COMQUEST IM COMAT WITH
COMPLETE SOLUTIONS
indirect inguinal hernia//
Valsalva or cough - Correct Answers -What hernia increases in size with increased abd
pressure? Done how?
12 or more weeks//
21 day course of Antibiotics (Augmentin or ceph)//
less than 4 weeks - Correct Answers -Length of chronic sinusitus? Tx? Length of acute?
contact drematitis//
poison ivy, oak, sumac//
tYPE 4 - Correct Answers -Red vesicular rash after hiking = suspect ___ from what?
What type HS?
Chondrocyte - Correct Answers -What cell most important in the initiation of OA?
BUN:Cr ratio//
>20 prerenal
<15 intra
>15 postrenal - Correct Answers -Use what value to differentiate the 3 types of
azotemia? result for each?
external compression - Correct Answers -Tx of lympohedema?
cafe au lait macules, neurofibromas, iris hamartomas (Lisch nodules), optic gliomas//
Slit lamp exam//
to look for th eye stuff - Correct Answers -Key signs of NF type 1? Next step after PE in
dx? Why?
metabolic alkalosis - Correct Answers -Excessive vomitting causes what acid/base
problem?
normal anion gap acidosis//
,RTA also causes this disturbance - Correct Answers -Diarrhea causes what acid/base
problem? Other cause of this type of problem?
high flow 100% O2 - Correct Answers -Cluster HA tx>
hyperpigmentation (bronzing), DM, cirrhosis//
high levels of ferritin and increased transferrin saturation - Correct Answers -Classic
triad of Hemochromatosis? 1st step in workup? Find what?
surgical myotomy//
GERD - Correct Answers -Best tx of achlasis? Key bad effect of procedure?
SOB, hypotension, tachy, new murmur//
endocarditis and aortic dissection - Correct Answers -Acute aoritc regurgitation signs? 2
key causes?
dependent areas (scrotum and periorbital)//
Proteinuria (<3g), dysmorphic RBC's, and RBC casts - Correct Answers -Nephritic
syndrome = have edema where? Key signs in urine?
Granulomatosis with polyangitis//
hemoptysis and glomerulonephritis//
anti-proteinase 3 Ab's in the serum//
lack of IC's - Correct Answers -Wegener's aka___. 2 key signs? Have what sign in
serum? Key on kidney bx?
R heart cath//
Pulmonary artery pressure > 20mmHg//
loud P2 - Correct Answers -Pulmonary HTN= DX with what? Find what? Key PE
finding?
Fluids and IV steroids (due to adrenal insufficiency) - Correct Answers -Sheehan's - 2
key things given to tx?
CXR//
blunting of the costophrenic angles - Correct Answers -Key test for pleural effusion?
Key finding on it?
ACE//
>500 mg - Correct Answers -1st line for protein-uric CKD?
Drug eruption (EM = targetoid lesions) - Correct Answers -Give drug then have
generalized maculopapular rash- dx?
CT abd - Correct Answers -Dx Pheo with what imaging?
,Acetaminophen + stop transfusion//
stop transfusion and give diphenhydramine//
anaphylactic transfusion rxn//
1:1000 epinephrine and intubation - Correct Answers -Tx nonhemolytic febrile
transfusion rxn with what? Urticarial trnasfusion rxn treated how? Must make sure it's
not what? If it's this, treat with what?
cream filling , pasta salad and picnics//
Listeria - Correct Answers -What foods make you think Staph aureus for diarrhea? Deli
meats make you think what?
pulmonary function//
serial PFT's - Correct Answers -Important to assess what in GBS? Done how?
eyelid swelling and redness, pain with eye movement, proptosis, ophthalmoplegia, and
visual impairment//
CT scan//
inflammation of the extraocular muscles, inflammatory stranding of orbital fat, and
anterior displacement of the globe - Correct Answers -Signs of orbital cellulitis? Test
done for it? See what?
surgical removal and then RAI ablation and exogenous T4//
Follicular - Correct Answers -Papillary cancer of thyroid treated how? Which other
cancer treated same way?
Flow cytometry//
deficiency of CD55 and CD 59 - Correct Answers -Paroxysmal nocturnal
hemoglobinuria - dx with what? See what?
rapid onset tenderness in region of affected bowel and rectal bleeding//
aortic surgery (intraop hypotension), MI, Cardiopulmonary bypass and hemodialysis -
Correct Answers -lARGE bowel ischemia presents with what? Key RF's for it?
when experiencing symptoms for two weeks or if develop facial or tooth pain at any time
- Correct Answers -When do you treat sinusitis with Abx?
strangulated//
incarcerated (irreducible) - Correct Answers -____ hernia is surgical emergency but
hernia must first become ___ before it can become this.
severe back pain, fever, night sweats - Correct Answers -Pott's disease signs ?
dysphagia for BOTH solids and liquids, frothy regurg, halitosis - Correct Answers -Key
signs of achlasia?
if both postprandial and fasting blood sugar levels are elevated//
, post-meal hypoglycemia - Correct Answers -What suggests that patient is not getting
enough basal insulin? What's sign that need to decrease mealtime insulin?
