COMSAE I EXAM |87 ACCURATE Q’S AND
A’S
dilation of veins in abdomen and hemorrhoids what else will you see? - -
esophageal varices
- 18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea.
Gram-, non motile, nonencapsulated. bug? - -shigella...on test it was sonnei
- does pseudomonas have a capsule? - -yes!
- leads v1 and 2 - -anteroseptal (LAD)
- v3-4 leads - -anteroapical (distal LAD)
- v5-6 - -anterolateral (LAD or LCX)
- I, avL - -lateral (LCX)
- avf, II, III - -inFerior (RCA)
- v7-9 ST depression in V1-3 with tall R waves - -PDA
- mcc of meningitis - -strep pneumo
n meningitis is #1 in teens
- freshwater lake, gets headache/flu like illness...dx? - -leptospira
- indirect hyperbilis? d/t? - -gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
- direct hyperbilis? - -rotor
dubin johnson (black liver)
- innervation of bottom of foot - -
- what is built up in lactose intolerance? - -LACTOSE!
lactase breaks it down into glucose and galactose
- what is seen in G6PD (rbcs) - -bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
, - roth spots are - -dark spots in the retina assoc with bacterial endocarditis
- what is pcos dt - -higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
- atrioventricular nodal tachy - -
- where does fibularis brevis insert - -base of 5th metatarsal
- where does fibularis longus insert - -medial cuneiform and base of 1st
metatarsal
- circle of willis - -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
- -wallerian degeneration
- what can be seen in urine with uteric calculs - -blood but probs not
bacteria
- what is seen in normal pressure hydrocepahlus? - -ventricular dilattaion---
look for triad
- what are the porphyrias d/t? - -heme synthesis probs
- lead poisoning, AIP, pCT
- natural habitat of strep pneumo - -oropharynx?
- mcc of meningtis from 0-6 mos - -GBS
then e coli
then listeria
- what is subarachnoid hemorrage d/t - -AV malformation or saccular
aneursym
A’S
dilation of veins in abdomen and hemorrhoids what else will you see? - -
esophageal varices
- 18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea.
Gram-, non motile, nonencapsulated. bug? - -shigella...on test it was sonnei
- does pseudomonas have a capsule? - -yes!
- leads v1 and 2 - -anteroseptal (LAD)
- v3-4 leads - -anteroapical (distal LAD)
- v5-6 - -anterolateral (LAD or LCX)
- I, avL - -lateral (LCX)
- avf, II, III - -inFerior (RCA)
- v7-9 ST depression in V1-3 with tall R waves - -PDA
- mcc of meningitis - -strep pneumo
n meningitis is #1 in teens
- freshwater lake, gets headache/flu like illness...dx? - -leptospira
- indirect hyperbilis? d/t? - -gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
- direct hyperbilis? - -rotor
dubin johnson (black liver)
- innervation of bottom of foot - -
- what is built up in lactose intolerance? - -LACTOSE!
lactase breaks it down into glucose and galactose
- what is seen in G6PD (rbcs) - -bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
, - roth spots are - -dark spots in the retina assoc with bacterial endocarditis
- what is pcos dt - -higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
- atrioventricular nodal tachy - -
- where does fibularis brevis insert - -base of 5th metatarsal
- where does fibularis longus insert - -medial cuneiform and base of 1st
metatarsal
- circle of willis - -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
- -wallerian degeneration
- what can be seen in urine with uteric calculs - -blood but probs not
bacteria
- what is seen in normal pressure hydrocepahlus? - -ventricular dilattaion---
look for triad
- what are the porphyrias d/t? - -heme synthesis probs
- lead poisoning, AIP, pCT
- natural habitat of strep pneumo - -oropharynx?
- mcc of meningtis from 0-6 mos - -GBS
then e coli
then listeria
- what is subarachnoid hemorrage d/t - -AV malformation or saccular
aneursym
