COMSAE I: Questions With Correct Answers (100%)
Dilation of veins in abdomen and hemorrhoids what else will you see? Correct Ans - esophageal varices
18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea. Gram-,
non motile, nonencapsulated. bug? Correct Ans - shigella...on test it was sonnei
does pseudomonas have a capsule? Correct Ans - yes!
leads v1 and 2 Correct Ans - anteroseptal (LAD)
v3-4 leads Correct Ans - anteroapical (distal LAD)
v5-6 Correct Ans - anterolateral (LAD or LCX)
I, avL Correct Ans - lateral (LCX)
avf, II, III Correct Ans - inFerior (RCA)
v7-9 ST depression in V1-3 with tall R waves Correct Ans - PDA
mcc of meningitis Correct Ans - strep pneumo
n meningitis is #1 in teens
freshwater lake, gets headache/flu like illness...dx? Correct Ans - leptospira
indirect hyperbilis? d/t? Correct Ans - gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
direct hyperbilis? Correct Ans - rotor
dubin johnson (black liver)
innervation of bottom of foot Correct Ans - what is built up in lactose intolerance? Correct Ans - LACTOSE! lactase breaks it down into glucose and galactose
what is seen in G6PD (rbcs) Correct Ans - bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
roth spots are Correct Ans - dark spots in the retina assoc with bacterial endocarditis
what is pcos dt Correct Ans - higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
atrioventricular nodal tachy Correct Ans - where does fibularis brevis insert Correct Ans - base of 5th metatarsal
where does fibularis longus insert Correct Ans - medial cuneiform and base of 1st metatarsal
circle of willis Correct Ans - good to know bc they may ask what a syndrome is based off of their origin from ICA or vertebral body
from vertebral: PICA, AICA, ASA, Basialr, PCA (all posterior circulation)
ICA: MCA and ACA (all anterior circulation
degeneration of axon distal to site of injury and axonal retration proximally Correct Ans - wallerian degeneration
what can be seen in urine with uteric calculs Correct Ans - blood but probs not bacteria
what is seen in normal pressure hydrocepahlus? Correct Ans - ventricular dilattaion---look for triad
Dilation of veins in abdomen and hemorrhoids what else will you see? Correct Ans - esophageal varices
18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea. Gram-,
non motile, nonencapsulated. bug? Correct Ans - shigella...on test it was sonnei
does pseudomonas have a capsule? Correct Ans - yes!
leads v1 and 2 Correct Ans - anteroseptal (LAD)
v3-4 leads Correct Ans - anteroapical (distal LAD)
v5-6 Correct Ans - anterolateral (LAD or LCX)
I, avL Correct Ans - lateral (LCX)
avf, II, III Correct Ans - inFerior (RCA)
v7-9 ST depression in V1-3 with tall R waves Correct Ans - PDA
mcc of meningitis Correct Ans - strep pneumo
n meningitis is #1 in teens
freshwater lake, gets headache/flu like illness...dx? Correct Ans - leptospira
indirect hyperbilis? d/t? Correct Ans - gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
direct hyperbilis? Correct Ans - rotor
dubin johnson (black liver)
innervation of bottom of foot Correct Ans - what is built up in lactose intolerance? Correct Ans - LACTOSE! lactase breaks it down into glucose and galactose
what is seen in G6PD (rbcs) Correct Ans - bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
roth spots are Correct Ans - dark spots in the retina assoc with bacterial endocarditis
what is pcos dt Correct Ans - higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
atrioventricular nodal tachy Correct Ans - where does fibularis brevis insert Correct Ans - base of 5th metatarsal
where does fibularis longus insert Correct Ans - medial cuneiform and base of 1st metatarsal
circle of willis Correct Ans - good to know bc they may ask what a syndrome is based off of their origin from ICA or vertebral body
from vertebral: PICA, AICA, ASA, Basialr, PCA (all posterior circulation)
ICA: MCA and ACA (all anterior circulation
degeneration of axon distal to site of injury and axonal retration proximally Correct Ans - wallerian degeneration
what can be seen in urine with uteric calculs Correct Ans - blood but probs not bacteria
what is seen in normal pressure hydrocepahlus? Correct Ans - ventricular dilattaion---look for triad
