FAMILY MEDICINE EOR EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
LATEST VERSION
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'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
Sprain ANSWER - >injury to a ligament. Graded I-III (complete).
,Ottawa Ankle Rules ANSWER - >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
Strain ANSWER - >tearing of muscle or tendon fibers caused by
excessive stretch during vigorous activity. Graded I-IV
(complete).
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
Timeline:
Reperfusion should take place before hours of symptom
onset.
Door to needle time for fibrinolysis is min.
Door to balloon time for PCI is min. ANSWER - >12 hours;
30 minutes; 90 minutes
If a patient has nondiagnostic changes in ST segment or T wave,
consider what? ANSWER - >serial cardiac markers -- repeat
EKGs
All patients should be on treatment for the 1st year after
MI, then indefinitely. ANSWER - >dual antiplatelet for 1st
year; then ASA indefinitely
develops in 10-20% of anterior MI's; ST elevation present
4-8 weeks post MI & pulging scar is diagnostic. ANSWER - >LV
aneurysm
In what patients should a "silent MI" be a concern? ANSWER -
>elderly, women, DM
ST elevation progresses to which is a sign of dead muscle.
ANSWER - >Q waves
COMPLETE SOLUTIONS GUARANTEED PASS 2025/2026
LATEST VERSION
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'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
Sprain ANSWER - >injury to a ligament. Graded I-III (complete).
,Ottawa Ankle Rules ANSWER - >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
Strain ANSWER - >tearing of muscle or tendon fibers caused by
excessive stretch during vigorous activity. Graded I-IV
(complete).
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
Timeline:
Reperfusion should take place before hours of symptom
onset.
Door to needle time for fibrinolysis is min.
Door to balloon time for PCI is min. ANSWER - >12 hours;
30 minutes; 90 minutes
If a patient has nondiagnostic changes in ST segment or T wave,
consider what? ANSWER - >serial cardiac markers -- repeat
EKGs
All patients should be on treatment for the 1st year after
MI, then indefinitely. ANSWER - >dual antiplatelet for 1st
year; then ASA indefinitely
develops in 10-20% of anterior MI's; ST elevation present
4-8 weeks post MI & pulging scar is diagnostic. ANSWER - >LV
aneurysm
In what patients should a "silent MI" be a concern? ANSWER -
>elderly, women, DM
ST elevation progresses to which is a sign of dead muscle.
ANSWER - >Q waves
