COMSAE COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
reactive hypoglycemia?
Answer:
occurs postprandially most common in pts with prior gastric surgery
Question:
ranson criteria
Answer:
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
Question:
relative risk equation?
Answer:
(a/(a+B)) / (c/(c+d))
Question:
unstable pt with SVT?
Answer:
IV access followed by sedation and synchronized cardioversion
Question:
,less than 5 yrs old with fever, rash with bullae, and positive nikolskly?
Answer:
staph scalded syndrome
Question:
triad of chronic pancreatitis?
Answer:
diabetes, steatorrhea, and pancreatic calcifications on CT
Question:
exudative effusions critera? caused by?
Answer:
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
Question:
tx for wilson dz?
Answer:
penicillamine
Question:
how to tx akathisia?
Answer:
beta blocker or benzo
Question:
, osteopenia vs osteoporosis?
Answer:
-1 to -2.5 = osteopenia below -2.5 = osteoporosis
Question:
fever 48 hours postop? after 5 days?
Answer:
phlebitis, UTI, or PNA wound infxn or surgical space infxn dx using CT
Question:
viscerosomatic segment for lower GU/GI? transverse colon to rectum, lower ureter to bladder
Answer:
T11-T12
Question:
tx gastroschiss?
Answer:
immediate fluid resuscitation and urgent surgical replacement
Question:
most reliable method for preventing febrile transfusion rxns?
Answer:
use tleukocyte washed red blood cells
Question:
preventing cluster headaches med?
Question:
reactive hypoglycemia?
Answer:
occurs postprandially most common in pts with prior gastric surgery
Question:
ranson criteria
Answer:
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
Question:
relative risk equation?
Answer:
(a/(a+B)) / (c/(c+d))
Question:
unstable pt with SVT?
Answer:
IV access followed by sedation and synchronized cardioversion
Question:
,less than 5 yrs old with fever, rash with bullae, and positive nikolskly?
Answer:
staph scalded syndrome
Question:
triad of chronic pancreatitis?
Answer:
diabetes, steatorrhea, and pancreatic calcifications on CT
Question:
exudative effusions critera? caused by?
Answer:
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
Question:
tx for wilson dz?
Answer:
penicillamine
Question:
how to tx akathisia?
Answer:
beta blocker or benzo
Question:
, osteopenia vs osteoporosis?
Answer:
-1 to -2.5 = osteopenia below -2.5 = osteoporosis
Question:
fever 48 hours postop? after 5 days?
Answer:
phlebitis, UTI, or PNA wound infxn or surgical space infxn dx using CT
Question:
viscerosomatic segment for lower GU/GI? transverse colon to rectum, lower ureter to bladder
Answer:
T11-T12
Question:
tx gastroschiss?
Answer:
immediate fluid resuscitation and urgent surgical replacement
Question:
most reliable method for preventing febrile transfusion rxns?
Answer:
use tleukocyte washed red blood cells
Question:
preventing cluster headaches med?
