EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
1. Dilated Cardiomyopathy: most common cause is alcohol; may also
____. Others? be idiopathic, my-
ocarditis, or drugs
(doxorubicin) -- 1
in 3 cases of
heart failure are
caused by dilated
cardiomyopathy
2. What PE and EKG changes are seen with dilated PE: S3, JVD,
cardiomyopathy? crackles - possible
mitral regurg
EKG: nonspecific
ST and T wave
changes, LBBB
3. Hypertrophic cardiomyopathy: is due to hypertro- cardiac septum;
phy of the _____. PE reveals mitral regurgitation, a S4
____heart sound, and prominent left ventricular im-
pulse. EKG reveals LVH
4. Restrictive cardiomyopathy: often caused by a --infiltrative
____process, or post-radiation or post open-heart process -
surgery. What is the most common first symptom? amyloidosis,
sarcoidosis, and
hemochromatosis
-- changes in
myocardium
--most common
first symptom is
exertion intoler-
ance and fluid re-
tention, signs of
right heart failure
5. Atrial fibrillation - regularly irregular - the most com- 1. rate control w
mon sustained arrhythmia in adults - what three treat- BB, CCB, or digox-
ments are used? in
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
2. Anticoagulation
w heparin & war-
farin
3. rhythm control
w amiodarone or
cardioversion
6. Atrial flutter - sawtooth pattern in II, III, aVF - what 1. cardioversion if
three treatments are used? no contraindica-
tions
2. acute rate con-
trol tx w BB, CCB
- amiodarone, so-
talol, quinidine, or
procainamide
3. If site of reen-
trant is known,
catheter ablation
7. Multifocal atrial tachycardia - noted in patients with CCB
COPD or severe systemic illness - EKG shows mul-
tiple shaped P waves and differing PR intervals.
____are agents of choice?
8. BLOCKS First degree;
1. ____=prolonged PR interval Wenckebach Mo-
2.____=progressive increase in PR until Pwave is bitz type I; Mobitz
blocked. type II, Third de-
3._____=sudden block in P wave w no change in PR gree block
4._____=atrial and ventricular rhythm are indepen-
dent of each other.
9. A _____may develop after acute MI, PE, aortic steno- Bundle branch
sis and is due to a conduction delay in the right or left block
bundles.
10. Paroxysmal supraventricular tachycardia is a reen-
try tachycardia, commonly noted in elderly patients
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
with underlying heart disease. What treatment may vagal maneu-
be helpful before using adenosine ie. the drug of vers or antianxiety
choice? medication
11. What are some drugs associated with Torsades de tricyclic
pointes? antidepressants,
erythromycin,
ketoconazole,
haloperidol,
cisapride,
disopyramide,
pentamidine,
sotalol, class I
anti-arrhythmics
12. CHF - Systolic dysfunction means a problem with the pump; CCB!
____. What drug is contraindicated?
13. CHF - Diastolic dysfunction means a problem with the compliance or re-
____. laxation of the
heart during ven-
tricular filling
14. The ________principle means that as preload in- Frank-Starling
creases, the ventricle is stretched during diastole principle
filling and the ejection fraction is increased.
15. _____is released from cardiac ventricles in response BNP - B-type na-
to increased wall tension. triuretic peptide
16. What is the pharmacologic therapy for heart failure? 1. diuretics for fluid
retention
2. ACEi
3. vasodilators
(hydralazine & ni-
trates)
4. BB for LV dys-
function
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
5. digitalis to
increase cardiac
contractility
17. Functional Classification of Heart Failure: Class I, Class II,
___-No cardiac symptoms with ordinary activity. Class III, Class IV
___-Cardiac symptoms w MARKED activity but
asymptomatic at rest
___-Cardiac symptoms w MILD activity but asympto-
matic at rest
___-Cardiac symptoms at rest.
18. Stage 1 Hypertension is defined as greater than ____. 140/90; 160/100
Stage 2 Hypertension is defined as greater than ____.
