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Exam (elaborations)

“COMSAE Form 107 – Full Exam with Verified Answers & Detailed Explanations | COMLEX Level 1 High Yield Prep”

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“COMSAE Form 107 – Full Exam with Verified Answers & Detailed Explanations | COMLEX Level 1 High Yield Prep”

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“COMSAE Form 107 – Full Exam with
Verified Answers & Detailed
Explanations | COMLEX Level 1 High-
Yield Prep”



Hyperresonance - :answers :-pneumothorax,

Large Q-waves - :answers :-Old infarcts

Cachexia mediated by - :answers :-TNF-alpha, IFN-gamma, IL-6

Tartrate resistant acid phosphatase positive in - :answers :-Hairy Cell Leukemia

Low leukocyte ALP - :answers :-CML

Cytosolic steroid receptor - :answers :-VET CAP
Vitamin D, Estrogen, Testosterone, Cortisol, Aldosterone, Progesterone

Nuclear steroid receptor - :answers :-T3/T4

Tetanus tx - :answers :-Tetanus antitoxin and tetanus toxoid series

Balantidium coli - :answers :-protozoa found in pigs

Sumatriptan - :answers :-5-HT 1B/1D agonist --> vasoconstsriction, inhibition of
trigeminal activation and vasoactive peptide release

Tx of S. pneumonia - :answers :-Penicillin

Asthma drugs that cause tremors - :answers :-Albuterol, Theophylline

Theophylline MOA - :answers :-inhibits phosphodiesterease --> dec cAMP

Xenograft - :answers :-from different species

,syngeneic graft - :answers :-from identical twin

Cyclophosphamide - :answers :-alkylates DNA

inferior vesical artery - :answers :-goes to fundus of bladder

corticobulbar tract of internal capsule - :answers :-composed of UMN of CNs, for
muscles of face, head, and neck all CNs except III, IV, VI

inhaled anthrax - :answers :-shows up as mediastinal widening on CXR

vaginosis and pH - :answers :-pH of greater than 4.5 is likely bacterial

insultation installers - :answers :-susceptible to asbestos

junctional rhythm - :answers :-pacemaker is the AV node. it usually presents without
a P wave or with an inverted P wave. Retrograde P waves refers to the depolarization
from the AV node back towards the SA node

ova in stool - :answers :-means one of the following:
giardiasis
amebiasis
strongyloidosis
taeniasis

hyperhidrosis - :answers :-abnormally increased sweating

trichophytum rubrum - :answers :-most common cause of athlete's foot, jock itch,
ringworm

impetigo - :answers :-most common cause is staph aureus

kernig's sign - :answers :-can indicate either subarachnoid hemorrhage or meningitis

enterovirus 71 - :answers :-can cause hand foot mouth dz and severe neurological sx in
children. responsible for small epidemics in 1970s

porphyromonas gingivalis - :answers :-is culprit in periodontal dz and is linked to
rheumatic fever

ascaris lumbricoides - :answers :-dxed by fecal smear, and is found in latin america

Balantidium coli - :answers :-In trophozoites, the two nuclei are visible. The
macronucleus is long and sausage-shaped, and the spherical micronucleus is nested
next to it, often hidden by the macronucleus. Balantidium is the only ciliated protozoan
known to infect humans. Balantidiasis is a zoonotic disease and is acquired by humans
via the feco-oral route from the normal host, the pig, where it is asymptomatic.

,Contaminated water is the most common mechanism of transmission. In acute disease,
explosive diarrhea may occur as often as every twenty minutes. Perforation of the colon
may also occur in acute infections which can lead to life-threatening situations

Isosporiasis - :answers :-The coccidian parasite Isospora belli infects the epithelial
cells of the small intestine, and is the least common of the three intestinal coccidia that
infect humans (Toxoplasma, Cryptosporidium, and Isospora). Infection causes acute,
non-bloody diarrhea with crampy abdominal pain, which can last for weeks and result
in malabsorption and weight loss. In immunodepressed patients, and in infants and
children, the diarrhea can be severe. Eosinophilia may be present (differently from other
protozoan infections.

