Maxemo EMREE 26-27
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A patient with an inferior STEMI develops hypotension after nitrates with clear lung fields. What is the most likely cause?
Anonymous Quiz
8%
Papillary muscle rupture
21%
Right ventricular infarction
25%
Ventricular free wall rupture
46%
Cardiogenic shock from left ventricular failure
Maxemo EMREE 26-27
A patient with an inferior STEMI develops hypotension after nitrates with clear lung fields. What is the most likely cause?
💡 EXPLANATION:
Inferior STEMI may involve the right ventricle. Nitrates reduce preload and can precipitate hypotension in right ventricular infarction. Clear lungs argue against left ventricular failure.
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Maxemo EMREE 26-27
The underlying pathophysiology of systemic lupus erythematosus involves:
💡 EXPLANATION:
SLE is a type III hypersensitivity disorder characterized by immune complex deposition from anti-nuclear antibodies.
What is the first-line treatment for a healthy 1-year-old with uncomplicated community-acquired pneumonia due to suspected Streptococcus pneumoniae?
Anonymous Quiz
14%
Azithromycin
48%
Amoxicillin
24%
Ceftriaxone
14%
Vancomycin
Maxemo EMREE 26-27
What is the first-line treatment for a healthy 1-year-old with uncomplicated community-acquired pneumonia due to suspected Streptococcus pneumoniae?
💡 EXPLANATION:
High-dose amoxicillin is the first-line treatment for uncomplicated pediatric CAP due to Streptococcus pneumoniae.
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A 58-year-old man with long-standing diabetes reports early satiety and vomiting of undigested food hours after meals. This is most likely due to:
Anonymous Quiz
6%
Nephropathy
72%
Gastroparesis
22%
Peripheral neuropathy
0%
Retinopathy
Maxemo EMREE 26-27
A 58-year-old man with long-standing diabetes reports early satiety and vomiting of undigested food hours after meals. This is most likely due to:
💡 EXPLANATION:
Autonomic neuropathy affecting the vagus nerve leads to delayed gastric emptying, known as diabetic gastroparesis.
A 58-year-old man presents with crushing chest pain and ECG shows ST elevation in leads V2 to V4. What is the most critical immediate medication?
Anonymous Quiz
21%
Intravenous nitroglycerin
68%
Chewed aspirin 325 mg
5%
Intravenous metoprolol
5%
Unfractionated heparin bolus
Maxemo EMREE 26-27
A 58-year-old man presents with crushing chest pain and ECG shows ST elevation in leads V2 to V4. What is the most critical immediate medication?
💡 EXPLANATION:
Aspirin provides immediate mortality benefit in acute STEMI by inhibiting platelet aggregation and limiting thrombus propagation.