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EM Comat Questions and Answers
EM Comat Questions and Answers
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Em Comat Exam 2025 Questions And Answers
What are the vagal maneuvers to perform in a STABLE patient with narrow complex SVT? - 
ANS AV nodal reentrant tachy is most common 
-vagal maneuvers are first line if stable (if not stable, do synchronized cardioversion) 
-options include carotid massage, valsalva, and immersion in a cold tub of water 
how can you tell the differnce between blood in the stool with diverticulosis and hemorrhoids? 
- ANS blood will be MIXED in with the stool in diverticulosis and will be on OUTSIDE of stool 
with...
Exam (elaborations)
Em Comat Exam 2025 Questions And Answers
Treatment for organophosphate poisoning - ANS atropine 
ST segment elevation in leads V5, V6, I and avL - ANS lateral wall infarction 
ST segment elevation in leads V3, V4 (also V1 and V2 which would be more septal) 
ST segment reciprocal depression in leads (II, III, avF) - ANS anterior wall infarction 
ST elevation V1-V6, I, avL - ANS anterolateral wall infarction 
ST elevation in V4-V6, II, II, avF - ANS inferolateral wall infarction 
why are nitrates contraindicated in acute right ventricula...
Exam (elaborations)
Em Comat Exam 2025 Questions And Answers
Light's criteria exudative pleural effusion - ANS LDH:Serum LDH > 0.6 
fluid protein: serum protein > 0.5 
pleural fluid LDH > 2/3 upper limit of normal 
if none met then exudate is transudative 
Causes of cardiogenic shock - ANS *Acute MI (most common)* 
*cardiac tamponade* 
tension pneumo 
arrhythmia 
massive PE leading to RVF 
myocardial disease 
mechanical abnormalities 
cardiogenic shock tx - ANS ABC's first 
identify and treat underlying cause (i.e. pericardiocentesis if due...
Exam (elaborations)
Em Comat Exam 2025 Questions And Answers
Treatment for high altitude pulmonary edema - ANS Supplemental O2 
High altitude pulmonary edema typically develops within 1 week of ascent to high altitude. 
Patients have a normal cardiac exam (which rules out cardiogenic pulmonary edema) and a 
normal serum procalcitonin concentration. The most effective treatments are rapid descent 
and supplemental O2. 
CF: recent arrival at a high altitude, bilateral crackles on pulmonary exam. Normal cardiac 
examination, diffuse, patchy infiltrates on CX...
Exam (elaborations)
Em Comat Exam 2025 Questions And Answers
The first principle in the management of trauma patients - ANS the primary survey is ABCDE 
and stands for: 
A = airway 
B = breathing 
C = circulation 
D = disability 
E = exposure. 
Classification of Shock - ANS 
SIRS criteria - ANS 2/4 of the criteria 
-- Temp > 38.5 (101.4F) or < 35 (95 F) 
-- Pulse > 90 
-- Resp > 20 
-- WBC > 12,000, < 4000, > -- 10% bands 
Sepsis - ANS 
Severe sepsis criteria - ANS *Sepsis + organ dysfunction* 
EM COMAT EXAM 2025 QUESTIONS 
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Exam (elaborations)
Em Comat Exam 2025 Questions And Answers
Presents nonspecific with fatigue, malaise, weakness, weight loss, GI symptoms, low BP, 
hyperpigmentation, etc. - ANS primary adrenal insufficiency (Addison disease) 
in primary adrenal insufficiency, increased ADH secretion leads to water retention that leads to 
_______________ and aldosterone deficiency leads to _______________ - 
ANS hyponatremia, hyperkalemia 
what test do you want to get to check for carbon monoxide poisoning - ANS ABG (arterial 
blood gas) 
most likely diagnosis of pt pr...