PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
What can a thyroid storm imitate? - (ANSWER)CHF, sepsis
Tx for purulent cellulitus - (ANSWER)Cover for MRSA- doxycycline, bactrim, clinndamycin,linezolid
Tx for gonociccal conjunctivits - (ANSWER)3rd gen cephalosporin- cefotaxime
Tx for acute prostatitis - (ANSWER)fluroquinolone such as cipro
Most common sign of ovarian torsion - (ANSWER)ovarian enlargement
Why should you add ampicillin inn pts over 50 with meingits in addition to vanco and ceftriaxone -
(ANSWER)to cover for listeria
What may a postive coombs test indicate - (ANSWER)hemolytic anemia
1st line drug for CAP - (ANSWER)amoxicillin
1st line med to treat pericarditis - (ANSWER)NSAIDS
Tx for acute bacterial parotitis - (ANSWER)ampicillin-sulbactam
Does UC or crohns often have bloody diarrhea and increased cancer risk? - (ANSWER)UC
Does Wernicke's encephalopathy often invovle gait disturbances? - (ANSWER)yes
Tx for COPD pt with changes inn sputum or cough - (ANSWER)macrolide or doxycycline
,PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
Sx of thyroid storm - (ANSWER)fever, htn, tachycardia, anxiety, tremors, diaphoresis, exophthalmos
Sx of high output HF of thyroid storm - (ANSWER)dyspnea on exertion, elevated JVP w/ JVD, pulmonary
edema
Thyroid storm tx - (ANSWER)BB for hyperadrenergic effects of storm, antithyroid meds like methimazole
and propylthiouracil. Iodine AFTER these meds
risk factors for thyroid storm - (ANSWER)hx of thyrotoxicosis, acute event (inf, trauma)
first line vasopressor for cardiogenic shock - (ANSWER)NE
Tx for mobitz t2 2nd degree heart block? - (ANSWER)admit for continious cardiac monitoring
Definitive tx for mobitz t2 2nd degree heart block? - (ANSWER)permanent pacemaker
What is the HEART score? - (ANSWER)hx, ekg, age, risk factors, troponin
What is a low risk HEART score? - (ANSWER)0-3, can be d/c from hospital
Risk factors for ACS - (ANSWER)HTN, DM, hyperlipidemia, hx of coronary revascularization procedure,
obesity, current/recent hx of smoking
AAA dilation criteria - (ANSWER)>3 cm
Risk factors for AAA - (ANSWER)PVD, HTN, smoking, age>65
Sx of AAA rupture - (ANSWER)abd, flank, back pain, hypotn, pulsatile abdominal mass
,PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
When should an asymptomatic AAA be surgically corrected? - (ANSWER)>5.5 cm in male pts, >5 cm in
female pts. If smaller than above, screen with yearly US, every 6 mo if above 5 cm
MC location for AAA - (ANSWER)below level of renal arteries
Inotropic agent used for cardiogenic shock - (ANSWER)dobutamine
Tx for acute HF - (ANSWER)nitrates, diuretics, positive pressure ventilation
Most sensitive sx of acute HF - (ANSWER)DOE!!! and orthopnea, peripheral edema, PND
Exam findings of acute HF - (ANSWER)s3 gallop!! JVD, abdominojugular reflux
What cardiac condition can HIV and antiretroviral therapies cause? - (ANSWER)dilated cardiomyopathy
Leading cause of dilated cardiomyopathy in central and south america? - (ANSWER)Chagas dz
what causes chagas dz? - (ANSWER)Trypanosoma cruzi (protozoan inf)
Meds for dilated cardiomyopathy - (ANSWER)ACEi and diuretucs
What is the MC cardiomyopathy? - (ANSWER)dilated cardiomyopathy
What will you hear on auscultation for dilated cardiomyopathy? - (ANSWER)s3 gallop
What will an echo show for dilated cardiomyopathy? - (ANSWER)4 dilated chambers, V>A
, PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
What does dobutamine do? - (ANSWER)Increase myocardial contractility (inotropic agent)
What should be administered with dobutamine in cardiogenic shock? - (ANSWER)NE, to mitigate
vasodilatory effects of dobutamine
What can be used if a pt in cardiogenic shock is unresponsive to vasopressors? - (ANSWER)intra-aortic
balloon pump
cardiogenic shock presentation - (ANSWER)lethargy, confusion, somnolence
cardiogenic shock PE - (ANSWER)weak peripheral pulses, rapid HR, hypotn
MCC of cardiogenic shock? - (ANSWER)complications of acute MI
continuous machine like murmur: - (ANSWER)PDA
Harsh systolic murmur radiating to carotids: - (ANSWER)aortic stenosis
high pitched apical holosystolic murmur - (ANSWER)mitral regurg
soft blowing holosystolic murmur heard best at LLSB - (ANSWER)tricuspid regurg
high pitched blowing murmur heard best in 2nd-3rd intercostal space - (ANSWER)Aortic regurg
mid diastolic rumbling murmur - (ANSWER)mitral stenosis
