1
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Internal Medicine EOR Exam Questions
and Answers (100% Correct Answers)
Already Graded A+
From the hospital: What is a single antibiotic that can be used for
colitis that covers all bacteria? It is NOT levofloxacin and
metronidazole. What is a bad side effect of levo? [ ANS: ] zosyn ie.
piperacillin/tazobactam
QT prolongation
© 2025 Assignment Expert
CARDIOLOGY: EKG should be obtained if CP appears cardiac in
nature. CXR is initial step to rule out pneumothorax, pulmonary
infiltrates, and rib fractures. ____should be done for patients w
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worrisome histories for aortic dissection regardless of CXR or EKG
results. [ ANS: ] CT
_____is minimally invasive and rapid for detecting aortic dissection
at the bedside. [ ANS: ] TEE - transesophageal echocardiogram
A ____ is used for pleuritic pain w normal CXR when a PE is
suspected. [ ANS: ] V/Q scan - but not good for a small PE
A _____is sensitive for small PE and may detect other chest
abnormalities leading to pain. [ ANS: ] helical chest CT
____is used when CP is esophageal in origin. [ ANS: ] Esophageal
pH monitoring
EKG: A ______suggests underlying heart disease (ischemic,
hypertensive). [ ANS: ] left bundle branch block
A _____may be indicative of right heart strain (as in pulmonary
embolus). [ ANS: ] right bundle branch block
____is a term used to describe decreased perfusion and oxygen
delivery to the body. This is best defined by BP = CO x SVR. What
, 2
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are the three main types? [ ANS: ] Shock; hypovolemic,
cardiogenic, distributive
______shock can be from pump failure from infarction,
cardiomyopathy, or tamponade, arrhythmia, valve failure,
obstructed outflow from tension pneumothorax or massive PE. [
ANS: ] Cardiogenic
______shock can be from hemorrhage, diarrhea, heat stroke, or
third spacing. [ ANS: ] Hypovolemic
______shock can be from sepsis, anaphylaxis, adrenal crisis, or
myxedema coma. [ ANS: ] Distributive
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The formation of _______occurs via:
a. endothelial dysfunction & formation of fatty streak
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b. LDL enters fatty streak and attracts macrophages
c. proliferating smooth muscle cells, connective tissue, & lipids
become incorporated into plaque
d. "fibrous cap" forms [ ANS: ] atherosclerotic plaque
Name some risk factors for CHD. [ ANS: ] Diabetes Mellitus
Patient Age
Peripheral Vascular disease
Chronic Renal Failure
Elevated homocysteine level
elevated inflammatory markers like CRP
Low Activity Level
Low intake of fruits and vegetables
lack of moderate alcohol intake
, 3
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_____is insufficiently specific for assessment of patients with low
(<10%) pretest probability of CHD. It is best reserved for patients
with intermediate pretest probability. Sensitivity and specificity can
be increased with imaging studies such as radionuclide imaging or
echocardiography. What is the gold standard to diagnose
coronary artery disease? [ ANS: ] Exercise stress testing; coronary
angiography
The AHA suggests the following mnemonic for the important
elements in treatment of stable angina: [ ANS: ] A: aspirin, ACEi,
antianginals - nitrates/CCB
© 2025 Assignment Expert
B: B-blocker, bp
C: cholesterol & cigarettes
D: diet and diabetes
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E: education and exercise
CCB: Short acting dihydropyridine CCBs ie ____ have been shown
to increase cardiac risk therefore nondihydropyridines are
recommended. They are ___or___. Second generation
dihydropyridines have fewer negative inotropic effects and can
be used in settings of reduced ejection fraction. (ie. ___or___) [
ANS: ] Nifedipine
verapamil or diltiazem
amlodipine or nicardipine
Patients with stenosis of left anterior descending, left main
coronary disease, three vessel disease, or survivors of sudden
cardiac death or sustained VF/VT would benefit from _________. [
ANS: ] coronary artery bypass grafting (CABG)
_______can be used to relieve symptoms in patients who fail
medical therapy but who do not have significant enough disease
, 4
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to require CABG. [ ANS: ] PCI - percutaneous coronary
intervention
What are some physical exam findings in an acute MI? [ ANS: ]
entirely normal, fourth heart sound, third heart sound, systolic
murmur of acute mitral regurgitation -- physical exam should focus
on signs of PVD which may increase the suspicion for coronary
disease
What is the typical evolution of the EKG in the setting of a STEMI? [
ANS: ] 1. increase in amplitude of the T wave
2. ST segment elevation
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3. development of Q waves (hours to days)
4. resolution of ST-segment elevation
Guru01 - Stuvia
Cardiac-specific ____is drawn to detect damaged myocardium. It
begins to rise is 6-9 hours, peaks at approximately 20 hours, and
remains in the circulation for 7-10 days. [ ANS: ] troponin
For patients with UA or NSTEMI to assess risk.
TIMI SCORE - 7 point system, more points, higher risk [ ANS: ] Age
>65
at least 3 risk factors
known coronary artery disease w at least 50% stenosis
ST segment changes
2 episodes of angina in past 24 hours
aspirin use in past week
elevated CK-MB or troponin
What are the absolute contraindications to thrombolytic therapy?
