FAMILY MEDICINE EOR EXAM 2025
QUESTIONS AND ANSWERS
What is the treatment for systolic HF? - ANS Non-pharmacologic: oxygen, positive-pressure
ventilation, sodium/fluid restriction
Pharmacologic: diuretics, vasodilators, inotropes, anti-coagulants, beta blockers, digoxin
What is hypertrophic cardiomyopathy (HCM)? - ANS LV hypertrophy with or w/o L
ventricular outflow tract (LVOT) obstruction, cardiac myocyte disarray, familial occurrence,
sudden cardiac death
History of patient with HCM - ANS HF sxs, fatigue, angina, palpitations, syncope;
PE: murmur, increased apical impulse, S4
Tx for HCM - ANS Beta Blockers, disopyramide, verapamil
What is Wolff-Parkinson-White syndrome? - ANS Pre-excitation syndrome; ventricles
contract prematurely via Bundle of Kent; SVT
Dx of WPW? - ANS Short PR interval <120 ms, delta wave, QRS prolongation >110 ms
Tx or WPW? - ANS Adenosine, Cardioversion or tissue ablation
What is pericarditis? - ANS Inflammation of the pericardium with or without pericardial
effusion. MCly idiopathic, likely related to viral infection.
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
,Signs/Sxs of pericarditis? - ANS Sxs: Prodrome of F, malaise, myalgias; acute, sharp, stabbing
CP; pleuritic pain, pain reduced by leaning forward, SOB
PE: friction rub- coarse, high-pitched sound heard best at expiration at LLSB with pt learning
forward; new S3
Diagnostic sign on EKG of pericarditis? - ANS Widespread ST elevation and PR depression -->
normalization --> T waves begin to invert --> normalization
Tx of pericarditis? - ANS NSAIDs, colchicine, steroids
Tx for hypertension? - ANS aerobic exercise, wt reduction, smoking cessation
Rx: first line- thiazide, ACE-Is, ARBs, long acting CCBs (amlodipine, verapamil, nifedipine,
diltiazem)
Tx for Mitral Valve Prolapse? - ANS Reassurance, normal lifestyle and activity
Tx for symptomatic bradycardia? - ANS Atropine, then transcutaneous pacing
Etiology of hypokalemia? - ANS GI loss, diuretics, glucocorticoid excess states, refeeding
syndrome
Dx of hypokalemia - ANS serum K <3.5 mEq/L; skeletal muscle weakness, GI hypomobility,
polyuria, polydipsia, decreased skin turgor
Tx of Atrial Fibrillation - ANS Rate control (Beta Blockers, CCBs, digoxin, amiodarone);
Rhythm control; cardioversion; ablation; anti-coagulation: long-term warfarin tx
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 2
, What is supraventricular tachycardia (SVT)? - ANS AV nodal/atrioventricular re-entry
tachycardia. Tachydysrhythmia arising above the Bundle of His
Dx of SVT? - ANS S/Sx: may occur spontaneously or upon provocation with caffeine, exertion,
alcohol, or amphetamines. sudden onset of palpations, fall of BP, syncope
EKG: 140-280 BPM, narrow-complex, regular, retrograde P waves
Tx of SVT? - ANS Adenosine
What is erythema multiforme? - ANS EM is an acute, self-limited hypersensitivity rxn.
-MCly triggered by HSV 1 or 2, or drugs
-involves skin and mucus membranes, MCly mouth
Dx of erythema multiforme? - ANS -Preceding HSV infection 2 wks before eruptions
-Rash involving skin and MCly the mouth
S/sx: pleomorphic skin eruption with a mixture of papules of various sizes and target lesions;
symmetrically distributed
Tx of erythema multiforme? - ANS Tx underlying cause, antihistamines, topical
corticosteroids, mouthwashes
What is adrenal insufficiency? - ANS -Primary adrenal insufficiency aka Addison dz is caused
by dysfxn or absence of adrenal cortices.
