Exam (elaborations)
COMSAE Exam – Questions With Correct Solutions (A+)
- Course
- Institution
COMSAE Exam – Questions With Correct Solutions (A+)
[Show more]
Content preview
COMSAE Exam – Questions With Correct Solutions (A+)Electrical alterans Correct Ans - Alternating of the amplitude of the QRS complex from beat to beat. Seen in Cardiac Tamponade.
Reactive hypoglycemia? Correct Ans - occurs postprandially most common in pts with prior gastric surgery
ransom criteria Correct Ans - 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? Correct Ans - (a/(a+B)) / (c/(c+d))
Unstable pt with SVT? Correct Ans - IV access followed by sedation and synchronized cardioversion
Less than 5 yrs old with fever, rash with bullae, and positive nikolskly? Correct Ans - staph scalded syndrome
triad of chronic pancreatitis? Correct Ans - diabetes, steatorrhea, and pancreatic calcifications on CT
exudative effusions critera?
caused by? Correct Ans - 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? Correct Ans - penicillamine
how to tx akathisia? Correct Ans - beta blocker or benzo
osteopenia vs osteoporosis? Correct Ans - -1 to -2.5 = osteopenia below -2.5 = osteoporosis
fever 48 hours postop?
after 5 days? Correct Ans - 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 Correct Ans - T11-
T12
tx gastroschiss? Correct Ans - immediate fluid resuscitation and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? Correct Ans - use tleukocyte washed red blood cells
preventing cluster headaches med? Correct Ans - verapamil, prednisone,
valproic acid, topiramate, ergotamine
complications of adult polycystic kidney disease? Correct Ans - intracerebral berry aneurysms, hepatic cysts, thoracic aortic aneurysms
old person with closed head injury? Correct Ans - subdural hematoma
especially w antithrombotic meds
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now