COMAT EMERGENCY MEDICINE EXAMINATION
QUESTIONS AND CORRECT ANSWER WITH DETAILED
EXPLANATION GRADED A+ STUDY GUIDE FOR
OSTEOPATHIC MEDICAL STUDENT
1. A patient is unresponsive after MVC. First step?
A. CT head
B. Airway
C. IV fluids
D. ECG
Answer: B
Airway is the first priority in trauma (ABC).
2. A patient with chest pain + ST elevation?
A. Stable angina
B. STEMI
C. GERD
D. Pericarditis
Answer: B
ST elevation MI requires emergent reperfusion.
3. First drug in cardiac arrest?
A. Atropine
B. Epinephrine
C. Amiodarone
D. Lidocaine
Answer: B
Epinephrine is first-line in ACLS.
4. A patient with tension pneumothorax?
A. CT scan
B. Needle decompression
C. Observation
D. Antibiotics
Answer: B
Immediate life-saving intervention.
,5. Classic sign of tension pneumothorax?
A. Bradycardia
B. Tracheal deviation
C. Fever
D. Rash
Answer: B
Mediastinal shift.
6. A patient with severe asthma attack?
A. Albuterol
B. Antibiotics
C. Steroids only
D. Surgery
Answer: A
First-line bronchodilator.
7. Status asthmaticus first step?
A. Intubation immediately
B. Oxygen + beta agonists
C. Antibiotics
D. Diuretics
Answer: B
Initial bronchodilation and oxygen.
8. A patient with anaphylaxis?
A. Diphenhydramine
B. Epinephrine IM
C. Steroids only
D. Albuterol
Answer: B
Life-saving first-line treatment.
9. First step in ACLS algorithm?
A. Shock
B. CPR
C. Intubation
D. IV fluids
Answer: B
High-quality CPR.
, 10. VFib treatment?
A. Epinephrine only
B. Defibrillation
C. Atropine
D. Oxygen
Answer: B
Shockable rhythm.
11. Asystole treatment?
A. Defibrillation
B. Epinephrine + CPR
C. Amiodarone
D. Cardioversion
Answer: B
Non-shockable rhythm.
12. Pulseless electrical activity (PEA) treatment?
A. Defibrillation
B. CPR + epinephrine
C. Surgery
D. Beta blockers
Answer: B
Search for reversible causes.
13. First step in trauma survey?
A. CT scan
B. Primary survey (ABCDE)
C. Labs
D. X-ray
Answer: B
Structured trauma approach.
14. A patient with hypotension + tachycardia after trauma?
A. Stable
B. Shock
C. Stroke
D. MI
Answer: B
Signs of shock.
QUESTIONS AND CORRECT ANSWER WITH DETAILED
EXPLANATION GRADED A+ STUDY GUIDE FOR
OSTEOPATHIC MEDICAL STUDENT
1. A patient is unresponsive after MVC. First step?
A. CT head
B. Airway
C. IV fluids
D. ECG
Answer: B
Airway is the first priority in trauma (ABC).
2. A patient with chest pain + ST elevation?
A. Stable angina
B. STEMI
C. GERD
D. Pericarditis
Answer: B
ST elevation MI requires emergent reperfusion.
3. First drug in cardiac arrest?
A. Atropine
B. Epinephrine
C. Amiodarone
D. Lidocaine
Answer: B
Epinephrine is first-line in ACLS.
4. A patient with tension pneumothorax?
A. CT scan
B. Needle decompression
C. Observation
D. Antibiotics
Answer: B
Immediate life-saving intervention.
,5. Classic sign of tension pneumothorax?
A. Bradycardia
B. Tracheal deviation
C. Fever
D. Rash
Answer: B
Mediastinal shift.
6. A patient with severe asthma attack?
A. Albuterol
B. Antibiotics
C. Steroids only
D. Surgery
Answer: A
First-line bronchodilator.
7. Status asthmaticus first step?
A. Intubation immediately
B. Oxygen + beta agonists
C. Antibiotics
D. Diuretics
Answer: B
Initial bronchodilation and oxygen.
8. A patient with anaphylaxis?
A. Diphenhydramine
B. Epinephrine IM
C. Steroids only
D. Albuterol
Answer: B
Life-saving first-line treatment.
9. First step in ACLS algorithm?
A. Shock
B. CPR
C. Intubation
D. IV fluids
Answer: B
High-quality CPR.
, 10. VFib treatment?
A. Epinephrine only
B. Defibrillation
C. Atropine
D. Oxygen
Answer: B
Shockable rhythm.
11. Asystole treatment?
A. Defibrillation
B. Epinephrine + CPR
C. Amiodarone
D. Cardioversion
Answer: B
Non-shockable rhythm.
12. Pulseless electrical activity (PEA) treatment?
A. Defibrillation
B. CPR + epinephrine
C. Surgery
D. Beta blockers
Answer: B
Search for reversible causes.
13. First step in trauma survey?
A. CT scan
B. Primary survey (ABCDE)
C. Labs
D. X-ray
Answer: B
Structured trauma approach.
14. A patient with hypotension + tachycardia after trauma?
A. Stable
B. Shock
C. Stroke
D. MI
Answer: B
Signs of shock.
