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COMSAE EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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COMSAE EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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COMSAEelectrical alternans - ANS Alternating of the amplitude of the QRS complex from beat to beat.
Seen in Cardiac Tamponade.
reactive hypoglycemia? - ANS occurs postprandially most common in pts with prior gastric
surgery
ranson criteria - ANS assess severity of pancreatitis
age >55 yrs
wbc >16,000
glucose >200
LDH >350
AST >250
after 48hrs
hematocrit decrease >10%
bun increase >5
calcium <8
pao2 <60
base deficit >4
fluid sequestration >6
relative risk equation? - ANS (a/(a+B)) / (c/(c+d))
unstable pt with SVT? - ANS IV access followed by sedation and synchronized cardioversion
less than 5 yrs old with fever, rash with bullae, and positive nikolsky? - ANS staph scalded
syndrome
Triad of chronic pancreatitis? - ANS diabetes, steatorrhea, and pancreatic calcifications on CT
exudative effusions critera?
caused by? - ANS total pleural fluid protein to protein 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? - ANS penicillamine
, How to tx akathisia? - ANS beta blocker or benzo
Osteopenia vs osteoporosis? - ANS -1 to -2.5 = osteopenia
below -2.5 = osteoporosis
fever 48 hours post op?
after 5 days? - 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 - ANS T11-T12
tx gastroschisis? - ANS immediate fluid resuscitation and urgent surgical replacement
Most reliable method for preventing febrile transfusion rxns? - ANS use leukocyte washed red
blood cells
preventing cluster headaches med? - ANS verapamil, prednisone, valproic acid, topiramate,
ergotamine
complications of adult polycystic kidney disease? - ANS intracerebral berry aneurysms, hepatic
cysts, thoracic aortic aneurysms
old person with closed head injury? - ANS subdural hematoma
especially w antithrombotic meds
severe vomiting does to potassium and chloride? - ANS LOW potassium
LOW chloride
metab alkalosis
middle meningeal artery is a branch of which artery? - ANS maxillary artery
which arises from external carotid artery
How to dx BPPV? - ANS dix-hallpike maneuver
pt seated facing one side legs fully extended
hold pts head to one side quickly lie flat on table hanging head off and observe for nystagmus
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