1
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Internal Medicine EOR Questions and
Answers (100% Correct Answers) Already
Graded A+
3rd degree heart block [ Ans: ] Ps and Qs don't agree
But occur at regular intervals
Which coronary artery is occluded in an inferior wall MI? [ Ans: ]
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Right Coronary Artery or Right Circumflex Artery
Common adverse effects of thiazide diuretics [ Ans: ]
Hypokalemia
Hypercalcemia
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Hyperuricemia
Hyponatremia
Hyperglycemia
Hyperlipidemia
Hypomagnesemia
Common adverse effects of loop diuretics [ Ans: ] Hyponatremia
Hypokalemia
Hypersensitivity reactions (sulfa)
Hyperuricemia
Metabolic alkalosis
Ototoxicity
In which leads do you see ST elevations in an inferior wall MI? [
Ans: ] II, III, aVF
Which coronary artery is occluded in an anterior wall or septal MI?
[ Ans: ] Left Anterior Descending
, 2
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Which leads do you see ST elevations in a septal MI? [ Ans: ] V1-
V4, disappearance of septum Q in leads V5,V6
Which coronary arteries are occluded in a lateral wall MI? [ Ans: ]
Left circumflex or obtuse marginal
Which leads do you see ST elevations in a lateral wall MI? [ Ans: ]
I, aVL, V5, V6
Does hypernatremia or hyponatremia show EKG changes? [ Ans:
] NO
Ventricular Bigeminy [ Ans: ] Every other beat is a PVC.
No clinical implications
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What is the medication of choice for paroxysmal supraventricular
tachycardia? [ Ans: ] Adenosine IV 6 mg
Which patients are candidates for an ICD? [ Ans: ] 1) H/o
Ventricular tachycardia
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2) H/o Ventricular arrhythmia
3) H/o MI
4) CHF (EF </= 35%)
Aortic Stenosis Murmur [ Ans: ] Decreases with valsalva and
standing.
Increases with squatting.
What is an Austin Flint murmur? [ Ans: ] A murmur due to aortic
regurgitation, originating at the mitral valve when blood enters
simultaneously from both the aorta and the left atrium.
An aortic stenosis murmur results in.... [ Ans: ] progressive left
ventricular outflow obstruction
How do you definitively diagnose aortic stenosis? [ Ans: ]
Echocardiogram (TTE)
Which murmur?
Diastolic murmur
Heart best at apex in L lateral decubitus position with bell
, 3
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Associated with renal failure and malar rash [ Ans: ] Mitral
Stenosis
Which murmur?
Pansystolic murmur
Sharp carotid upstroke
Heard best at apex
Radiates to axilla
Left atrial enlargement
Left ventricular hypertrophy [ Ans: ] Mitral Regurgitation
Which murmur?
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Systolic murmur
Mid-systolic click
Heard best at apex on expiration
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Whooping/honking sound
Decreases with squatting [increased preload]
Increases with valsalva or standing [decreased preload] [ Ans: ]
Mitral Valve Prolapse
Which murmur?
Ejection Systolic murmur
Right Upper Sternal Border radiating to neck
S4
Narrow pulse pressure
Crescendo-Decrescendo
Heard best in 2nd ICS R sternal edge, on expiration, sitting forward
[ Ans: ] Aortic Stenosis
Which murmur?
Diastolic murmur
Traube's sign
, 4
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Austin Flint murmur [ Ans: ] Aortic insufficiency/Aortic
regurgitation
What type of murmur is tricuspid stenosis? [ Ans: ] Diastolic
What type of murmur is pulmonic stenosis? [ Ans: ] Systolic
What is the definition of HFrEF [systolic heart failure]? [ Ans: ]
Heart failure with LVEF </= 40%
What is the definition of HFpEF [diastolic heart failure]? [ Ans: ]
Heart failure with LVEF > 50%
What are some pharmacologic therapy options for a patient with
Stage C HFrEF? [ Ans: ] Routine use:
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Diuretic (if has fluid retention)
ACE-I
ARB (if ACE-I intolerant)
Guru01 - Stuvia
Aldosterone receptor antagonists (NYHA class II-IV with LVEF </=
35% or following an acute MI with LVEF </= 40% w/sx of HF or DM)
Beta blocker
Selected patients:
Hydralazine and isosorbide dinitrate (For African Americans with
NYHA class III-IV HFrEF on GDMT)
Digoxin
Anticoagulants
What is the acute management of a patient with acute MI? [
Ans: ] Hospitalize
Possible cardioversion
Beta blocker (if no late stage heart failure)
Rate control
Morphine
For Expert help and assignment solutions, +254707240657
Internal Medicine EOR Questions and
Answers (100% Correct Answers) Already
Graded A+
3rd degree heart block [ Ans: ] Ps and Qs don't agree
But occur at regular intervals
Which coronary artery is occluded in an inferior wall MI? [ Ans: ]
© 2025 Assignment Expert
Right Coronary Artery or Right Circumflex Artery
Common adverse effects of thiazide diuretics [ Ans: ]
Hypokalemia
Hypercalcemia
Guru01 - Stuvia
Hyperuricemia
Hyponatremia
Hyperglycemia
Hyperlipidemia
Hypomagnesemia
Common adverse effects of loop diuretics [ Ans: ] Hyponatremia
Hypokalemia
Hypersensitivity reactions (sulfa)
Hyperuricemia
Metabolic alkalosis
Ototoxicity
In which leads do you see ST elevations in an inferior wall MI? [
Ans: ] II, III, aVF
Which coronary artery is occluded in an anterior wall or septal MI?
