COMSAE HIGRADES QUESTIONS WITH THE CORRECT ANSWER

COMSAE HIGRADES QUESTIONS WITH
THE CORRECT ANSWERS




COCAINE vvintoxication vv- vv vvcorrect vvanswer- vv vv vvimpaired vvjudgement, vvpupil
vvdilate, vvhallucination vv(coke vvbugs) vvsudden vvcardiac vvdeath; vvparanoid vvideations,
vvangina


Tx: vvalpha vvblockers/ vvbenzos
caution vvB vvblock vvbc vvcan vvcause vvunopposed vvalpha

Osteoporosis vvhisto vv- vv vvcorrect vvanswer- vv vv vvtrabecular vvand vvcortical vvbone vvlose
vvmass vvand vvinterconnection vvdespite vvnormal vvbone vvmineralization


assoc vvw/ vvColles vvfracture- vvdistal vvradial vvfracture; vvfracture vvof vvfemoral vvneck

Gilbert vvSyndrome vv- vv vvcorrect vvanswer- vv vv vvmild vvdec vvUDP
vvglucuronosyltransferase vvconjugation vvand vvimpaired vvbilirubin vvuptake;
vvasymptomatic vvor vvmild vvjaundice>> vvinc vvunconjugated vvbilirubin vvw/o vvhemolysis;
vvw/ vvfasting vvand vvstress


Crigler vvNajjar vv- vv vvcorrect vvanswer- vv vv vvABSENT vvUDP vvglucuronsyltransferase;
vvearly vvin vvlife; vvdie vvfew vvyears


find: vvjaundice, vvkernicterus vv(in vvbrain) vvinc vvunconjugated vvbilirubin;

tx: vvplasmapheresis vvand vvphototherapy; vvtype vvII vvrespond vvphenobarbital

Dubin vvJohnson vv- vv vvcorrect vvanswer- vv vv vvConjugated vvhyperbilirubinemia vvb/c
vvdefective vvliver vvexcretion;

,grossly vvblack vvliver
Benign

Rotor vvsyndrome vv- vv vvcorrect vvanswer- vv vv vvmilder vvin vvpresentation vvw/o vvblack
vvliver


impaired vvhepatic vvuptake vvand vvexcretion

wilson vvDisease vv- vv vvcorrect vvanswer- vv vv vvcopper vvtransporting vvATPase; vvATP7B
vvon vvChromosome vv13


s/s: vvbefore vv40 vvyo, vvliver vvdz, vvneurodisease, vvpsych vvdz, vvKayser vvFleischer vvring,
vvhemolytic vvanemia, vvrenal vvdz;
find: vvdec vvserum vvceruloplasmin, vvinc vvurine vvcopper
tx: vvchelation vvw/ vvpenicillamine vvor vvTridentine, vvoral vvzinc

Hemochromatosis vv- vv vvcorrect vvanswer- vv vv vvrecessive, vvHFE, vvchromosome vv6;
vvabnormal vviron vvsensing, vvincrease vvintestinal vvabsorb


find: vvinc vvferritin, vvinc vviron, vvdec vvTIBC, vvinc vvtransferrin vvsaturation
identify vvw/ vvPrussian vvblue vvstain/ vvliver vvMRI

Hemochromatosis vvfinds vv- vv vvcorrect vvanswer- vv vv vvafter vvage vv40
>20 vviron;
triad: vvcirrhosis, vvDM, vvskin vvpigmentation; vvdilated vvcardiomyopathy, vvhypogonadism,
vvarhtropathy; vvHCC vvis vvcommon vvcause vvdeath


Treatment vvHemochromatosis vv- vv vvcorrect vvanswer- vv vv vvrepeat vvphlebotomy,
vvchelation vvdeferasirox, vvdeferoxamine, vvoral vvdeferiprone


