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COMSAE ALL EXAM QUESTIONS AND ANSWERS
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COMSAE ALL EXAM QUESTIONS AND ANSWERS
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COMSAE ALL EXAM QUESTIONS ANDANSWERS
COCAINE iiintoxication ii- iiAnswers ii-impaired iijudgement, iipupil iidilate, iihallucination
ii(coke iibugs) iisudden iicardiac iideath; iiparanoid iiideations, iiangina
Tx: iialpha iiblockers/ iibenzos
caution iiB iiblock iibc iican iicause iiunopposed iialpha
Osteoporosis iihisto ii- iiAnswers ii-trabecular iiand iicortical iibone iilose iimass iiand
iiinterconnection iidespite iinormal iibone iimineralization
assoc iiw/ iiColles iifracture- iidistal iiradial iifracture; iifracture iiof iifemoral iineck
Gilbert iiSyndrome ii- iiAnswers ii-mild iidec iiUDP iiglucuronosyltransferase iiconjugation
iiand iiimpaired iibilirubin iiuptake; iiasymptomatic iior iimild iijaundice>> iiinc iiunconjugated
iibilirubin iiw/o iihemolysis; iiw/ iifasting iiand iistress
Crigler iiNajjar ii- iiAnswers ii-ABSENT iiUDP iiglucuronsyltransferase; iiearly iiin iilife; iidie
iifew iiyears
find: iijaundice, iikernicterus ii(in iibrain) iiinc iiunconjugated iibilirubin;
tx: iiplasmapheresis iiand iiphototherapy; iitype iiII iirespond iiphenobarbital
Dubin iiJohnson ii- iiAnswers ii-Conjugated iihyperbilirubinemia iib/c iidefective iiliver
iiexcretion;
grossly iiblack iiliver
Benign
Rotor iisyndrome ii- iiAnswers ii-milder iiin iipresentation iiw/o iiblack iiliver
impaired iihepatic iiuptake iiand iiexcretion
wilson iiDisease ii- iiAnswers ii-copper iitransporting iiATPase; iiATP7B iion iiChromosome
ii13
s/s: iibefore ii40 iiyo, iiliver iidz, iineurodisease, iipsych iidz, iiKayser iiFleischer iiring,
iihemolytic iianemia, iirenal iidz;
find: iidec iiserum iiceruloplasmin, iiinc iiurine iicopper
tx: iichelation iiw/ iipenicillamine iior iiTridentine, iioral iizinc
,Hemochromatosis ii- iiAnswers ii-recessive, iiHFE, iichromosome ii6; iiabnormal iiiron
iisensing, iiincrease iiintestinal iiabsorb
find: iiinc iiferritin, iiinc iiiron, iidec iiTIBC, iiinc iitransferrin iisaturation
identify iiw/ iiPrussian iiblue iistain/ iiliver iiMRI
Hemochromatosis iifinds ii- iiAnswers ii-after iiage ii40
>20 iiiron;
triad: iicirrhosis, iiDM, iiskin iipigmentation; iidilated iicardiomyopathy, iihypogonadism,
iiarhtropathy; iiHCC iiis iicommon iicause iideath
Treatment iiHemochromatosis ii- iiAnswers ii-repeat iiphlebotomy, iichelation iideferasirox,
iideferoxamine, iioral iideferiprone
Wolff iiParkinson iiWhite iiSyndrome ii- iiAnswers ii-MC iiventricular iipre iiexcitation
iisyndrome
abnml iifast iiatria iito iiventricle ii(bundle iiof iiKent); iibypasses iiAV iinode>> iiventricles
iibegin iipartially iidepolarization iiearlier ii(NOTED iiBY iiDELTA iiWAVE iiON iiEKG)
iiwidened iiQRS iiand iishortened iiPR
Conduction iipathway iiheart ii- iiAnswers ii-SA iinode> iiatira> iiAV iinode> iibundle iiHIS, iiR
iiand iiL iibundle iibranches> iipurkinje iifibers> iiventricles
L iibranch iianterior/posterior iifascicles