[ Ans: ] Left Anterior Descending
, 2
For Expert help and assignment solutions, +254707240657
Which leads do you see ST elevations in a septal MI? [ Ans: ] V1-
V4, disappearance of septum Q in leads V5,V6
Which coronary arteries are occluded in a lateral wall MI? [ Ans: ]
Left circumflex or obtuse marginal
Which leads do you see ST elevations in a lateral wall MI? [ Ans: ]
I, aVL, V5, V6
Does hypernatremia or hyponatremia show EKG changes? [ Ans:
] NO
Ventricular Bigeminy [ Ans: ] Every other beat is a PVC.
No clinical implications
© 2025 Assignment Expert
What is the medication of choice for paroxysmal supraventricular
tachycardia? [ Ans: ] Adenosine IV 6 mg
Which patients are candidates for an ICD? [ Ans: ] 1) H/o
Ventricular tachycardia
Guru01 - Stuvia
2) H/o Ventricular arrhythmia
3) H/o MI
4) CHF (EF </= 35%)
Aortic Stenosis Murmur [ Ans: ] Decreases with valsalva and
standing.
Increases with squatting.
What is an Austin Flint murmur? [ Ans: ] A murmur due to aortic
regurgitation, originating at the mitral valve when blood enters
simultaneously from both the aorta and the left atrium.
An aortic stenosis murmur results in.... [ Ans: ] progressive left
ventricular outflow obstruction
How do you definitively diagnose aortic stenosis? [ Ans: ]
Echocardiogram (TTE)
Which murmur?
Diastolic murmur
Heart best at apex in L lateral decubitus position with bell
, 3
For Expert help and assignment solutions, +254707240657
Associated with renal failure and malar rash [ Ans: ] Mitral
Stenosis
Which murmur?
Pansystolic murmur
Sharp carotid upstroke
Heard best at apex
Radiates to axilla
Left atrial enlargement
Left ventricular hypertrophy [ Ans: ] Mitral Regurgitation
Which murmur?
© 2025 Assignment Expert
Systolic murmur
Mid-systolic click
Heard best at apex on expiration
Guru01 - Stuvia
Whooping/honking sound
Decreases with squatting [increased preload]
Increases with valsalva or standing [decreased preload] [ Ans: ]
Mitral Valve Prolapse
Which murmur?
Ejection Systolic murmur
Right Upper Sternal Border radiating to neck
S4
Narrow pulse pressure
Crescendo-Decrescendo
Heard best in 2nd ICS R sternal edge, on expiration, sitting forward
[ Ans: ] Aortic Stenosis
Which murmur?
Diastolic murmur
Traube's sign
, 4
For Expert help and assignment solutions, +254707240657
Austin Flint murmur [ Ans: ] Aortic insufficiency/Aortic
regurgitation
What type of murmur is tricuspid stenosis? [ Ans: ] Diastolic
What type of murmur is pulmonic stenosis? [ Ans: ] Systolic
What is the definition of HFrEF [systolic heart failure]? [ Ans: ]
Heart failure with LVEF </= 40%
What is the definition of HFpEF [diastolic heart failure]? [ Ans: ]
Heart failure with LVEF > 50%
What are some pharmacologic therapy options for a patient with
Stage C HFrEF? [ Ans: ] Routine use:
© 2025 Assignment Expert
Diuretic (if has fluid retention)
ACE-I
ARB (if ACE-I intolerant)
Guru01 - Stuvia
Aldosterone receptor antagonists (NYHA class II-IV with LVEF </=
35% or following an acute MI with LVEF </= 40% w/sx of HF or DM)
Beta blocker
Selected patients:
Hydralazine and isosorbide dinitrate (For African Americans with
NYHA class III-IV HFrEF on GDMT)
Digoxin
Anticoagulants
What is the acute management of a patient with acute MI? [
Ans: ] Hospitalize
Possible cardioversion
Beta blocker (if no late stage heart failure)
Rate control
Morphine