-Secondary adrenal insufficiency is d/t deficient secretion of ACTH (pituitary failure)
-Tertiary: hypothalamic failure
-autoimmune or infectious (TB MC)
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
QUESTIONS AND ANSWERS
What is the treatment for systolic HF? - ANS Non-pharmacologic: oxygen, positive-pressure
ventilation, sodium/fluid restriction
Pharmacologic: diuretics, vasodilators, inotropes, anti-coagulants, beta blockers, digoxin
What is hypertrophic cardiomyopathy (HCM)? - ANS LV hypertrophy with or w/o L
ventricular outflow tract (LVOT) obstruction, cardiac myocyte disarray, familial occurrence,
sudden cardiac death
History of patient with HCM - ANS HF sxs, fatigue, angina, palpitations, syncope;
PE: murmur, increased apical impulse, S4
Tx for HCM - ANS Beta Blockers, disopyramide, verapamil
What is Wolff-Parkinson-White syndrome? - ANS Pre-excitation syndrome; ventricles
contract prematurely via Bundle of Kent; SVT
Dx of WPW? - ANS Short PR interval <120 ms, delta wave, QRS prolongation >110 ms
Tx or WPW? - ANS Adenosine, Cardioversion or tissue ablation
What is pericarditis? - ANS Inflammation of the pericardium with or without pericardial
effusion. MCly idiopathic, likely related to viral infection.
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
,Signs/Sxs of pericarditis? - ANS Sxs: Prodrome of F, malaise, myalgias; acute, sharp, stabbing
CP; pleuritic pain, pain reduced by leaning forward, SOB
PE: friction rub- coarse, high-pitched sound heard best at expiration at LLSB with pt learning
forward; new S3
Diagnostic sign on EKG of pericarditis? - ANS Widespread ST elevation and PR depression -->
normalization --> T waves begin to invert --> normalization
Tx of pericarditis? - ANS NSAIDs, colchicine, steroids
Tx for hypertension? - ANS aerobic exercise, wt reduction, smoking cessation
Rx: first line- thiazide, ACE-Is, ARBs, long acting CCBs (amlodipine, verapamil, nifedipine,
diltiazem)
Tx for Mitral Valve Prolapse? - ANS Reassurance, normal lifestyle and activity
Tx for symptomatic bradycardia? - ANS Atropine, then transcutaneous pacing
Etiology of hypokalemia? - ANS GI loss, diuretics, glucocorticoid excess states, refeeding
syndrome
Dx of hypokalemia - ANS serum K <3.5 mEq/L; skeletal muscle weakness, GI hypomobility,
polyuria, polydipsia, decreased skin turgor
Tx of Atrial Fibrillation - ANS Rate control (Beta Blockers, CCBs, digoxin, amiodarone);
Rhythm control; cardioversion; ablation; anti-coagulation: long-term warfarin tx
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 2
, What is supraventricular tachycardia (SVT)? - ANS AV nodal/atrioventricular re-entry
tachycardia. Tachydysrhythmia arising above the Bundle of His
Dx of SVT? - ANS S/Sx: may occur spontaneously or upon provocation with caffeine, exertion,
alcohol, or amphetamines. sudden onset of palpations, fall of BP, syncope
EKG: 140-280 BPM, narrow-complex, regular, retrograde P waves
Tx of SVT? - ANS Adenosine
What is erythema multiforme? - ANS EM is an acute, self-limited hypersensitivity rxn.
-MCly triggered by HSV 1 or 2, or drugs
-involves skin and mucus membranes, MCly mouth
Dx of erythema multiforme? - ANS -Preceding HSV infection 2 wks before eruptions
-Rash involving skin and MCly the mouth
S/sx: pleomorphic skin eruption with a mixture of papules of various sizes and target lesions;
symmetrically distributed
Tx of erythema multiforme? - ANS Tx underlying cause, antihistamines, topical
corticosteroids, mouthwashes
What is adrenal insufficiency? - ANS -Primary adrenal insufficiency aka Addison dz is caused
by dysfxn or absence of adrenal cortices.
-Secondary adrenal insufficiency is d/t deficient secretion of ACTH (pituitary failure)
-Tertiary: hypothalamic failure
-autoimmune or infectious (TB MC)
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 3
