FAMILY MEDICINE EOR EXAM
ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
URGENT CARE: Respiratory arrest has a multitude of causes including pulmonary, cardiac,
neurologic, toxic/metabolic, etc. Name some. - ✔✔ANSWER✔✔->>COPD, asthma, foreign
objects, angioedema, DKA, cancer etc.
Abnormal breath sounds:
____is an airway obstruction. ____ suggests obstruction above the vocal cords and ___
suggests obstruction below the vocal cords.
____suggests obstruction below the level of the trachea.
____suggests presence of interalveolar fluid (PNA), pulmonary fibrosis. - ✔✔ANSWER✔✔-
>>Stridor, inspiratory stridor, expiratory stridor; Wheezing; crackles & rales
_____of respiratory arrest includes ACS, acute heart failure, arrhythmia, pericardial
tamponade, PE, PNA, COPD, asthma, angioedema, anaphylaxis, CO poisoning, trauma. -
✔✔ANSWER✔✔->>Differential Diagnosis
D/D for ____ includes DKA, hypoglycemia, UTI, sepsis, drug overdose, stroke, and seizure. -
✔✔ANSWER✔✔->>deteriorating mental status or unconscious patient
D/D for ____ includes appendicitis, pancreatitis, PID, obstruction, AAA, perforated viscous,
diverticulitis, mesenteric ischemia, or infarction. - ✔✔ANSWER✔✔->>acute abdomen
,What is the treatment for allergic reaction? immediate & subsequent? - ✔✔ANSWER✔✔-
>>epi 1:1000 IM q 10 min 0.5mg; antihistamine (H1 & H2), steroids, bronchodilators
What is the rule of 9's in burn management? - ✔✔ANSWER✔✔->>9 head, 9 left arm, 9 right
arm, 18 anterior torso, 18 posterior torso, 1 genitals
What is the Parkland formula in burn management? - ✔✔ANSWER✔✔->>4 cc LR per % body
burned per kg body weight --- insert 2 large bore IV's into unburned skin
Placenta previa presents with ____. - ✔✔ANSWER✔✔->>painless vaginal bleeding.
Placenta abruption presents with ____. RF: maternal HTN, smoking, cocaine, multiples,
PROM, inherited thrombophilia. Labs: decreased fibrinogen, decreased platelets -
✔✔ANSWER✔✔->>painful vaginal bleeding.
____is a surgical emergency. RF: previous c/s, prior uterine surgery, hyperstimulation w
oxytocin, trauma, parity >4. - ✔✔ANSWER✔✔->>Uterine rupture
____ is bleeding from umbilical cord resulting in loss of fetal blood. - ✔✔ANSWER✔✔-
>>Vasa previa
With a black widow bite, what can be used for muscle spasms & rigidity? What about
antivenom? - ✔✔ANSWER✔✔->>diazepam, calcium gluconate, robaxin; use antivenom
judiciously
Which pit viper snake has the most potent vemom: rattlesnake, cottonmouth, or
copperhead? - ✔✔ANSWER✔✔->>rattlesnake
What do you apply to a jellyfish sting? - ✔✔ANSWER✔✔->>acetic acid or vinegar
What's the classic triad of foreign body aspiration? - ✔✔ANSWER✔✔->>generalized
wheezing, cough, diminished breath sounds
,Explain the Salter-Harris classification of growth plate injuries? - ✔✔ANSWER✔✔->>I -
Straight
II - Above
III - Lower
IV - Through
V - Ram
____ is injury to a ligament. Graded I-III (complete). - ✔✔ANSWER✔✔->>Sprain
____ =
a. pain at medial malleolus/distal fibula/inability to walk
b. pain at midfoot/5th metatarsal
c. pain at navicular bone/inability to bear weight for 4 steps - ✔✔ANSWER✔✔->>Ottawa
ankle rules
____ = tearing of muscle or tendon fibers caused by excessive stretch during vigorous
activity. Graded I-IV (complete). - ✔✔ANSWER✔✔->>Strain
