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