COMSAE Exam Questions with
Complete Solutions19
electrical alterans - ANSWERS-Alternating of the amplitude of the QRS complex from beat to
beat. Seen in Cardiac Tamponade.
reactive hypoglycemia? - ANSWERS-occurs postprandially most common in pts with prior gastric
surgery
ranson criteria - ANSWERS-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? - ANSWERS-(a/(a+B)) / (c/(c+d))
,unstable pt with SVT? - ANSWERS-IV access followed by sedation and synchronized
cardioversion
less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ANSWERS-staph scalded
syndrome
triad of chronic pancreatitis? - ANSWERS-diabetes, steatorrhea, and pancreatic calcifications on
CT
exudative effusions critera?
caused by? - ANSWERS-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? - ANSWERS-penicillamine
how to tx akathisia? - ANSWERS-beta blocker or benzo
osteopenia vs osteoporosis? - ANSWERS--1 to -2.5 = osteopenia
below -2.5 = osteoporosis
fever 48 hours postop?
, after 5 days? - ANSWERS-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 - ANSWERS-T11-T12
tx gastroschiss? - ANSWERS-immediate fluid resuscitation and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? - ANSWERS-use tleukocyte
washed red blood cells
preventing cluster headaches med? - ANSWERS-verapamil, prednisone, valproic acid,
topiramate, ergotamine
complications of adult polycystic kidney disease? - ANSWERS-intracerebral berry aneurysms,
hepatic cysts, thoracic aortic aneurysms
old person with closed head injury? - ANSWERS-subdural hematoma
especially w antithrombotic meds
severe vomiting does what to potassium and chloride? - ANSWERS-LOW potassium
LOW chloride
Complete Solutions19
electrical alterans - ANSWERS-Alternating of the amplitude of the QRS complex from beat to
beat. Seen in Cardiac Tamponade.
reactive hypoglycemia? - ANSWERS-occurs postprandially most common in pts with prior gastric
surgery
ranson criteria - ANSWERS-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? - ANSWERS-(a/(a+B)) / (c/(c+d))
,unstable pt with SVT? - ANSWERS-IV access followed by sedation and synchronized
cardioversion
less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ANSWERS-staph scalded
syndrome
triad of chronic pancreatitis? - ANSWERS-diabetes, steatorrhea, and pancreatic calcifications on
CT
exudative effusions critera?
caused by? - ANSWERS-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? - ANSWERS-penicillamine
how to tx akathisia? - ANSWERS-beta blocker or benzo
osteopenia vs osteoporosis? - ANSWERS--1 to -2.5 = osteopenia
below -2.5 = osteoporosis
fever 48 hours postop?
, after 5 days? - ANSWERS-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 - ANSWERS-T11-T12
tx gastroschiss? - ANSWERS-immediate fluid resuscitation and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? - ANSWERS-use tleukocyte
washed red blood cells
preventing cluster headaches med? - ANSWERS-verapamil, prednisone, valproic acid,
topiramate, ergotamine
complications of adult polycystic kidney disease? - ANSWERS-intracerebral berry aneurysms,
hepatic cysts, thoracic aortic aneurysms
old person with closed head injury? - ANSWERS-subdural hematoma
especially w antithrombotic meds
severe vomiting does what to potassium and chloride? - ANSWERS-LOW potassium
LOW chloride
