EM Comat [ACTUAL EXAM] LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
SAVE
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) - CORRECT ANSWER
anterior wall infarction
ST elevation V1-V6, I, avL - CORRECT ANSWER anterolateral wall infarction
ST elevation in V4-V6, II, II, avF - CORRECT ANSWER inferolateral wall infarction
why are nitrates contraindicated in acute right ventricular STEMI - CORRECT
ANSWER decrease the preload and potentially starve the body of blood
signs of posterior infarct - CORRECT ANSWER R/S ratio greater in leads V1 and V2
blood supply is left circumflex
tx this one with MONA
Where is the infarction if ST segments are elevated in II, III, aVF with reciprocal ST
segment depression in (V1-V3) - CORRECT ANSWER right inferior (ventricular) wall
ST segment elevation in V3 and V4...what type of infarct - CORRECT ANSWER
anterior
TIMI risk score - CORRECT ANSWER
first thing to do if patient comes in with SVT - CORRECT ANSWER vagal maneuvers
medical tx for SVT - CORRECT ANSWER adenosine
how does adenosine work - CORRECT ANSWER block AV node
what treatment would you use for symptomatic bradycardia - CORRECT ANSWER
atropine
, atropine is contraindicated in SVT or VTach b/c it can cause increase in HR, worsen an
ischemic episode
person presenting with arrhythmia like Vtach - treatment - CORRECT ANSWER
cardioversion
what type of fever can present in a patient receiving chemo - CORRECT ANSWER
neutropenic fever
what type of test should be avoided in a thrombocytopenic patient - CORRECT
ANSWER DRE- increased risk of bleeding
treatment for patient with thrombocytopenia - CORRECT ANSWER give platelets
if renal calculi are less than 4 mm, what is the percentage of spontaneous passage -
CORRECT ANSWER 80%
contents of carotid sheath - CORRECT ANSWER internal jugular vein
common carotid artery
treatment for acute pericarditis - CORRECT ANSWER NSAIDS
usually preceded by URI
bitter almond breath- what type of poisoning - CORRECT ANSWER cyanide
poisioning
treatment for ascites - CORRECT ANSWER dietary sodium restriction and diuretics
who is the first person to report to if a medical device fails - CORRECT ANSWER
FDA
Smoke inhalation from a bbq- pt comes in with coughing, headache, myalgias,
hoarseness, wheezing...what should you think of - CORRECT ANSWER CO
poisoning- check an ABG and serum carboxyhemoglobin
inhalational injury in a burn victim, how would you treat - CORRECT ANSWER insert
ET tube
glasgow coma scale - CORRECT ANSWER
common fracture of thumb/ first metacarpal - CORRECT ANSWER Bennet fracture
orbital cellulitis tx - CORRECT ANSWER IV antibiotics and admission
ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
SAVE
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) - CORRECT ANSWER
anterior wall infarction
ST elevation V1-V6, I, avL - CORRECT ANSWER anterolateral wall infarction
ST elevation in V4-V6, II, II, avF - CORRECT ANSWER inferolateral wall infarction
why are nitrates contraindicated in acute right ventricular STEMI - CORRECT
ANSWER decrease the preload and potentially starve the body of blood
signs of posterior infarct - CORRECT ANSWER R/S ratio greater in leads V1 and V2
blood supply is left circumflex
tx this one with MONA
Where is the infarction if ST segments are elevated in II, III, aVF with reciprocal ST
segment depression in (V1-V3) - CORRECT ANSWER right inferior (ventricular) wall
ST segment elevation in V3 and V4...what type of infarct - CORRECT ANSWER
anterior
TIMI risk score - CORRECT ANSWER
first thing to do if patient comes in with SVT - CORRECT ANSWER vagal maneuvers
medical tx for SVT - CORRECT ANSWER adenosine
how does adenosine work - CORRECT ANSWER block AV node
what treatment would you use for symptomatic bradycardia - CORRECT ANSWER
atropine
, atropine is contraindicated in SVT or VTach b/c it can cause increase in HR, worsen an
ischemic episode
person presenting with arrhythmia like Vtach - treatment - CORRECT ANSWER
cardioversion
what type of fever can present in a patient receiving chemo - CORRECT ANSWER
neutropenic fever
what type of test should be avoided in a thrombocytopenic patient - CORRECT
ANSWER DRE- increased risk of bleeding
treatment for patient with thrombocytopenia - CORRECT ANSWER give platelets
if renal calculi are less than 4 mm, what is the percentage of spontaneous passage -
CORRECT ANSWER 80%
contents of carotid sheath - CORRECT ANSWER internal jugular vein
common carotid artery
treatment for acute pericarditis - CORRECT ANSWER NSAIDS
usually preceded by URI
bitter almond breath- what type of poisoning - CORRECT ANSWER cyanide
poisioning
treatment for ascites - CORRECT ANSWER dietary sodium restriction and diuretics
who is the first person to report to if a medical device fails - CORRECT ANSWER
FDA
Smoke inhalation from a bbq- pt comes in with coughing, headache, myalgias,
hoarseness, wheezing...what should you think of - CORRECT ANSWER CO
poisoning- check an ABG and serum carboxyhemoglobin
inhalational injury in a burn victim, how would you treat - CORRECT ANSWER insert
ET tube
glasgow coma scale - CORRECT ANSWER
common fracture of thumb/ first metacarpal - CORRECT ANSWER Bennet fracture
orbital cellulitis tx - CORRECT ANSWER IV antibiotics and admission