ST Elevations in II, III, aVF - ✔✔ANSWER✔✔->>Inferior MI; right coronary artery
ST Elevations in I, aVL, V4, V5, V6 - ✔✔ANSWER✔✔->>lateral wall MI, left circumflex artery
ST Elevations in V1, V2, V3, V4, V5 - ✔✔ANSWER✔✔->>Anterioseptal MI, left anterior
descending artery
ST Elevations in V1, V2 - ✔✔ANSWER✔✔->>posterior wall MI, posterior descending artery
No nitroglycerin in which type of MI? - ✔✔ANSWER✔✔->>inferior wall MI bc of possible
hypotension
, What are the pre hospital treatments for ACS? - ✔✔ANSWER✔✔->>MONA; morphine,
oxygen, nitroglycerin (0.4mg SL x3 prn), aspirin (325mg)
What two meds should be given to all ACS patients that do not have contraindications? -
✔✔ANSWER✔✔->>BB - unless brady or severe COPD - then do NDCCB
(verapamil/diltiazem)
ACEi - if cough, use ARB
How long should Plavix/Clopidogrel be used for bare metal or drug eluting stents? -
✔✔ANSWER✔✔->>bare metal - 30d-12m
drug eluting - >/=12mon
What meds should a patient go home with after ACS? - ✔✔ANSWER✔✔->>Nitroglycerin
BB
ACEi
ASA/Clopidogrel
anticoagulant (up to 8days for LMWH)
aldosterone agonist
statin
LIFESTYLE CHANGES
Cardiac Markers: _____is detectable within 1-2 hours after acute MI. Duration <1 day. Low
specificity. - ✔✔ANSWER✔✔->>Myoglobin
Cardiac Markers: _____is the test of choice and appears 2-6 hours after MI and stays
elevated for 5-10 days. - ✔✔ANSWER✔✔->>Troponin
Cardiac Markers: _____appears 3-6 hours after MI and stays elevated for 2-4 days. Specific
to heart muscle. - ✔✔ANSWER✔✔->>Creatine Kinase Mb
ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
URGENT CARE: Respiratory arrest has a multitude of causes including pulmonary, cardiac,
neurologic, toxic/metabolic, etc. Name some. - ✔✔ANSWER✔✔->>COPD, asthma, foreign
objects, angioedema, DKA, cancer etc.
Abnormal breath sounds:
____is an airway obstruction. ____ suggests obstruction above the vocal cords and ___
suggests obstruction below the vocal cords.
____suggests obstruction below the level of the trachea.
____suggests presence of interalveolar fluid (PNA), pulmonary fibrosis. - ✔✔ANSWER✔✔-
>>Stridor, inspiratory stridor, expiratory stridor; Wheezing; crackles & rales
_____of respiratory arrest includes ACS, acute heart failure, arrhythmia, pericardial
tamponade, PE, PNA, COPD, asthma, angioedema, anaphylaxis, CO poisoning, trauma. -
✔✔ANSWER✔✔->>Differential Diagnosis
D/D for ____ includes DKA, hypoglycemia, UTI, sepsis, drug overdose, stroke, and seizure. -
✔✔ANSWER✔✔->>deteriorating mental status or unconscious patient
D/D for ____ includes appendicitis, pancreatitis, PID, obstruction, AAA, perforated viscous,
diverticulitis, mesenteric ischemia, or infarction. - ✔✔ANSWER✔✔->>acute abdomen
,What is the treatment for allergic reaction? immediate & subsequent? - ✔✔ANSWER✔✔-
>>epi 1:1000 IM q 10 min 0.5mg; antihistamine (H1 & H2), steroids, bronchodilators
What is the rule of 9's in burn management? - ✔✔ANSWER✔✔->>9 head, 9 left arm, 9 right
arm, 18 anterior torso, 18 posterior torso, 1 genitals
What is the Parkland formula in burn management? - ✔✔ANSWER✔✔->>4 cc LR per % body
burned per kg body weight --- insert 2 large bore IV's into unburned skin
Placenta previa presents with ____. - ✔✔ANSWER✔✔->>painless vaginal bleeding.
