COMSAE 111 Exam Newest Exam | All Questions
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2 weeks history of productive cough, fatigue, intermittent mild fever. Sputum has
tinged discolored red streaks. Lung auscultation reveals bilateral wheezes as well
as increased respiratory rate. No posterior nasal drainage. Diagnosis ---------
CORRECT ANSWER-----------------bronchitis. Shows lower respiratory sx unlike strep
pharyngitis which would present with upper respiratory sx and sore throat.
CC of left sided weakness. Muscle strength reduced on both left limbs. Plantar
reflex is extensor on the L and flexor on the R. Protrusion of her tongue deviates
to the R. Sensory deficit is most likely present ---------CORRECT ANSWER--------------
---loss of discriminative touch of L arm and leg. Medial medulla lesion. Pain and
temp spared b/c on the lateral medulla.
52 yr old found drinking wood alcohol. PMH is AUD. He is disoriented, cool
extremity and dilated pupils. Prominent retinal congestion and blurring of the
edges of the optic disk. Most likely cause of ocular toxicity is elevated retinal -------
--CORRECT ANSWER-----------------concentrations of formic acid. Wood alcohol is
methanol which leads to formic acid as the metabolite.
62 yr old man experiencing several falls as home. OMH is uncontrolled HTN with
step wise deterioration in memory. Hyperactive deep tendon reflexes present
with disorientation to time and place. MRI would show ---------CORRECT ANSWER-
,----------------multiple cerebral cortical infarcts. Vascular dementia leads to UMN
and has a PMH of HTN.
PMH of 1 yr w/ worsening pain during and after sex. Laparoscopy reveals red,
punctate, weakly bleeding spots measuring 8-10 mm in diameter on the pelvic
peritoneum(gun-powder lesions). The pelvic lesions are caused by ---------
CORRECT ANSWER-----------------response to locally produced estradiol. Dx is
Endometriosis.
6 month history of fatigue and joint pain. Brother and sister have similar sx.
Physical exam shows increased skin pigmentation and hepatomegaly. His fasting
glucose is 180. What is the following process most likely to be abnormal ---------
CORRECT ANSWER-----------------intestinal iron uptake. DX Hereditary
hemochromatosis. Decreased hepcidin, increased ferroprotein, increases iron
overload.
3 yr old boy brought in ED during the night by parents who reported patient was
sent home from daycare w/ fever of 101. Parents say he has vomited several
times, spiked fever 104, and become intermittently confused. LB recommended
but declined due to fear it would hurt the child. Parents request to sign out the
son AMA w/ plans to take him to the private pediatrician in the morning. Most
appropriate step is to ---------CORRECT ANSWER-----------------enlist help of private
pediatrician in convincing the parents to allow for the procedure. Don't proceed
right away with procedure since its not a surgery, more a matter of hours rather
than minutes.
,3 month history of pelvic pain, a sense of pelvic fullness, diarrhea. Physical exam
reveals pelvic mass. Ultrasound reveals an ovarian mass. Initial Mets of tumor
cells from this mass via lymphatics will most likely involve which nodes ---------
CORRECT ANSWER-----------------lumbar. Primary lymph node drainage for ovarian
cancer is lumbar and (para-aortic) and preaortic nodes.
5o yr old present with 6 month fatigue, lethargy, constipation, decreased libido.
Erectile dysfunction, and lightheadedness. PMH 2 week episode of severe
headache and blurred vision 6 months ago. Orthostatic BP present. Most likely dx
---------CORRECT ANSWER-----------------panhypopituitarism. Sudden with vision
changes and low FSH/LH leading to low testosterone sx. Addisons would not
affect sex hormones.
Mandibular fracture, nerve that carries the pain sensation is the ---------CORRECT
ANSWER-----------------inferior alveolar N. Lingual N. branches off earlier and
provides sensation to anterior 2/3 of tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall compromises ----
-----CORRECT ANSWER-----------------vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and
taking BP elicits carpal spasm. PT is short, stocky and shortened medial digits
(Albright Hereditary Osteodystrophy). Phosphate and cAMP don't respond to IV
, PTH. The cause is decreased ---------CORRECT ANSWER-----------------Galphas
mediated signaling. Pseudohypoparathyroidism type 1a (PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via ---------CORRECT ANSWER-----------------inhalation if
environmental aerosols (usually HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting
or urinary incontinence. Most likely cause ---------CORRECT ANSWER-----------------
idioventricular rhythm. sudden drop in cerebral perfusion due pacemaker failure.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks
alcohol. PMH hemorrhoids. Screening for him ---------CORRECT ANSWER--------------
---colonoscopy. Should be done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality ---------CORRECT ANSWER-----------------spina bifida occulta.
