COMBANK/COMQUEST Level 3 - Questions With
Appropriate Solutions
Charcots triad Correct Answer - RUQ pain
jaundice
fever/chills
Reynolds pentad Correct Answer - RUQ pain
jaundice
fever/chills
shock
altered mental status
which lab marker would you find in pt with juvenile idiopathic
arthritis ? Correct Answer - ANA
JIA- chronic arthritis seen in children and will present with four or
fewer joints involved
What is the rule of 10 associated with pheochromocytoma Correct
Answer - 10% are extra-adrenal
10% are familial
10% are bilateral
10% are malignant
10% occur in children
criteria for brain dead Correct Answer - irreversible absence
of brain and brainstem function (apnea despite adequate
oxygenation and ventilation)
absent brainstem reflexes (pupils, caloric, gag, cornea, doll's eyes)
no drug intoxication
core body temperature >35 C
isoelectric silence on EEG
,Levonorgestrel IUD is a good option for? Correct Answer -
good option for pt who are not compliant with daily pill and has
heavy menstrual bleeding- levonorgesterel leads to a decrease in
menstrual bleeding
hep B
presence of antibodies to the surface antigen but not the core
antigen mean? Correct Answer - successful vaccination
Hereditary nonpolyposis colon cancer
-where is the most common site for adenocarcinoma of the colon?
Correct Answer - proximal portion
what scores are used to determine preoperative risk in cirrhotic
patients Correct Answer - Child-Pugh
MELD scores
what is associated with the best prognosis for pancreatic cancer?
Correct Answer - resectable pancreatic tumors include those of
the pancreatic head, tumors with little ingrowth into the
peripancreatic fat or duodenum and tumors that have not mets
tumors that involve the gastroduodenal artery have a better
prognosis because they can be removed en bloc (as a whole)
panic disorder is associated with which psych disorder? Correct
Answer - depression
assist-control ventilation Correct Answer - is the type of
ventilatory support in which the patient initiates a breathe and the
ventilator subsequently delivers a breath at a present tidal volume
which a backup rate in place in the event that the patient fails to
initiate a breathe
,continuous positive airway pressure Correct Answer - setting
in which specific pressure is set allowing the airways to remain
open and allowing spontaneous breaths by the patient
the pt can over breathe the ventilator but must receive the set
amount of breaths that are set per minute and only receives
pressure support
controlled mechanical ventilation Correct Answer - when the
patient is making no respiratory effort- the machine does not allow
spontaneous breathes nor does it support them
Intermittent mandatory ventilation Correct Answer - in that
the the patient can also initiate breathe -- the machine supports the
patient's breaths by a preset pressure and retimes the breathing
rate based on the patient's own breathing pattern
type I DM is associated with which disease? Correct Answer -
autoimmune hepatitis
what should you do with child with DM type 1 ? Correct Answer -
check TSH, T4, T3
20% of the children who have type 1 DM will have increased serum
thyroid antibodies and 5% will have functional abnormalities of the
thyroid
appropriate recommended daily increase in caloric intake during
pregnancy Correct Answer - 340 kcal/day-second trimester
452 kcal/day third trimester
Avg: 300kcal/day
dz that effects the skin, CNS, and other organs Correct Answer -
Tuberous sclerosis
, shagreen patch- is a connective tissue nervus or collagenoma that
typically appear as white or yellow plaque with a pebbled surface on
the lumbosacral area
what muscles does ulnar nerve innervate? Correct Answer -
intrinsic mucle of the hands
flexor carpi ulnaris
extensor carpi ulnaris
ulnar half of the flexor digitorum profundus
gold standard test for PE? Correct Answer - angiogram
what bones make up the pterion? Correct Answer - temporal
parietal
sphenoid
frontal
what is the follow up treatment of sarcoma botryoides? Correct
Answer - most common malignant tumorof the lower GI tract in
infant girls
tx: pt should be evaluated completely with ultrasonography of the
pelvis following CT to asses the involvement of vaginal structure
smoking house + bitter aroma
ddx? Correct Answer - cyanide poisoning
tx: amyl nitrite and thiosulfate
thompson test Correct Answer - used to detect achilles rupture
thomas test Correct Answer - used to detect hip flexor
