Family Medicine EOR Exam With Correct answers2025/2026.
What is the treatment for systolic HF? - correct answer Non-pharmacologic: oxygen,
positive-pressure ventilation, sodium/fluid restriction
Pharmacologic: diuretics, vasodilators, inotropes, anti-coagulants, beta blockers,
digoxin
What is hypertrophic cardiomyopathy (HCM)? - correct answer LV hypertrophy with or
w/o L ventricular outflow tract (LVOT) obstruction, cardiac myocyte disarray, familial
occurrence, sudden cardiac death
History of patient with HCM - correct answer HF sxs, fatigue, angina, palpitations,
syncope;
PE: murmur, increased apical impulse, S4
Tx for HCM - correct answer Beta Blockers, disopyramide, verapamil
What is Wolff-Parkinson-White syndrome? - correct answer Pre-excitation syndrome;
ventricles contract prematurely via Bundle of Kent; SVT
Dx of WPW? - correct answer Short PR interval <120 ms, delta wave, QRS prolongation
>110 ms
Tx or WPW? - correct answer Adenosine, Cardioversion or tissue ablation
What is pericarditis? - correct answer Inflammation of the pericardium with or without
pericardial effusion. MCly idiopathic, likely related to viral infection.
Signs/Sxs of pericarditis? - correct answer Sxs: Prodrome of F, malaise, myalgias;
acute, sharp, stabbing CP; pleuritic pain, pain reduced by leaning forward, SOB
PE: friction rub- coarse, high-pitched sound heard best at expiration at LLSB with pt
learning forward; new S3
Diagnostic sign on EKG of pericarditis? - correct answer Widespread ST elevation and
PR depression --> normalization --> T waves begin to invert --> normalization
Tx of pericarditis? - correct answer NSAIDs, colchicine, steroids
Tx for hypertension? - correct answer aerobic exercise, wt reduction, smoking cessation
Rx: first line- thiazide, ACE-Is, ARBs, long acting CCBs (amlodipine, verapamil,
nifedipine, diltiazem)
Tx for Mitral Valve Prolapse? - correct answer Reassurance, normal lifestyle and activity
Tx for symptomatic bradycardia? - correct answer Atropine, then transcutaneous pacing
, Etiology of hypokalemia? - correct answer GI loss, diuretics, glucocorticoid excess
states, refeeding syndrome
Dx of hypokalemia - correct answer serum K <3.5 mEq/L; skeletal muscle weakness, GI
hypomobility, polyuria, polydipsia, decreased skin turgor
Tx of Atrial Fibrillation - correct answer Rate control (Beta Blockers, CCBs, digoxin,
amiodarone); Rhythm control; cardioversion; ablation; anti-coagulation: long-term
warfarin tx
What is supraventricular tachycardia (SVT)? - correct answer AV nodal/atrioventricular
re-entry tachycardia. Tachydysrhythmia arising above the Bundle of His
Dx of SVT? - correct answer S/Sx: may occur spontaneously or upon provocation with
caffeine, exertion, alcohol, or amphetamines. sudden onset of palpations, fall of BP,
syncope
EKG: 140-280 BPM, narrow-complex, regular, retrograde P waves
Tx of SVT? - correct answer Adenosine
What is erythema multiforme? - correct answer EM is an acute, self-limited
hypersensitivity rxn.
-MCly triggered by HSV 1 or 2, or drugs
-involves skin and mucus membranes, MCly mouth
Dx of erythema multiforme? - correct answer -Preceding HSV infection 2 wks before
eruptions
-Rash involving skin and MCly the mouth
S/sx: pleomorphic skin eruption with a mixture of papules of various sizes and target
lesions; symmetrically distributed
Tx of erythema multiforme? - correct answer Tx underlying cause, antihistamines,
topical corticosteroids, mouthwashes
What is adrenal insufficiency? - correct answer -Primary adrenal insufficiency aka
Addison dz is caused by dysfxn or absence of adrenal cortices.
