High-Yield Clinical Flashcards for
COMSAE 115 (70 QUESTIONS AND
ANSWERS GRADED A)
Basilar skull fracture - CORRECT ANSWER Characterized
by 'Raccoon eyes' (periorbital ecchymosis), CSF otorrhea, and
Battle's sign.
G6PD deficiency - CORRECT ANSWER Identified by bite
cells and Heinz bodies on blood smear, hemolytic anemia after
fava bean ingestion.
Thyroid storm - CORRECT ANSWER Occurs in a patient
with hyperthyroidism who develops fever, tachycardia, confusion,
and vomiting after surgery.
Neural tube defect - CORRECT ANSWER Main concern
with elevated AFP in a pregnant woman's amniotic fluid (e.g.,
spina bifida).
Hereditary spherocytosis - CORRECT ANSWER Diagnosed
with spherocytes, increased osmotic fragility, and negative
Coombs test.
Ankylosing spondylitis - CORRECT ANSWER Associated
with HLA-B27 positivity, low back pain, and uveitis.
Ulnar nerve - CORRECT ANSWER Affected in a patient with
'claw hand' deformity and loss of sensation in the medial hand.
, Left middle cerebral artery stroke - CORRECT ANSWER
Causes sudden onset unilateral weakness, face droop, and
expressive aphasia affecting Broca's area.
Pyruvate kinase deficiency - CORRECT ANSWER Leads to
impaired glycolysis and nonspherocytic hemolytic anemia.
Granulosa cell tumor - CORRECT ANSWER Identified by
'soap bubble' appearance on ovarian tumor histology.
Streptococcus pneumoniae - CORRECT ANSWER Most
likely pathogen in a patient with fever, cough with rusty sputum,
and lobar consolidation on CXR.
Pheochromocytoma - CORRECT ANSWER Diagnosed in a
young patient with episodic palpitations, diaphoresis,
hypertension, and elevated catecholamines.
Portal hypertension - CORRECT ANSWER Cause of ascites
with SAAG >1.1, low protein, and history of liver disease.
Epiglottitis - CORRECT ANSWER Characterized by 'thumb
sign' on lateral neck X-ray and patient drooling with stridor.
Acute respiratory distress syndrome (ARDS) - CORRECT
ANSWER Identified by 'ground-glass' appearance on chest CT
in a patient with diffuse alveolar damage.
Primary hyperaldosteronism (Conn's syndrome) - CORRECT
ANSWER Likely diagnosis in a patient with hypokalemia,
metabolic alkalosis, and hypertension.
COMSAE 115 (70 QUESTIONS AND
ANSWERS GRADED A)
Basilar skull fracture - CORRECT ANSWER Characterized
by 'Raccoon eyes' (periorbital ecchymosis), CSF otorrhea, and
Battle's sign.
G6PD deficiency - CORRECT ANSWER Identified by bite
cells and Heinz bodies on blood smear, hemolytic anemia after
fava bean ingestion.
Thyroid storm - CORRECT ANSWER Occurs in a patient
with hyperthyroidism who develops fever, tachycardia, confusion,
and vomiting after surgery.
Neural tube defect - CORRECT ANSWER Main concern
with elevated AFP in a pregnant woman's amniotic fluid (e.g.,
spina bifida).
Hereditary spherocytosis - CORRECT ANSWER Diagnosed
with spherocytes, increased osmotic fragility, and negative
Coombs test.
Ankylosing spondylitis - CORRECT ANSWER Associated
with HLA-B27 positivity, low back pain, and uveitis.
Ulnar nerve - CORRECT ANSWER Affected in a patient with
'claw hand' deformity and loss of sensation in the medial hand.
, Left middle cerebral artery stroke - CORRECT ANSWER
Causes sudden onset unilateral weakness, face droop, and
expressive aphasia affecting Broca's area.
Pyruvate kinase deficiency - CORRECT ANSWER Leads to
impaired glycolysis and nonspherocytic hemolytic anemia.
Granulosa cell tumor - CORRECT ANSWER Identified by
'soap bubble' appearance on ovarian tumor histology.
Streptococcus pneumoniae - CORRECT ANSWER Most
likely pathogen in a patient with fever, cough with rusty sputum,
and lobar consolidation on CXR.
Pheochromocytoma - CORRECT ANSWER Diagnosed in a
young patient with episodic palpitations, diaphoresis,
hypertension, and elevated catecholamines.
Portal hypertension - CORRECT ANSWER Cause of ascites
with SAAG >1.1, low protein, and history of liver disease.
Epiglottitis - CORRECT ANSWER Characterized by 'thumb
sign' on lateral neck X-ray and patient drooling with stridor.
Acute respiratory distress syndrome (ARDS) - CORRECT
ANSWER Identified by 'ground-glass' appearance on chest CT
in a patient with diffuse alveolar damage.
Primary hyperaldosteronism (Conn's syndrome) - CORRECT
ANSWER Likely diagnosis in a patient with hypokalemia,
metabolic alkalosis, and hypertension.