contracture and tightness
Appropriate Solutions
Charcots triad Correct Answer - RUQ pain
jaundice
fever/chills
Reynolds pentad Correct Answer - RUQ pain
jaundice
fever/chills
shock
altered mental status
which lab marker would you find in pt with juvenile idiopathic
arthritis ? Correct Answer - ANA
JIA- chronic arthritis seen in children and will present with four or
fewer joints involved
What is the rule of 10 associated with pheochromocytoma Correct
Answer - 10% are extra-adrenal
10% are familial
10% are bilateral
10% are malignant
10% occur in children
criteria for brain dead Correct Answer - irreversible absence
of brain and brainstem function (apnea despite adequate
oxygenation and ventilation)
absent brainstem reflexes (pupils, caloric, gag, cornea, doll's eyes)
no drug intoxication
core body temperature >35 C
isoelectric silence on EEG
,Levonorgestrel IUD is a good option for? Correct Answer -
good option for pt who are not compliant with daily pill and has
heavy menstrual bleeding- levonorgesterel leads to a decrease in
menstrual bleeding
hep B
presence of antibodies to the surface antigen but not the core
antigen mean? Correct Answer - successful vaccination
Hereditary nonpolyposis colon cancer
-where is the most common site for adenocarcinoma of the colon?
Correct Answer - proximal portion
what scores are used to determine preoperative risk in cirrhotic
patients Correct Answer - Child-Pugh
MELD scores
what is associated with the best prognosis for pancreatic cancer?
Correct Answer - resectable pancreatic tumors include those of
the pancreatic head, tumors with little ingrowth into the
peripancreatic fat or duodenum and tumors that have not mets
tumors that involve the gastroduodenal artery have a better
prognosis because they can be removed en bloc (as a whole)
panic disorder is associated with which psych disorder? Correct
Answer - depression
assist-control ventilation Correct Answer - is the type of
ventilatory support in which the patient initiates a breathe and the
ventilator subsequently delivers a breath at a present tidal volume
which a backup rate in place in the event that the patient fails to
initiate a breathe
,continuous positive airway pressure Correct Answer - setting
in which specific pressure is set allowing the airways to remain
open and allowing spontaneous breaths by the patient
the pt can over breathe the ventilator but must receive the set
amount of breaths that are set per minute and only receives
pressure support
controlled mechanical ventilation Correct Answer - when the
patient is making no respiratory effort- the machine does not allow
spontaneous breathes nor does it support them
Intermittent mandatory ventilation Correct Answer - in that
the the patient can also initiate breathe -- the machine supports the
patient's breaths by a preset pressure and retimes the breathing
rate based on the patient's own breathing pattern
type I DM is associated with which disease? Correct Answer -
autoimmune hepatitis
what should you do with child with DM type 1 ? Correct Answer -
check TSH, T4, T3
20% of the children who have type 1 DM will have increased serum
thyroid antibodies and 5% will have functional abnormalities of the
thyroid
appropriate recommended daily increase in caloric intake during
pregnancy Correct Answer - 340 kcal/day-second trimester
452 kcal/day third trimester
Avg: 300kcal/day
dz that effects the skin, CNS, and other organs Correct Answer -
Tuberous sclerosis
, shagreen patch- is a connective tissue nervus or collagenoma that
typically appear as white or yellow plaque with a pebbled surface on
the lumbosacral area
what muscles does ulnar nerve innervate? Correct Answer -
intrinsic mucle of the hands
flexor carpi ulnaris
extensor carpi ulnaris
ulnar half of the flexor digitorum profundus
gold standard test for PE? Correct Answer - angiogram
what bones make up the pterion? Correct Answer - temporal
parietal
sphenoid
frontal
what is the follow up treatment of sarcoma botryoides? Correct
Answer - most common malignant tumorof the lower GI tract in
infant girls
tx: pt should be evaluated completely with ultrasonography of the
pelvis following CT to asses the involvement of vaginal structure
smoking house + bitter aroma
ddx? Correct Answer - cyanide poisoning
tx: amyl nitrite and thiosulfate
thompson test Correct Answer - used to detect achilles rupture
thomas test Correct Answer - used to detect hip flexor
contracture and tightness
