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COMSAE Exam – Questions With Correct Solutions (A+)
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COMSAE Exam – Questions With Correct Solutions (A+)
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COMSAE Exam – Questions With Correct Solutions (A+)Electrical alterans Correct Ans - Alternating of the amplitude of the QRS complex from beat to beat. Seen in Cardiac Tamponade.
Reactive hypoglycemia? Correct Ans - occurs postprandially most common in pts with prior gastric surgery
ransom criteria Correct Ans - assess severity of pancreatitis
age >55 yrs
wbc >16,000
glucose >200
LDH >350
AST >250
After 48hrs
hematocirt decrease >10%
bun increase >5 calcium <8
pao2 <60 base deficit >4 fluid sequestration >6
Relative risk equation? Correct Ans - (a/(a+B)) / (c/(c+d))
Unstable pt with SVT? Correct Ans - IV access followed by sedation and synchronized cardioversion
Less than 5 yrs old with fever, rash with bullae, and positive nikolskly? Correct Ans - staph scalded syndrome
triad of chronic pancreatitis? Correct Ans - diabetes, steatorrhea, and pancreatic calcifications on CT
exudative effusions critera?
caused by? Correct Ans - total pleural fluid prot to prot in serum >0.5 LDH in pleural fluid to serum >0.6
pleural LDH >2/3 upper limit of normal caused by leaky blood vessels or impaired lymphatic drainage - lung CA, tb, pneumonia, trauma, asbestosis
tx for wilson dz? Correct Ans - penicillamine
how to tx akathisia? Correct Ans - beta blocker or benzo
osteopenia vs osteoporosis? Correct Ans - -1 to -2.5 = osteopenia below -2.5 = osteoporosis
fever 48 hours postop?
after 5 days? Correct Ans - phlebitis, UTI, or PNA wound infxn or surgical space infxn
- dx using CT
viscerosomatic segment for lower GU/GI ?
transverse colon to rectum, lower ureter to bladder Correct Ans - T11-
T12
tx gastroschiss? Correct Ans - immediate fluid resuscitation and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? Correct Ans - use tleukocyte washed red blood cells
preventing cluster headaches med? Correct Ans - verapamil, prednisone,
valproic acid, topiramate, ergotamine
complications of adult polycystic kidney disease? Correct Ans - intracerebral berry aneurysms, hepatic cysts, thoracic aortic aneurysms
old person with closed head injury? Correct Ans - subdural hematoma
especially w antithrombotic meds
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