IV Ceftriaxone - carditis, meningtits, encephalitis//
Doxy if patient doesn't have above//
Amox- if patient is pregnant or in children without the above 3 serious things - Correct
Answers -Give different Abx used in Lyme disease and when each type is used?
vertigo, nystagmus, Horner's, loss of P/T in ipsi face and contra body//
occlusion of PICA - Correct Answers -Signs of lateral medullary syndrome? What
causes it?
recurrent oral ulcers in patients in their 20's//
oral ulcers which recur at least 3 times in 1 year - Correct Answers -Behcet's syndrome
presents how? Dx requires what?
decreased levels of ACTH - Correct Answers -Secondary adrenal insufficiency - key
levels?
Type O//
Type A - Correct Answers -Blood type for duodenal ulcers? For gastric ulcers?
Mitomycin - Correct Answers -What chemo drug can induce HUS?
BB, PTU, hydrocortisone, and stable iodine - Correct Answers -4 drugs used for thyroid
storm?
Migraine= nausea, photophobia, and phonophobia - Correct Answers -Key diff features
between tension and migraine HA?
color flow Doppler - Correct Answers -Confirm dx of testicular torsion how?
HCV, HBV, NASH, and alcohol abuse//
cause cirrhosis//
abd pain, weight loss, abd mass on CT, jaundice, signs of cirrhosis - Correct Answers -4
KEY things that predispose to hepatocellular cancer. Why do they? Signs of HCC?
Burkitt's//
t (8;14)//
C-myc - Correct Answers -Starry sky LN bx- dx? Key translocation? Haveincreased
expression of ____
androgen deprivation//
GnRH agonists (leuprolide, goserelin) and antagonists (degarelix), androgen production
in adrenal inhibitors (keto), inhibition of androgrens binding to their receptors
(flutamide)//
COMPLETE SOLUTIONS
indirect inguinal hernia//
Valsalva or cough - Correct Answers -What hernia increases in size with increased abd
pressure? Done how?
12 or more weeks//
21 day course of Antibiotics (Augmentin or ceph)//
less than 4 weeks - Correct Answers -Length of chronic sinusitus? Tx? Length of acute?
contact drematitis//
poison ivy, oak, sumac//
tYPE 4 - Correct Answers -Red vesicular rash after hiking = suspect ___ from what?
What type HS?
Chondrocyte - Correct Answers -What cell most important in the initiation of OA?
BUN:Cr ratio//
>20 prerenal
<15 intra
>15 postrenal - Correct Answers -Use what value to differentiate the 3 types of
azotemia? result for each?
external compression - Correct Answers -Tx of lympohedema?
cafe au lait macules, neurofibromas, iris hamartomas (Lisch nodules), optic gliomas//
Slit lamp exam//
to look for th eye stuff - Correct Answers -Key signs of NF type 1? Next step after PE in
dx? Why?
metabolic alkalosis - Correct Answers -Excessive vomitting causes what acid/base
problem?
normal anion gap acidosis//
,RTA also causes this disturbance - Correct Answers -Diarrhea causes what acid/base
problem? Other cause of this type of problem?
high flow 100% O2 - Correct Answers -Cluster HA tx>
hyperpigmentation (bronzing), DM, cirrhosis//
high levels of ferritin and increased transferrin saturation - Correct Answers -Classic
triad of Hemochromatosis? 1st step in workup? Find what?
surgical myotomy//
GERD - Correct Answers -Best tx of achlasis? Key bad effect of procedure?
SOB, hypotension, tachy, new murmur//
endocarditis and aortic dissection - Correct Answers -Acute aoritc regurgitation signs? 2
key causes?
dependent areas (scrotum and periorbital)//
Proteinuria (<3g), dysmorphic RBC's, and RBC casts - Correct Answers -Nephritic
syndrome = have edema where? Key signs in urine?
Granulomatosis with polyangitis//
hemoptysis and glomerulonephritis//
anti-proteinase 3 Ab's in the serum//
lack of IC's - Correct Answers -Wegener's aka___. 2 key signs? Have what sign in
serum? Key on kidney bx?
