVF (0.45%
NACl or 0.9% NaCl at 250-500 ml/hour)
--Bolus anywhere from 2-4 liters of fluid prior to starting IV insulin
2) Check potassium levels is checked and replace as needed
3) An insulin drip will need to be started at 0.1 unit/kg/hour
--after serum glucose
4) Check serum pH level to determine if bicarbonate is needed in the fluids
5) When serum glucose is at a reasonable level 200 mg/dL), the fluids should be
changed to D5 0.45% NaCl & the insulin drip is weaned.
Influenza Treatment - CORRECT ANSWER Immunoprophylaxis - inactivated vaccine
---Trivalent vaccine - prepared on annual basis with two strains of influenza A & one
strain of influenza B----
Chemoprophylaxis - influenza-specific antiviral agents
1) Anantadine
2) Rimantadine
