COMBANK (COMAT INTERNAL MEDICINE),
COMAT PRACTICE Q'S (INTERNAL MED -
COMBANK) QUIZZES WITH ACTUAL
ANSWERS.
Bloody lumbar puncture associated with: ANS - 1. Herpes encephalopathy
2. Subarachnoid hemorrhage
Define: Brain death ANS - absence of brainstem function
-patient must be free of any pharmacological or medical conditions that could otherwise explain
decreased brain function
-cannot be hypotensive, hypothermic, or have decreased oxygen saturation
Finding consistent with brain death ANS - 1. Non-reactive pupils
2. Lack of corneal reflex
3. Lack of oculocephalic reflex (Doll's eyes)
4. Loss of respiratory drive (even with elevated partial pressure of carbon dioxide)
Define: corneal reflex ANS - 1. How its done: touch piece of paper or tissue to cornea
2. Reaction: Closing eyelid to protect cornea
Define: oculocephalic reflex
(Vestibulo-ocular reflex) ANS - Eye movement in the direction opposite to head movement to preserve
the image on the center of the visual field
Define: hamartoma ANS - -Benign, focal malformation that resembles a neoplasm in the tissue of origin
-Not malignant
,-Composed of tissue elements normally found at that site, but which are growing in a disorganized mass
-Popcorn-like calcification
-seen in some parts of China, New Zealand, and Finland
-deficiency of this causes Keshan disease ANS - Selenium Deficiency
-disease of selenium deficiency that presents as congestive cardiomyopathy
-enlarged heart in children and young females living in endemic areas with low soil concentration of
selenium ANS - Keshan Disease
Name the deficiency:
-various manifestations of neuromuscular dysfunction
-perioral numbness
-paresthesias
-muscle spasms
-muscle cramps
-seizures ANS - Calcium deficiency
Name the deficiency:
-Alcoholism is the MCC of this deficiency in developed countries
Patient can present with:
--horizontal nystagmus (abnormal eye movements)
--ophthalmoplegia
--cerebellar ataxia (lack of coordination while walking)
, --mental impairment (dementia)
--confabulatory psychosis (Wernicke-Korsakoff) ANS - Thiamine deficiency
Name the deficiency:
--can result in stunted growth in children with hypopigmented hair
--associated with impaired immunity
--decreased taste sensation (hypogeusia)
-decreased spermatogenesis ANS - Zinc deficiency
-Benign familial tremor
-presents as b/l hand tremor
-frequency 4-6 Hz
-worse with activity (lifting an object, writing, eating)
-Treated with beta blockers, anticonvulsants, and small amounts of alcohol ANS - Essential Tremor
Essential tremor vs. Parkinsons ANS - Essential tremor - tremor worse with activity
Parkinsons - worse at rest; better with activity
-linked to loss of dopaminergic neurons located in substantia nigra pars compacta
-features include rigidity, bradykinesia, mask facies, postural instability, shuffling gait, micrographia,
resting tremor ANS - Parkinsons
MCC septic arthritis in sexually active young adults ANS - Neisseria gonorrhea
MCC septic arthritis in general population ANS - Staph aureus
-sudden onset joint pain
COMAT PRACTICE Q'S (INTERNAL MED -
COMBANK) QUIZZES WITH ACTUAL
ANSWERS.
Bloody lumbar puncture associated with: ANS - 1. Herpes encephalopathy
2. Subarachnoid hemorrhage
Define: Brain death ANS - absence of brainstem function
-patient must be free of any pharmacological or medical conditions that could otherwise explain
decreased brain function
-cannot be hypotensive, hypothermic, or have decreased oxygen saturation
Finding consistent with brain death ANS - 1. Non-reactive pupils
2. Lack of corneal reflex
3. Lack of oculocephalic reflex (Doll's eyes)
4. Loss of respiratory drive (even with elevated partial pressure of carbon dioxide)
Define: corneal reflex ANS - 1. How its done: touch piece of paper or tissue to cornea
2. Reaction: Closing eyelid to protect cornea
Define: oculocephalic reflex
(Vestibulo-ocular reflex) ANS - Eye movement in the direction opposite to head movement to preserve
the image on the center of the visual field
Define: hamartoma ANS - -Benign, focal malformation that resembles a neoplasm in the tissue of origin
-Not malignant
,-Composed of tissue elements normally found at that site, but which are growing in a disorganized mass
-Popcorn-like calcification
-seen in some parts of China, New Zealand, and Finland
-deficiency of this causes Keshan disease ANS - Selenium Deficiency
-disease of selenium deficiency that presents as congestive cardiomyopathy
-enlarged heart in children and young females living in endemic areas with low soil concentration of
selenium ANS - Keshan Disease
Name the deficiency:
-various manifestations of neuromuscular dysfunction
-perioral numbness
-paresthesias
-muscle spasms
-muscle cramps
-seizures ANS - Calcium deficiency
Name the deficiency:
-Alcoholism is the MCC of this deficiency in developed countries
Patient can present with:
--horizontal nystagmus (abnormal eye movements)
--ophthalmoplegia
--cerebellar ataxia (lack of coordination while walking)
, --mental impairment (dementia)
--confabulatory psychosis (Wernicke-Korsakoff) ANS - Thiamine deficiency
Name the deficiency:
--can result in stunted growth in children with hypopigmented hair
--associated with impaired immunity
--decreased taste sensation (hypogeusia)
-decreased spermatogenesis ANS - Zinc deficiency
-Benign familial tremor
-presents as b/l hand tremor
-frequency 4-6 Hz
-worse with activity (lifting an object, writing, eating)
-Treated with beta blockers, anticonvulsants, and small amounts of alcohol ANS - Essential Tremor
Essential tremor vs. Parkinsons ANS - Essential tremor - tremor worse with activity
Parkinsons - worse at rest; better with activity
-linked to loss of dopaminergic neurons located in substantia nigra pars compacta
-features include rigidity, bradykinesia, mask facies, postural instability, shuffling gait, micrographia,
resting tremor ANS - Parkinsons
MCC septic arthritis in sexually active young adults ANS - Neisseria gonorrhea
MCC septic arthritis in general population ANS - Staph aureus
-sudden onset joint pain
