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Comsae 110 Questions And Answers With Complete Solutions
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Comsae 110 Questions And Answers With Complete Solutions
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Comsae 110 Questions And AnswersWith Complete Solutions
68 yo M brought into ED for eval of sudden-onset L side
numbness of the face & extremities. PMHx significant for HTN
& T2DM. These symptoms most likely represent a lacunar
infarct of the:
a. basis pontis
b. central midbrain
c. posterior limb of internal capsule
d. subthalamic nucleus
e. ventroposterior thalamus Correct Answers e. ventroposterior
thalamus
A 24yo F presents w/ 1mo hx of extreme fatigue, weakness &
8lb weight loss. Vital signs reveal BP 100/50 mmHg & HR
115/min. Lab studies reveal hyponatremia, hyperkalemia &
elevated Cr. Patient's fatigue & weakness is most likely due to:
a. adrenocortical insufficiency
b. anemia
c. DM
d. hypothyroidism Correct Answers a. adrenocortical
insufficiency
A 36 yo F w/ 3mo hx of fatigue presents w/ multiple aches &
pains all over her body. She hasn't been sleeping well & doesn't
feel like doing anything. PE reveals multiple TPs on both sides
of the body & above & below the diaphragm. Plain film
,radiographs reveal no abnormalities, & rheumatological blood
tests are negative. Most appropriate method of dx:
a. dx of exclusion
b. electromyography
c. MRI of brain
d. m biopsy
e. serum protein electrophoresis Correct Answers a. dx of
exclusion
-pt has fibromyalgia
A 54yo F presents w/ difficulty walking. ROS reveals flu-like
s/s 2wks ago. Pt reports weakness began in feet days ago & now
involves her legs. PE reveals symmetric decreased strength in
both lower limbs & absent patellar & Achilles reflexes BL.
Sensation is intact. Nerve conduction studies reveal decreased
conduction velocity in the lower limbs. The most likely
pathogenesis is:
a. auto-immune-mediated demyelination
b. inherited deficiency of dystrophin
c. metabolic disease of the m
d. spinal cord compression from a tumor
e. viral infection of dorsal roots Correct Answers a. auto-
immune-mediated demyelination
-pt has GB
A Native American asks for a ritual in the hospital that includes
dancing & chanting. Can you honor the request?
a. honor it as long as there is no harm to the patient
, b. not honor the request bc it may be disruptive to other hospital
pts Correct Answers a. honor it as long as there is no harm to
the patient
A pt w/ Alzheimer's presents w/ recent hx of starting new
mediation, UTI & delirium. What is the cause of his delirium?
Correct Answers UTI
Adjustment disorder vs Major Depressive Disorder timeline
Correct Answers AD = w/in 3mo of identifiable psychosocial
stressor lasting <6mo
MDD = >2wks of s/s
Alpha hemolytic optochin resistant strep Correct Answers
Viridans
-mutans, sanguinis
Alpha hemolytic optochin sensitive strep Correct Answers
Strep pneumo
B hemolytic bacitracin resistant strep Correct Answers Strep
agalactiae (group B)
B hemolytic bacitracin sensitive strep Correct Answers Strep
pyo (group A)
Bacillus anthracis VFs (3) & shape/stain Correct Answers
Gram positive, box-car, spore-forming
Lethal toxin
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