INTERNAL MEDICINE COMAT REVIEW QUESTIONS & ANSWERS 2026-2027 | … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Internal Medicine COMAT
Review Questions &
Answers 2026-2027 |
Comprehensive High-Yield
Review
Verified Answers Exam Ready With Rationales
293 QUESTIONS
DOCUMENT OVERVIEW
This document contains 293 high-yield questions with correct answers provided, focusing on internal
medicine concepts. It is designed to enhance comprehension and retention of key medical information,
making it suitable for exam preparation, review, and certification study. Students can utilize this
resource to reinforce their knowledge and ensure mastery of essential internal medicine topics.
CONTENTS
• ECG Interpretation • Coronary Artery Disease
• Pulmonary Conditions • Heart Sounds and Murmurs
• Heart Failure Management • Acute Respiratory Distress Syndrome
• Infectious Diseases • Hematology and Coagulation
• Renal Pathophysiology • Anemia and Blood Disorders
• Endocrine Disorders • Neurology and Stroke
Page 1
, • Gastrointestinal Disorders • Diabetes Management
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 293
ECG leads representing anterior wall
CORRECT ANSWER
V1-4 (LAD)
Q2 QUESTION 2 OF 293
ECG leads representing the inferior portion of the heart
CORRECT ANSWER
II, III, and aVF (right coronary artery)
Q3 QUESTION 3 OF 293
ECG leads representing the lateral myocardial wall
CORRECT ANSWER
I, AVL, V5, & V6
Q4 QUESTION 4 OF 293
Another name for angioplasty...
CORRECT ANSWER
Primary
Q5 QUESTION 5 OF 293
Changes in EKG suggesting a STEMI
Page 2
, CORRECT ANSWER
ST elevation 2mm or new LBBB
Q6 QUESTION 6 OF 293
Anterior infarct
CORRECT ANSWER
LAD
Leads V1-4
Q7 QUESTION 7 OF 293
Lateral infarct
CORRECT ANSWER
Circumflex artery
Leads I, aVL, V4-6
Q8 QUESTION 8 OF 293
Inferior infarct
CORRECT ANSWER
Right coronary artery
Leads II, III, & aVF
Q9 QUESTION 9 OF 293
Right ventricular infarct
CORRECT ANSWER
Right coronary artery
Leads--> V4 on R-sided EKG= 100% specific
Q10 QUESTION 10 OF 293
Symptoms of right ventricular infarct
Page 3
, CORRECT ANSWER
Hypotension, tachycardia, clear lungs, JVD, and NO pulsus paradoxus...
DON'T give nitro!!
Q11 QUESTION 11 OF 293
Treatment of right ventricular infarct
CORRECT ANSWER
Vigorous fluid resuscitation.
Q12 QUESTION 12 OF 293
Next best test in chest pain patient after EKG
CORRECT ANSWER
Cardiac enzymes... (Myoglobin, CKMB, troponin I)
if elevated--> NSTEMI!! (check enzymes q 8hrs X3)
Q13 QUESTION 13 OF 293
First cardiac enzyme to elevate in an NSTEMI
CORRECT ANSWER
myoglobin (peaks in 2 hrs, normal by 24 hrs). **that's why this is the best biomarker to use to see if there's a
repeat STEMI
Q14 QUESTION 14 OF 293
Which cardiac enzyme lasts the longest in blood strem
CORRECT ANSWER
Troponin I
Q15 QUESTION 15 OF 293
Treatment of a STEMI
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Internal Medicine COMAT
Review Questions &
Answers 2026-2027 |
Comprehensive High-Yield
Review
Verified Answers Exam Ready With Rationales
293 QUESTIONS
DOCUMENT OVERVIEW
This document contains 293 high-yield questions with correct answers provided, focusing on internal
medicine concepts. It is designed to enhance comprehension and retention of key medical information,
making it suitable for exam preparation, review, and certification study. Students can utilize this
resource to reinforce their knowledge and ensure mastery of essential internal medicine topics.
CONTENTS
• ECG Interpretation • Coronary Artery Disease
• Pulmonary Conditions • Heart Sounds and Murmurs
• Heart Failure Management • Acute Respiratory Distress Syndrome
• Infectious Diseases • Hematology and Coagulation
• Renal Pathophysiology • Anemia and Blood Disorders
• Endocrine Disorders • Neurology and Stroke
Page 1
, • Gastrointestinal Disorders • Diabetes Management
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 293
ECG leads representing anterior wall
CORRECT ANSWER
V1-4 (LAD)
Q2 QUESTION 2 OF 293
ECG leads representing the inferior portion of the heart
CORRECT ANSWER
II, III, and aVF (right coronary artery)
Q3 QUESTION 3 OF 293
ECG leads representing the lateral myocardial wall
CORRECT ANSWER
I, AVL, V5, & V6
Q4 QUESTION 4 OF 293
Another name for angioplasty...
CORRECT ANSWER
Primary
Q5 QUESTION 5 OF 293
Changes in EKG suggesting a STEMI
Page 2
, CORRECT ANSWER
ST elevation 2mm or new LBBB
Q6 QUESTION 6 OF 293
Anterior infarct
CORRECT ANSWER
LAD
Leads V1-4
Q7 QUESTION 7 OF 293
Lateral infarct
CORRECT ANSWER
Circumflex artery
Leads I, aVL, V4-6
Q8 QUESTION 8 OF 293
Inferior infarct
CORRECT ANSWER
Right coronary artery
Leads II, III, & aVF
Q9 QUESTION 9 OF 293
Right ventricular infarct
CORRECT ANSWER
Right coronary artery
Leads--> V4 on R-sided EKG= 100% specific
Q10 QUESTION 10 OF 293
Symptoms of right ventricular infarct
Page 3
, CORRECT ANSWER
Hypotension, tachycardia, clear lungs, JVD, and NO pulsus paradoxus...
DON'T give nitro!!
Q11 QUESTION 11 OF 293
Treatment of right ventricular infarct
CORRECT ANSWER
Vigorous fluid resuscitation.
Q12 QUESTION 12 OF 293
Next best test in chest pain patient after EKG
CORRECT ANSWER
Cardiac enzymes... (Myoglobin, CKMB, troponin I)
if elevated--> NSTEMI!! (check enzymes q 8hrs X3)
Q13 QUESTION 13 OF 293
First cardiac enzyme to elevate in an NSTEMI
CORRECT ANSWER
myoglobin (peaks in 2 hrs, normal by 24 hrs). **that's why this is the best biomarker to use to see if there's a
repeat STEMI
Q14 QUESTION 14 OF 293
Which cardiac enzyme lasts the longest in blood strem
CORRECT ANSWER
Troponin I
Q15 QUESTION 15 OF 293
Treatment of a STEMI
Page 4