BHTASC [ ANS: ] BHTASC
For Expert help and assignment solutions, +254707240657
Internal Medicine EOR Exam Questions
and Answers (100% Correct Answers)
Already Graded A+
From the hospital: What is a single antibiotic that can be used for
colitis that covers all bacteria? It is NOT levofloxacin and
metronidazole. What is a bad side effect of levo? [ ANS: ] zosyn ie.
piperacillin/tazobactam
QT prolongation
© 2025 Assignment Expert
CARDIOLOGY: EKG should be obtained if CP appears cardiac in
nature. CXR is initial step to rule out pneumothorax, pulmonary
infiltrates, and rib fractures. ____should be done for patients w
Guru01 - Stuvia
worrisome histories for aortic dissection regardless of CXR or EKG
results. [ ANS: ] CT
_____is minimally invasive and rapid for detecting aortic dissection
at the bedside. [ ANS: ] TEE - transesophageal echocardiogram
A ____ is used for pleuritic pain w normal CXR when a PE is
suspected. [ ANS: ] V/Q scan - but not good for a small PE
A _____is sensitive for small PE and may detect other chest
abnormalities leading to pain. [ ANS: ] helical chest CT
____is used when CP is esophageal in origin. [ ANS: ] Esophageal
pH monitoring
EKG: A ______suggests underlying heart disease (ischemic,
hypertensive). [ ANS: ] left bundle branch block
A _____may be indicative of right heart strain (as in pulmonary
embolus). [ ANS: ] right bundle branch block
____is a term used to describe decreased perfusion and oxygen
delivery to the body. This is best defined by BP = CO x SVR. What
, 2
For Expert help and assignment solutions, +254707240657
are the three main types? [ ANS: ] Shock; hypovolemic,
cardiogenic, distributive
______shock can be from pump failure from infarction,
cardiomyopathy, or tamponade, arrhythmia, valve failure,
obstructed outflow from tension pneumothorax or massive PE. [
ANS: ] Cardiogenic
______shock can be from hemorrhage, diarrhea, heat stroke, or
third spacing. [ ANS: ] Hypovolemic
______shock can be from sepsis, anaphylaxis, adrenal crisis, or
myxedema coma. [ ANS: ] Distributive
© 2025 Assignment Expert
The formation of _______occurs via:
a. endothelial dysfunction & formation of fatty streak
Guru01 - Stuvia
b. LDL enters fatty streak and attracts macrophages
c. proliferating smooth muscle cells, connective tissue, & lipids
become incorporated into plaque
d. "fibrous cap" forms [ ANS: ] atherosclerotic plaque
Name some risk factors for CHD. [ ANS: ] Diabetes Mellitus
Patient Age
Peripheral Vascular disease
Chronic Renal Failure
Elevated homocysteine level
elevated inflammatory markers like CRP
Low Activity Level
Low intake of fruits and vegetables
lack of moderate alcohol intake
, 3
For Expert help and assignment solutions, +254707240657
_____is insufficiently specific for assessment of patients with low
(<10%) pretest probability of CHD. It is best reserved for patients
with intermediate pretest probability. Sensitivity and specificity can
be increased with imaging studies such as radionuclide imaging or
echocardiography. What is the gold standard to diagnose
coronary artery disease? [ ANS: ] Exercise stress testing; coronary
angiography
The AHA suggests the following mnemonic for the important
elements in treatment of stable angina: [ ANS: ] A: aspirin, ACEi,
antianginals - nitrates/CCB
© 2025 Assignment Expert
B: B-blocker, bp
C: cholesterol & cigarettes
D: diet and diabetes
Guru01 - Stuvia
E: education and exercise
CCB: Short acting dihydropyridine CCBs ie ____ have been shown
to increase cardiac risk therefore nondihydropyridines are
recommended. They are ___or___. Second generation
dihydropyridines have fewer negative inotropic effects and can
be used in settings of reduced ejection fraction. (ie. ___or___) [
ANS: ] Nifedipine
verapamil or diltiazem
amlodipine or nicardipine
Patients with stenosis of left anterior descending, left main
coronary disease, three vessel disease, or survivors of sudden
cardiac death or sustained VF/VT would benefit from _________. [
ANS: ] coronary artery bypass grafting (CABG)
_______can be used to relieve symptoms in patients who fail
medical therapy but who do not have significant enough disease
, 4
For Expert help and assignment solutions, +254707240657
to require CABG. [ ANS: ] PCI - percutaneous coronary
intervention
What are some physical exam findings in an acute MI? [ ANS: ]
entirely normal, fourth heart sound, third heart sound, systolic
murmur of acute mitral regurgitation -- physical exam should focus
on signs of PVD which may increase the suspicion for coronary
disease
What is the typical evolution of the EKG in the setting of a STEMI? [
ANS: ] 1. increase in amplitude of the T wave
2. ST segment elevation
© 2025 Assignment Expert
3. development of Q waves (hours to days)
4. resolution of ST-segment elevation
Guru01 - Stuvia
Cardiac-specific ____is drawn to detect damaged myocardium. It
begins to rise is 6-9 hours, peaks at approximately 20 hours, and
remains in the circulation for 7-10 days. [ ANS: ] troponin
For patients with UA or NSTEMI to assess risk.
TIMI SCORE - 7 point system, more points, higher risk [ ANS: ] Age
>65
at least 3 risk factors
known coronary artery disease w at least 50% stenosis
ST segment changes
2 episodes of angina in past 24 hours
aspirin use in past week
elevated CK-MB or troponin
What are the absolute contraindications to thrombolytic therapy?
BHTASC [ ANS: ] BHTASC
