COMSAE Exam Questions and Answers 100% Pass
electrical alterans - ANSWER ✔✔-Alternating of the amplitude of the QRS complex from beat to beat.
Seen in Cardiac Tamponade.
reactive hypoglycemia? - ANSWER ✔✔-occurs postprandially most common in pts with prior gastric
surgery
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
Created by Grace Amelia © 2025, All Rights Reserved.
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relative risk equation? - ANSWER ✔✔-(a/(a+B)) / (c/(c+d))
unstable pt with SVT? - ANSWER ✔✔-IV access followed by sedation and synchronized cardioversion
less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ANSWER ✔✔-staph scalded
syndrome
triad of chronic pancreatitis? - ANSWER ✔✔-diabetes, steatorrhea, and pancreatic calcifications on CT
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
tx for wilson dz? - ANSWER ✔✔-penicillamine
how to tx akathisia? - ANSWER ✔✔-beta blocker or benzo
osteopenia vs osteoporosis? - ANSWER ✔✔--1 to -2.5 = osteopenia
below -2.5 = osteoporosis
fever 48 hours postop?
after 5 days? - ANSWER ✔✔-phlebitis, UTI, or PNA
Created by Grace Amelia © 2025, All Rights Reserved.
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wound infxn or surgical space infxn
- dx using CT
viscerosomatic segment for lower GU/GI ?
transverse colon to rectum, lower ureter to bladder - ANSWER ✔✔-T11-T12
tx gastroschiss? - ANSWER ✔✔-immediate fluid resuscitation and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? - ANSWER ✔✔-use tleukocyte washed red
blood cells
preventing cluster headaches med? - ANSWER ✔✔-verapamil, prednisone, valproic acid, topiramate,
ergotamine
complications of adult polycystic kidney disease? - ANSWER ✔✔-intracerebral berry aneurysms, hepatic
cysts, thoracic aortic aneurysms
old person with closed head injury? - ANSWER ✔✔-subdural hematoma
especially w antithrombotic meds
severe vomiting does what to potassium and chloride? - ANSWER ✔✔-LOW potassium
LOW chloride
metab alkalosis
middle meningeal artery is a branch of which artery? - ANSWER ✔✔-maxillary artery
Created by Grace Amelia © 2025, All Rights Reserved.