Placenta abruption presents with ____. RF: maternal HTN, smoking, cocaine, multiples,
PROM, inherited thrombophilia. Labs: decreased fibrinogen, decreased platelets -
✔✔ANSWER✔✔->>painful vaginal bleeding.
____is a surgical emergency. RF: previous c/s, prior uterine surgery, hyperstimulation w
oxytocin, trauma, parity >4. - ✔✔ANSWER✔✔->>Uterine rupture
____ is bleeding from umbilical cord resulting in loss of fetal blood. - ✔✔ANSWER✔✔-
>>Vasa previa
With a black widow bite, what can be used for muscle spasms & rigidity? What about
antivenom? - ✔✔ANSWER✔✔->>diazepam, calcium gluconate, robaxin; use antivenom
judiciously
Which pit viper snake has the most potent vemom: rattlesnake, cottonmouth, or
copperhead? - ✔✔ANSWER✔✔->>rattlesnake
What do you apply to a jellyfish sting? - ✔✔ANSWER✔✔->>acetic acid or vinegar
What's the classic triad of foreign body aspiration? - ✔✔ANSWER✔✔->>generalized
wheezing, cough, diminished breath sounds
,Explain the Salter-Harris classification of growth plate injuries? - ✔✔ANSWER✔✔->>I -
Straight
II - Above
III - Lower
IV - Through
V - Ram
____ is injury to a ligament. Graded I-III (complete). - ✔✔ANSWER✔✔->>Sprain
____ =
a. pain at medial malleolus/distal fibula/inability to walk
b. pain at midfoot/5th metatarsal
c. pain at navicular bone/inability to bear weight for 4 steps - ✔✔ANSWER✔✔->>Ottawa
ankle rules
____ = tearing of muscle or tendon fibers caused by excessive stretch during vigorous
activity. Graded I-IV (complete). - ✔✔ANSWER✔✔->>Strain
ST Elevations in II, III, aVF - ✔✔ANSWER✔✔->>Inferior MI; right coronary artery
ST Elevations in I, aVL, V4, V5, V6 - ✔✔ANSWER✔✔->>lateral wall MI, left circumflex artery
ST Elevations in V1, V2, V3, V4, V5 - ✔✔ANSWER✔✔->>Anterioseptal MI, left anterior
descending artery
ST Elevations in V1, V2 - ✔✔ANSWER✔✔->>posterior wall MI, posterior descending artery
No nitroglycerin in which type of MI? - ✔✔ANSWER✔✔->>inferior wall MI bc of possible
hypotension
, What are the pre hospital treatments for ACS? - ✔✔ANSWER✔✔->>MONA; morphine,
oxygen, nitroglycerin (0.4mg SL x3 prn), aspirin (325mg)
What two meds should be given to all ACS patients that do not have contraindications? -
✔✔ANSWER✔✔->>BB - unless brady or severe COPD - then do NDCCB
(verapamil/diltiazem)
ACEi - if cough, use ARB
How long should Plavix/Clopidogrel be used for bare metal or drug eluting stents? -
✔✔ANSWER✔✔->>bare metal - 30d-12m
drug eluting - >/=12mon
What meds should a patient go home with after ACS? - ✔✔ANSWER✔✔->>Nitroglycerin
BB
ACEi
ASA/Clopidogrel
anticoagulant (up to 8days for LMWH)
aldosterone agonist
statin
LIFESTYLE CHANGES
Cardiac Markers: _____is detectable within 1-2 hours after acute MI. Duration <1 day. Low
specificity. - ✔✔ANSWER✔✔->>Myoglobin
Cardiac Markers: _____is the test of choice and appears 2-6 hours after MI and stays
elevated for 5-10 days. - ✔✔ANSWER✔✔->>Troponin
Cardiac Markers: _____appears 3-6 hours after MI and stays elevated for 2-4 days. Specific
to heart muscle. - ✔✔ANSWER✔✔->>Creatine Kinase Mb
