COMSAE Exam with correct Answers
electrical alterans - AnswerAlternating of the amplitude of the QRS complex from beat to beat. Seen in Cardiac Tamponade.
/.reactive hypoglycemia? - Answeroccurs postprandially most common in pts with prior gastric surgery
/.ranson criteria - Answerassess...
/.unstable pt with SVT? - AnswerIV access followed by sedation and synchronized
cardioversion
/.less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - Answerstaph
scalded syndrome
/.triad of chronic pancreatitis? - Answerdiabetes, steatorrhea, and pancreatic
calcifications on CT
/.exudative effusions critera?
caused by? - Answertotal 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? - Answerpenicillamine
/.how to tx akathisia? - Answerbeta blocker or benzo
, /.osteopenia vs osteoporosis? - Answer-1 to -2.5 = osteopenia
below -2.5 = osteoporosis
/.fever 48 hours postop?
after 5 days? - Answerphlebitis, 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 - AnswerT11-T12
/.tx gastroschiss? - Answerimmediate fluid resuscitation and urgent surgical
replacement
/.most reliable method for preventing febrile transfusion rxns? - Answeruse tleukocyte
washed red blood cells
/.old person with closed head injury? - Answersubdural hematoma
especially w antithrombotic meds
/.severe vomiting does what to potassium and chloride? - AnswerLOW potassium
LOW chloride
metab alkalosis
/.middle meningeal artery is a branch of which artery? - Answermaxillary artery
which arises from external carotid artery
/.how to dx BPPV? - Answerdix-hallpike maneuver
pt seated facing one side legs fully extended
hold pts head to one side quickly lie flat on table hanging head off and observe for
nystagmus
/.first step in treating and dx normal pressure hydrocephalus? - Answerremoval of high
voolume of CSF via lumbar puncture
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