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -
2.1. Add calcium, vitamin D and what med ---------CORRECT ANSWER-----------------
alendronate to prevent osteoporosis (Inhibits osteoclast activity, reducing bone
resorption - bisphosphonate)
and Correct Answers | Graded A+ | Verified
Answers | Just Released
2 weeks history of productive cough, fatigue, intermittent mild fever. Sputum has
tinged discolored red streaks. Lung auscultation reveals bilateral wheezes as well
as increased respiratory rate. No posterior nasal drainage. Diagnosis ---------
CORRECT ANSWER-----------------bronchitis. Shows lower respiratory sx unlike strep
pharyngitis which would present with upper respiratory sx and sore throat.
CC of left sided weakness. Muscle strength reduced on both left limbs. Plantar
reflex is extensor on the L and flexor on the R. Protrusion of her tongue deviates
to the R. Sensory deficit is most likely present ---------CORRECT ANSWER--------------
---loss of discriminative touch of L arm and leg. Medial medulla lesion. Pain and
temp spared b/c on the lateral medulla.
52 yr old found drinking wood alcohol. PMH is AUD. He is disoriented, cool
extremity and dilated pupils. Prominent retinal congestion and blurring of the
edges of the optic disk. Most likely cause of ocular toxicity is elevated retinal -------
--CORRECT ANSWER-----------------concentrations of formic acid. Wood alcohol is
methanol which leads to formic acid as the metabolite.
62 yr old man experiencing several falls as home. OMH is uncontrolled HTN with
step wise deterioration in memory. Hyperactive deep tendon reflexes present
with disorientation to time and place. MRI would show ---------CORRECT ANSWER-
,----------------multiple cerebral cortical infarcts. Vascular dementia leads to UMN
and has a PMH of HTN.
PMH of 1 yr w/ worsening pain during and after sex. Laparoscopy reveals red,
punctate, weakly bleeding spots measuring 8-10 mm in diameter on the pelvic
peritoneum(gun-powder lesions). The pelvic lesions are caused by ---------
CORRECT ANSWER-----------------response to locally produced estradiol. Dx is
Endometriosis.
6 month history of fatigue and joint pain. Brother and sister have similar sx.
Physical exam shows increased skin pigmentation and hepatomegaly. His fasting
glucose is 180. What is the following process most likely to be abnormal ---------
CORRECT ANSWER-----------------intestinal iron uptake. DX Hereditary
hemochromatosis. Decreased hepcidin, increased ferroprotein, increases iron
overload.
3 yr old boy brought in ED during the night by parents who reported patient was
sent home from daycare w/ fever of 101. Parents say he has vomited several
times, spiked fever 104, and become intermittently confused. LB recommended
but declined due to fear it would hurt the child. Parents request to sign out the
son AMA w/ plans to take him to the private pediatrician in the morning. Most
appropriate step is to ---------CORRECT ANSWER-----------------enlist help of private
pediatrician in convincing the parents to allow for the procedure. Don't proceed
right away with procedure since its not a surgery, more a matter of hours rather
than minutes.
,3 month history of pelvic pain, a sense of pelvic fullness, diarrhea. Physical exam
reveals pelvic mass. Ultrasound reveals an ovarian mass. Initial Mets of tumor
cells from this mass via lymphatics will most likely involve which nodes ---------
CORRECT ANSWER-----------------lumbar. Primary lymph node drainage for ovarian
cancer is lumbar and (para-aortic) and preaortic nodes.
5o yr old present with 6 month fatigue, lethargy, constipation, decreased libido.
Erectile dysfunction, and lightheadedness. PMH 2 week episode of severe
headache and blurred vision 6 months ago. Orthostatic BP present. Most likely dx
---------CORRECT ANSWER-----------------panhypopituitarism. Sudden with vision
changes and low FSH/LH leading to low testosterone sx. Addisons would not
affect sex hormones.
Mandibular fracture, nerve that carries the pain sensation is the ---------CORRECT
ANSWER-----------------inferior alveolar N. Lingual N. branches off earlier and
provides sensation to anterior 2/3 of tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall compromises ----
-----CORRECT ANSWER-----------------vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and
taking BP elicits carpal spasm. PT is short, stocky and shortened medial digits
(Albright Hereditary Osteodystrophy). Phosphate and cAMP don't respond to IV
, PTH. The cause is decreased ---------CORRECT ANSWER-----------------Galphas
mediated signaling. Pseudohypoparathyroidism type 1a (PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via ---------CORRECT ANSWER-----------------inhalation if
environmental aerosols (usually HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting
or urinary incontinence. Most likely cause ---------CORRECT ANSWER-----------------
idioventricular rhythm. sudden drop in cerebral perfusion due pacemaker failure.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks
alcohol. PMH hemorrhoids. Screening for him ---------CORRECT ANSWER--------------
---colonoscopy. Should be done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality ---------CORRECT ANSWER-----------------spina bifida occulta.
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -
2.1. Add calcium, vitamin D and what med ---------CORRECT ANSWER-----------------
alendronate to prevent osteoporosis (Inhibits osteoclast activity, reducing bone
resorption - bisphosphonate)