Edema ii- iiAnswers ii-inc iicapillary iipressure
dec iiplasma iiproteins ii(dec iioncotic iicapillary iipressure)
inc iicapillary iipermeability
increase iiinterstitial iifluid iicolloid iioncotic iipressure
Celiac iiDisease ii- iiAnswers ii-setting: ii14 iimo iikid iilosing iiweight iieating iilots iiof iifoods;
histology: iicrypt iiabnormalities ii(hyperplasia); iivillous iiatrophy, iilymphocytic iiinfiltration
presents iias iimalabsorbtion ii(diarrhea iietc iiin iikids)
in iiadults= iishort iistature, iianemia iidelayed iipuberty
Musculocutaneous iinerve iiC5-C7 ii- iiAnswers ii-upper iitrunk iicompression iicause iiinjury;
iiloss iiforearm iiflexion/supination; iiloss iisensation iiover iilateral iiforearm
Axillary iinerve iiC5-C6 ii- iiAnswers ii-flat iideltoid; iiloss iiarm iiabduction, iiloss iisensation
iiover iideltoid iiand iilateral iiarm
Radial iiC5-T1 ii- iiAnswers ii-mid iishaft iifracture iihumerus, iicompression iiaxilla
, find: iidec iigrip, iiloss iiextension ii(wrist iidrop); iiloss iisensation iiposterior iiarm, iidorsal
iihand
Median iiC5-T1 ii- iiAnswers ii-supracondylar iifracture iihumerus ii(proximal) iiCTS, iiwrist
iilaceration ii(distal)
ape iihand iipope's iiblessing
loss iiwrist iiflexion, iiflex iiof iilateral iifingers, iithumb iiopposition, iilumbricals ii2nd iiand ii3rd
iidigit; iiloss iisensation iiover iithenar iieminence iiand iidorsal iiand iipalmar iiaspects iiof
iilateral ii3 ii1/2 iifingers iiw/ iiproximal
Ulnar iiC8-T1 ii- iiAnswers ii-Fracture iimedial iiepicondyle iihumerus; iifractured iihook
iihamate ii(distal iilesion)
ulnar iiclaw iion iiextension; iiradial iideception iiwrist iiupon iiflexion ii(proximal iilesion)
loss iiwrist iiflex, iiflex iiof iimedial iifingers, iiabduction iiand iiadduction iifingers; iimedial ii2
iilumbricals;
loss iisensation iiover ii1 ii1/2 iifingers iiincluding iihypothenar iieminence
Recurrent iibranch iimedian iinerve ii- iiAnswers ii-superficial iilaceration iipalm
ape iihand; iiloss iithenar iimuscles
no iiloss iisensation
Treatment iiglaucoma: iialpha iiagonists; iiepinephrine, iibrimonidine ii- iiAnswers ii-dec iiAH
iisynthesis> iivasoconstriction; iimydriasis iialpha ii1 ii(don't iiuse iiin iiclosed iiangle
iiglaucoma) iiblurry iivision, iiocular iihyperemia, iiforeign iibody iisensations iiocular iiallergy,
iipruritis
Beta iiblockers: iitimolol, iibetaxolol, iicarteolol ii- iiAnswers ii-dec iiAH iisynthesis; iino
iipupil/vision iichanges
Diuretics; iiacetazolamide ii- iiAnswers ii-dec iiAH iisynthesis iiby iiinhibiting iicarbonic
iianhydrase; iino iivision/pupil iichange
Cholinomimetics iiM3; iidirect iipilocarpine iicarbachol; iiindirect iiphysostigmine,
iiechothiophate ii- iiAnswers ii-inc iioutflow iiof iiAH iivia iicontraction iiof iiciliary iimuscle/open
iitrabecular iimesh; iipilocarpine iiin iiER--very iieffective iiopen iimeshwork iiinto iiCanal
iischlemm, ii
lead iito iimiosis--and iicyclospasm
Prostaglandin- iibimatoprost, iiiatanoprost iiPGF2 iialpha ii- iiAnswers ii-inc iioutflow iiAH;
iidarken iiiris ii(brown); iieyelash iigrowth
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