Wolff vvParkinson vvWhite vvSyndrome vv- vv vvcorrect vvanswer- vv vv vvMC vvventricular vvpre
vvexcitation vvsyndrome


abnml vvfast vvatria vvto vvventricle vv(bundle vvof vvKent); vvbypasses vvAV vvnode>>
vvventricles vvbegin vvpartially vvdepolarization vvearlier vv(NOTED vvBY vvDELTA vvWAVE
vvON vvEKG) vvwidened vvQRS vvand vvshortened vvPR


Conduction vvpathway vvheart vv- vv vvcorrect vvanswer- vv vv vvSA vvnode> vvatira> vvAV
vvnode> vvbundle vvHIS, vvR vvand vvL vvbundle vvbranches> vvpurkinje vvfibers> vvventricles


L vvbranch vvanterior/posterior vvfascicles

Edema vv- vv vvcorrect vvanswer- vv vv vvinc vvcapillary vvpressure
dec vvplasma vvproteins vv(dec vvoncotic vvcapillary vvpressure)
inc vvcapillary vvpermeability
increase vvinterstitial vvfluid vvcolloid vvoncotic vvpressure

, Celiac vvDisease vv- vv vvcorrect vvanswer- vv vv vvsetting: vv14 vvmo vvkid vvlosing vvweight
vveating vvlots vvof vvfoods;


histology: vvcrypt vvabnormalities vv(hyperplasia); vvvillous vvatrophy, vvlymphocytic
vvinfiltration


presents vvas vvmalabsorbtion vv(diarrhea vvetc vvin vvkids)
in vvadults= vvshort vvstature, vvanemia vvdelayed vvpuberty

Musculocutaneous vvnerve vvC5-C7 vv- vv vvcorrect vvanswer- vv vv vvupper vvtrunk
vvcompression vvcause vvinjury; vvloss vvforearm vvflexion/supination; vvloss vvsensation
vvover vvlateral vvforearm


Axillary vvnerve vvC5-C6 vv- vv vvcorrect vvanswer- vv vv vvflat vvdeltoid; vvloss vvarm
vvabduction, vvloss vvsensation vvover vvdeltoid vvand vvlateral vvarm


Radial vvC5-T1 vv- vv vvcorrect vvanswer- vv vv vvmid vvshaft vvfracture vvhumerus,
vvcompression vvaxilla


find: vvdec vvgrip, vvloss vvextension vv(wrist vvdrop); vvloss vvsensation vvposterior vvarm,
vvdorsal vvhand


Median vvC5-T1 vv- vv vvcorrect vvanswer- vv vv vvsupracondylar vvfracture vvhumerus
vv(proximal) vvCTS, vvwrist vvlaceration vv(distal)


ape vvhand vvpope's vvblessing

loss vvwrist vvflexion, vvflex vvof vvlateral vvfingers, vvthumb vvopposition, vvlumbricals vv2nd
vvand vv3rd vvdigit; vvloss vvsensation vvover vvthenar vveminence vvand vvdorsal vvand
vvpalmar vvaspects vvof vvlateral vv3 vv1/2 vvfingers vvw/ vvproximal


Ulnar vvC8-T1 vv- vv vvcorrect vvanswer- vv vv vvFracture vvmedial vvepicondyle vvhumerus;
vvfractured vvhook vvhamate vv(distal vvlesion)


ulnar vvclaw vvon vvextension; vvradial vvdeception vvwrist vvupon vvflexion vv(proximal
vvlesion)


loss vvwrist vvflex, vvflex vvof vvmedial vvfingers, vvabduction vvand vvadduction vvfingers;
vvmedial vv2 vvlumbricals;
loss vvsensation vvover vv1 vv1/2 vvfingers vvincluding vvhypothenar vveminence

Recurrent vvbranch vvmedian vvnerve vv- vv vvcorrect vvanswer- vv vv vvsuperficial vvlaceration
vvpalm


ape vvhand; vvloss vvthenar vvmuscles