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Exam (elaborations)

COMSAE Exam with correct Answers

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COMSAE Exam with correct Answers

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  • November 15, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMSAE
  • COMSAE
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millyphilip
COMSAE Exam with correct Answers

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

metab alkalosis

middle meningeal artery is a branch of which artery? - Answers -maxillary artery
which arises from external carotid artery

how to dx BPPV? - Answers -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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