19. Hypertension Drug of Choice for: Angina - BB, CCB
angina Diabetes - ACEi &
diabetes CCB, avoid diuret-
hyperlipidemia ics
CHF Hyperlipidemia -
Previous MI ACEi & CCB,
Chronic Renal Failure avoid diuretics/BB
Asthma, COPD CHF - diuretics
& ACEi, avoid
CCB/BB
Previous MI -
BB/ACEi
Chronic renal fail-
ure - diuretics,
CCB
Asthma - diuretics
& CCB, avoid BB
20. Secondary hypertension is HTN due to an ______. identifiable cause
ie. renovascular
disease, coarcta-
tion of the aor-
ta, primary aldos-
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
1. Dilated Cardiomyopathy: most common cause is alcohol; may also
____. Others? be idiopathic, my-
ocarditis, or drugs
(doxorubicin) -- 1
in 3 cases of
heart failure are
caused by dilated
cardiomyopathy
2. What PE and EKG changes are seen with dilated PE: S3, JVD,
cardiomyopathy? crackles - possible
mitral regurg
EKG: nonspecific
ST and T wave
changes, LBBB
3. Hypertrophic cardiomyopathy: is due to hypertro- cardiac septum;
phy of the _____. PE reveals mitral regurgitation, a S4
____heart sound, and prominent left ventricular im-
pulse. EKG reveals LVH
4. Restrictive cardiomyopathy: often caused by a --infiltrative
____process, or post-radiation or post open-heart process -
surgery. What is the most common first symptom? amyloidosis,
sarcoidosis, and
hemochromatosis
-- changes in
myocardium
--most common
first symptom is
exertion intoler-
ance and fluid re-
tention, signs of
right heart failure
5. Atrial fibrillation - regularly irregular - the most com- 1. rate control w
mon sustained arrhythmia in adults - what three treat- BB, CCB, or digox-
ments are used? in
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
2. Anticoagulation
w heparin & war-
farin
3. rhythm control
w amiodarone or
cardioversion
6. Atrial flutter - sawtooth pattern in II, III, aVF - what 1. cardioversion if
three treatments are used? no contraindica-
tions
2. acute rate con-
trol tx w BB, CCB
- amiodarone, so-
talol, quinidine, or
procainamide
3. If site of reen-
trant is known,
catheter ablation
7. Multifocal atrial tachycardia - noted in patients with CCB
COPD or severe systemic illness - EKG shows mul-
tiple shaped P waves and differing PR intervals.
____are agents of choice?
8. BLOCKS First degree;
1. ____=prolonged PR interval Wenckebach Mo-
2.____=progressive increase in PR until Pwave is bitz type I; Mobitz
blocked. type II, Third de-
3._____=sudden block in P wave w no change in PR gree block
4._____=atrial and ventricular rhythm are indepen-
dent of each other.
9. A _____may develop after acute MI, PE, aortic steno- Bundle branch
sis and is due to a conduction delay in the right or left block
bundles.
10. Paroxysmal supraventricular tachycardia is a reen-
try tachycardia, commonly noted in elderly patients
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
with underlying heart disease. What treatment may vagal maneu-
be helpful before using adenosine ie. the drug of vers or antianxiety
choice? medication
11. What are some drugs associated with Torsades de tricyclic
pointes? antidepressants,
erythromycin,
ketoconazole,
haloperidol,
cisapride,
disopyramide,
pentamidine,
sotalol, class I
anti-arrhythmics
12. CHF - Systolic dysfunction means a problem with the pump; CCB!
____. What drug is contraindicated?
13. CHF - Diastolic dysfunction means a problem with the compliance or re-
____. laxation of the
heart during ven-
tricular filling
14. The ________principle means that as preload in- Frank-Starling
creases, the ventricle is stretched during diastole principle
filling and the ejection fraction is increased.
15. _____is released from cardiac ventricles in response BNP - B-type na-
to increased wall tension. triuretic peptide
16. What is the pharmacologic therapy for heart failure? 1. diuretics for fluid
retention
2. ACEi
3. vasodilators
(hydralazine & ni-
trates)
4. BB for LV dys-
function
, EMERGENCY MEDICINE EOR EXAM LATEST 2024 ACTUAL EXAM 290
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWE
| ALREADY GRADED A+
Study online at https://quizlet.com/_fxs1cl
5. digitalis to
increase cardiac
contractility
17. Functional Classification of Heart Failure: Class I, Class II,
___-No cardiac symptoms with ordinary activity. Class III, Class IV
___-Cardiac symptoms w MARKED activity but
asymptomatic at rest
___-Cardiac symptoms w MILD activity but asympto-
matic at rest
___-Cardiac symptoms at rest.
18. Stage 1 Hypertension is defined as greater than ____. 140/90; 160/100
Stage 2 Hypertension is defined as greater than ____.
19. Hypertension Drug of Choice for: Angina - BB, CCB
angina Diabetes - ACEi &
diabetes CCB, avoid diuret-
hyperlipidemia ics
CHF Hyperlipidemia -
Previous MI ACEi & CCB,
Chronic Renal Failure avoid diuretics/BB
Asthma, COPD CHF - diuretics
& ACEi, avoid
CCB/BB
Previous MI -
BB/ACEi
Chronic renal fail-
ure - diuretics,
CCB
Asthma - diuretics
& CCB, avoid BB
20. Secondary hypertension is HTN due to an ______. identifiable cause
ie. renovascular
disease, coarcta-
tion of the aor-
ta, primary aldos-