Cilostazol - :answers :-Cilostazol is approved for the treatment of intermittent
claudication

Quadrigeminal cistern - :answers :-Superior cistern or cistern of the great cerebral
vein

Duret haemorrhage - :answers :-Duret hemorrhages are small areas of bleeding in the
ventral and paramedian parts of the upper brainstem, (midbrain and pons). They are
secondary to raised intracranial pressure with formation of a transtentorial pressure
cone involving the cerebral peduncles (crus cerebri) and other midbrain structures
caused by raised pressure above the tentorium.
Kernohan's notch is a groove in the cerebral peduncle that may be caused by this
displacement of the brainstem against the incisura of the tentorium. The resulting
ipsilateral hemiparesis is a false localising sign,[3] known as the Kernohan-Woltman
syndrome.[4] This may succeed or accompany temporal lobe (uncal) herniation and
subfalcian herniation secondary to a supratentorial mass

1mo development - :answers :-focus on face, lifts head, moro reflex, turns to sound,
turns head to sound

2mo development - :answers :-Coos, fixe and follow, grasps, smiles responsively, lifts
head, turns head to sound

4mo development - :answers :-Coos/squeals/laughs, Bears weight, follow 180
degrees, Grasps, Holds head/chest up, holds small toy, no head lag, reaches, rolls front
to back, turns to sound

6mo development - :answers :-Babbles, bears weight, laughs, pulls to sit, responds to
name, rolls both ways, sits alone, transfers objects

9 mo development - :answers :-Babbles, claps/waves/peek-a-boo, creepts/crawls,
cruises, sits up on own, says mama/dada, plays pat-a-cake, Pincer grasp, pulls to stand,
stands with support

, 12mo development - :answers :-Cruises, fills/empties containers, sits up on own,
holds up and drinks, imitates words, pincer grasp, stands a lone, turns pages, says 1-2
words, walks alone

15mo development - :answers :-Climbs furniture, Dances, jargon, rides toys, stacks 2
object tower, stands alone, scoops and recovers, throws ball, uses cup, uses spoon, says
4 words, walks well

18mo development - :answers :-says 8 or more words, feeds self, follows simple
directions, imitates housework, knows 2 or more body parts, names pictures, rides toys,
runs, uses spoon/fork, walks backward, walks up & down stairs

24mo development - :answers :-2-word sentences, follows 2-step verbal command,
gets along well with fam members, acts worried if parent is sad, helps dress self, holds
cup in one hand, jumps with both feet, kicks a ball, removes clothes, runs, walks
up/down stairs, scribbles, throws overhand

3-yr developmental milestones - :answers :-3-5 word sentences, balances on one foot,
asks what? why? builds 10-block tower, copies circle and x, counts to 3, dresses self,
knows name/age/gender, pedals tricyle, plays with other kids, recognizes 3 colors, toilet
trained, walks upstairs alternating feet

4-yr developmental milestones - :answers :-4-5 word sentences, catches ball, cuts and
pastes, draws people, dresses and undresses themselves, enjoy jokes, jumps/hops,
names 4-5 colors, pedals tricycle, plays well with others, walks on tiptoes

5yr developmental milestones - :answers :-counts to 10, draws people with 2-5 body
parts, follows directions, knows address/phone number, knows on/off, over/under,
plays cooperatively, pretend play, prints name, rides bike, skips, speaks understandably,
tells, imaginary stories

Unpasteurized goat cheese - :answers :-Brucella

Laxative abuse - :answers :-electrolyte imbalance
severe dehydration
dependency
stretched or "lazy" colon

balantidium coli - :answers :-protozoa that causes GI infection, ingest cysts thru
infected water or food
produces hyalonuridase and creates ulcers in mucosal walls

Isospora belli - :answers :-diarrhea, steatorrhea, malabsorption, non-bloody diarrhea

Ballottement test - :answers :-palpating surface of an organ at the surface of the body
**i.e. during pregnancy, palpating the uterus

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