COMAT: Emergency Medicine questions with correct answers

What is the gold standard diagnosis of GABS pharyngitis? CORRECT ANSWER Throat culture What is the antibiotic of choice for GABS pharyngitis? CORRECT ANSWER Penicillin V = 10-day course What are the 2 MC complications of acute MI? CORRECT ANSWER V-tach + V-fib When ACS/MI is suspected, what is the initial treatment? CORRECT ANSWER MONA = Aspirin, oxygen, nitroglycerin, morphine What are some common contributing factors of A-fib? CORRECT ANSWER Age, HTN/CHF/CM, hyperthyroidism, sepsis, PE, COPD, electrolyte abnormalities, OSA (cause) What is the treatment for SVT/tachyarrhythmias? CORRECT ANSWER 1st - vagal maneuvers; Next - adenosine, Beta-blocker, CCB *if unstable = Cardioversion 18-year old male presents with dehydration, blood glucose of 700, dyspnea, ketosis, and diffuse abdominal pain--what is diagnosis and first step of management? CORRECT ANSWER Dx = DKA (metabolic acidosis) *Manage ABC's, fluid resuscitation, give insulin therapy