R heart cath//
Pulmonary artery pressure > 20mmHg//
loud P2 - Correct Answers -Pulmonary HTN= DX with what? Find what? Key PE
finding?
Fluids and IV steroids (due to adrenal insufficiency) - Correct Answers -Sheehan's - 2
key things given to tx?
CXR//
blunting of the costophrenic angles - Correct Answers -Key test for pleural effusion?
Key finding on it?
ACE//
>500 mg - Correct Answers -1st line for protein-uric CKD?
Drug eruption (EM = targetoid lesions) - Correct Answers -Give drug then have
generalized maculopapular rash- dx?
CT abd - Correct Answers -Dx Pheo with what imaging?
,Acetaminophen + stop transfusion//
stop transfusion and give diphenhydramine//
anaphylactic transfusion rxn//
1:1000 epinephrine and intubation - Correct Answers -Tx nonhemolytic febrile
transfusion rxn with what? Urticarial trnasfusion rxn treated how? Must make sure it's
not what? If it's this, treat with what?
cream filling , pasta salad and picnics//
Listeria - Correct Answers -What foods make you think Staph aureus for diarrhea? Deli
meats make you think what?
pulmonary function//
serial PFT's - Correct Answers -Important to assess what in GBS? Done how?
eyelid swelling and redness, pain with eye movement, proptosis, ophthalmoplegia, and
visual impairment//
CT scan//
inflammation of the extraocular muscles, inflammatory stranding of orbital fat, and
anterior displacement of the globe - Correct Answers -Signs of orbital cellulitis? Test
done for it? See what?
surgical removal and then RAI ablation and exogenous T4//
Follicular - Correct Answers -Papillary cancer of thyroid treated how? Which other
cancer treated same way?
Flow cytometry//
deficiency of CD55 and CD 59 - Correct Answers -Paroxysmal nocturnal
hemoglobinuria - dx with what? See what?
rapid onset tenderness in region of affected bowel and rectal bleeding//
aortic surgery (intraop hypotension), MI, Cardiopulmonary bypass and hemodialysis -
Correct Answers -lARGE bowel ischemia presents with what? Key RF's for it?
when experiencing symptoms for two weeks or if develop facial or tooth pain at any time
- Correct Answers -When do you treat sinusitis with Abx?
strangulated//
incarcerated (irreducible) - Correct Answers -____ hernia is surgical emergency but
hernia must first become ___ before it can become this.
severe back pain, fever, night sweats - Correct Answers -Pott's disease signs ?
dysphagia for BOTH solids and liquids, frothy regurg, halitosis - Correct Answers -Key
signs of achlasia?
if both postprandial and fasting blood sugar levels are elevated//
, post-meal hypoglycemia - Correct Answers -What suggests that patient is not getting
enough basal insulin? What's sign that need to decrease mealtime insulin?
IV Ceftriaxone - carditis, meningtits, encephalitis//
Doxy if patient doesn't have above//
Amox- if patient is pregnant or in children without the above 3 serious things - Correct
Answers -Give different Abx used in Lyme disease and when each type is used?
vertigo, nystagmus, Horner's, loss of P/T in ipsi face and contra body//
occlusion of PICA - Correct Answers -Signs of lateral medullary syndrome? What
causes it?
recurrent oral ulcers in patients in their 20's//
oral ulcers which recur at least 3 times in 1 year - Correct Answers -Behcet's syndrome
presents how? Dx requires what?
decreased levels of ACTH - Correct Answers -Secondary adrenal insufficiency - key
levels?
Type O//
Type A - Correct Answers -Blood type for duodenal ulcers? For gastric ulcers?
Mitomycin - Correct Answers -What chemo drug can induce HUS?
BB, PTU, hydrocortisone, and stable iodine - Correct Answers -4 drugs used for thyroid
storm?
Migraine= nausea, photophobia, and phonophobia - Correct Answers -Key diff features
between tension and migraine HA?
color flow Doppler - Correct Answers -Confirm dx of testicular torsion how?
HCV, HBV, NASH, and alcohol abuse//
cause cirrhosis//
abd pain, weight loss, abd mass on CT, jaundice, signs of cirrhosis - Correct Answers -4
KEY things that predispose to hepatocellular cancer. Why do they? Signs of HCC?
Burkitt's//
t (8;14)//
C-myc - Correct Answers -Starry sky LN bx- dx? Key translocation? Haveincreased
expression of ____
androgen deprivation//
GnRH agonists (leuprolide, goserelin) and antagonists (degarelix), androgen production
in adrenal inhibitors (keto), inhibition of androgrens binding to their receptors
(flutamide)//