ACCURATE ANSWERS
What can a thyroid storm imitate? - (ANSWER)CHF, sepsis
Tx for purulent cellulitus - (ANSWER)Cover for MRSA- doxycycline, bactrim, clinndamycin,linezolid
Tx for gonociccal conjunctivits - (ANSWER)3rd gen cephalosporin- cefotaxime
Tx for acute prostatitis - (ANSWER)fluroquinolone such as cipro
Most common sign of ovarian torsion - (ANSWER)ovarian enlargement
Why should you add ampicillin inn pts over 50 with meingits in addition to vanco and ceftriaxone -
(ANSWER)to cover for listeria
What may a postive coombs test indicate - (ANSWER)hemolytic anemia
1st line drug for CAP - (ANSWER)amoxicillin
1st line med to treat pericarditis - (ANSWER)NSAIDS
Tx for acute bacterial parotitis - (ANSWER)ampicillin-sulbactam
Does UC or crohns often have bloody diarrhea and increased cancer risk? - (ANSWER)UC
Does Wernicke's encephalopathy often invovle gait disturbances? - (ANSWER)yes
Tx for COPD pt with changes inn sputum or cough - (ANSWER)macrolide or doxycycline
,PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
Sx of thyroid storm - (ANSWER)fever, htn, tachycardia, anxiety, tremors, diaphoresis, exophthalmos
Sx of high output HF of thyroid storm - (ANSWER)dyspnea on exertion, elevated JVP w/ JVD, pulmonary
edema
Thyroid storm tx - (ANSWER)BB for hyperadrenergic effects of storm, antithyroid meds like methimazole
and propylthiouracil. Iodine AFTER these meds
risk factors for thyroid storm - (ANSWER)hx of thyrotoxicosis, acute event (inf, trauma)
first line vasopressor for cardiogenic shock - (ANSWER)NE
Tx for mobitz t2 2nd degree heart block? - (ANSWER)admit for continious cardiac monitoring
Definitive tx for mobitz t2 2nd degree heart block? - (ANSWER)permanent pacemaker
What is the HEART score? - (ANSWER)hx, ekg, age, risk factors, troponin
What is a low risk HEART score? - (ANSWER)0-3, can be d/c from hospital
Risk factors for ACS - (ANSWER)HTN, DM, hyperlipidemia, hx of coronary revascularization procedure,
obesity, current/recent hx of smoking
AAA dilation criteria - (ANSWER)>3 cm
Risk factors for AAA - (ANSWER)PVD, HTN, smoking, age>65
Sx of AAA rupture - (ANSWER)abd, flank, back pain, hypotn, pulsatile abdominal mass
,PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
When should an asymptomatic AAA be surgically corrected? - (ANSWER)>5.5 cm in male pts, >5 cm in
female pts. If smaller than above, screen with yearly US, every 6 mo if above 5 cm
MC location for AAA - (ANSWER)below level of renal arteries
Inotropic agent used for cardiogenic shock - (ANSWER)dobutamine
Tx for acute HF - (ANSWER)nitrates, diuretics, positive pressure ventilation
Most sensitive sx of acute HF - (ANSWER)DOE!!! and orthopnea, peripheral edema, PND
Exam findings of acute HF - (ANSWER)s3 gallop!! JVD, abdominojugular reflux
What cardiac condition can HIV and antiretroviral therapies cause? - (ANSWER)dilated cardiomyopathy
Leading cause of dilated cardiomyopathy in central and south america? - (ANSWER)Chagas dz
what causes chagas dz? - (ANSWER)Trypanosoma cruzi (protozoan inf)
Meds for dilated cardiomyopathy - (ANSWER)ACEi and diuretucs
What is the MC cardiomyopathy? - (ANSWER)dilated cardiomyopathy
What will you hear on auscultation for dilated cardiomyopathy? - (ANSWER)s3 gallop
What will an echo show for dilated cardiomyopathy? - (ANSWER)4 dilated chambers, V>A
, PAEA EM EOR |CLINICAL DIAGNOSIS AND TREATMENT|EXAM 2025 WITH 100%
ACCURATE ANSWERS
What does dobutamine do? - (ANSWER)Increase myocardial contractility (inotropic agent)
What should be administered with dobutamine in cardiogenic shock? - (ANSWER)NE, to mitigate
vasodilatory effects of dobutamine
What can be used if a pt in cardiogenic shock is unresponsive to vasopressors? - (ANSWER)intra-aortic
balloon pump
cardiogenic shock presentation - (ANSWER)lethargy, confusion, somnolence
cardiogenic shock PE - (ANSWER)weak peripheral pulses, rapid HR, hypotn
MCC of cardiogenic shock? - (ANSWER)complications of acute MI
continuous machine like murmur: - (ANSWER)PDA
Harsh systolic murmur radiating to carotids: - (ANSWER)aortic stenosis
high pitched apical holosystolic murmur - (ANSWER)mitral regurg
soft blowing holosystolic murmur heard best at LLSB - (ANSWER)tricuspid regurg
high pitched blowing murmur heard best in 2nd-3rd intercostal space - (ANSWER)Aortic regurg
mid diastolic rumbling murmur - (ANSWER)mitral stenosis