-Secondary adrenal insufficiency is d/t deficient secretion of ACTH (pituitary failure)
-Tertiary: hypothalamic failure
-autoimmune or infectious (TB MC)
S/Sxs of adrenal insufficiency? - correct answer Muscle weakness, fatigue, fever,
anorexia, N/V/D, wt loss, anxiety, irritability, depression, pain, scant axillary/pubic hair,
decreased cold tolerance, lack of libido, amenorrhea, hyperpigmentation, hypotension
What is the treatment for systolic HF? - correct answer Non-pharmacologic: oxygen,
positive-pressure ventilation, sodium/fluid restriction
Pharmacologic: diuretics, vasodilators, inotropes, anti-coagulants, beta blockers,
digoxin
What is hypertrophic cardiomyopathy (HCM)? - correct answer LV hypertrophy with or
w/o L ventricular outflow tract (LVOT) obstruction, cardiac myocyte disarray, familial
occurrence, sudden cardiac death
History of patient with HCM - correct answer HF sxs, fatigue, angina, palpitations,
syncope;
PE: murmur, increased apical impulse, S4
Tx for HCM - correct answer Beta Blockers, disopyramide, verapamil
What is Wolff-Parkinson-White syndrome? - correct answer Pre-excitation syndrome;
ventricles contract prematurely via Bundle of Kent; SVT
Dx of WPW? - correct answer Short PR interval <120 ms, delta wave, QRS prolongation
>110 ms
Tx or WPW? - correct answer Adenosine, Cardioversion or tissue ablation
What is pericarditis? - correct answer Inflammation of the pericardium with or without
pericardial effusion. MCly idiopathic, likely related to viral infection.
Signs/Sxs of pericarditis? - correct answer Sxs: Prodrome of F, malaise, myalgias;
acute, sharp, stabbing CP; pleuritic pain, pain reduced by leaning forward, SOB
PE: friction rub- coarse, high-pitched sound heard best at expiration at LLSB with pt
learning forward; new S3
Diagnostic sign on EKG of pericarditis? - correct answer Widespread ST elevation and
PR depression --> normalization --> T waves begin to invert --> normalization
Tx of pericarditis? - correct answer NSAIDs, colchicine, steroids
Tx for hypertension? - correct answer aerobic exercise, wt reduction, smoking cessation
Rx: first line- thiazide, ACE-Is, ARBs, long acting CCBs (amlodipine, verapamil,
nifedipine, diltiazem)
Tx for Mitral Valve Prolapse? - correct answer Reassurance, normal lifestyle and activity
Tx for symptomatic bradycardia? - correct answer Atropine, then transcutaneous pacing
, Etiology of hypokalemia? - correct answer GI loss, diuretics, glucocorticoid excess
states, refeeding syndrome
Dx of hypokalemia - correct answer serum K <3.5 mEq/L; skeletal muscle weakness, GI
hypomobility, polyuria, polydipsia, decreased skin turgor
Tx of Atrial Fibrillation - correct answer Rate control (Beta Blockers, CCBs, digoxin,
amiodarone); Rhythm control; cardioversion; ablation; anti-coagulation: long-term
warfarin tx
What is supraventricular tachycardia (SVT)? - correct answer AV nodal/atrioventricular
re-entry tachycardia. Tachydysrhythmia arising above the Bundle of His
Dx of SVT? - correct answer S/Sx: may occur spontaneously or upon provocation with
caffeine, exertion, alcohol, or amphetamines. sudden onset of palpations, fall of BP,
syncope
EKG: 140-280 BPM, narrow-complex, regular, retrograde P waves
Tx of SVT? - correct answer Adenosine
What is erythema multiforme? - correct answer EM is an acute, self-limited
hypersensitivity rxn.
-MCly triggered by HSV 1 or 2, or drugs
-involves skin and mucus membranes, MCly mouth
Dx of erythema multiforme? - correct answer -Preceding HSV infection 2 wks before
eruptions
-Rash involving skin and MCly the mouth
S/sx: pleomorphic skin eruption with a mixture of papules of various sizes and target
lesions; symmetrically distributed
Tx of erythema multiforme? - correct answer Tx underlying cause, antihistamines,
topical corticosteroids, mouthwashes
What is adrenal insufficiency? - correct answer -Primary adrenal insufficiency aka
Addison dz is caused by dysfxn or absence of adrenal cortices.
-Secondary adrenal insufficiency is d/t deficient secretion of ACTH (pituitary failure)
-Tertiary: hypothalamic failure
-autoimmune or infectious (TB MC)
S/Sxs of adrenal insufficiency? - correct answer Muscle weakness, fatigue, fever,
anorexia, N/V/D, wt loss, anxiety, irritability, depression, pain, scant axillary/pubic hair,
decreased cold tolerance, lack of libido, amenorrhea, hyperpigmentation, hypotension
