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Exam (elaborations)

COMSAE exam questions and revised correct answers

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  • Course
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  • COMSAE

electrical alterans - correct answer Alternating of the amplitude of the QRS complex from beat to beat. Seen in Cardiac Tamponade. reactive hypoglycemia? - correct answer occurs postprandially most common in pts with prior gastric surgery ranson criteria - correct answer assess severity of pa...

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  • September 28, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMSAE
  • COMSAE
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arriane
COMSAE

electrical alterans - correct answer Alternating of the amplitude of the QRS complex from beat to beat.
Seen in Cardiac Tamponade.



reactive hypoglycemia? - correct answer occurs postprandially most common in pts with prior gastric
surgery



ranson criteria - correct answer 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 answer (a/(a+B)) / (c/(c+d))



unstable pt with SVT? - correct answer IV access followed by sedation and synchronized cardioversion



less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - correct answer staph scalded
syndrome

,triad of chronic pancreatitis? - correct answer diabetes, steatorrhea, and pancreatic calcifications on CT



exudative effusions critera?

caused by? - correct answer 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 answer penicillamine



how to tx akathisia? - correct answer beta blocker or benzo



osteopenia vs osteoporosis? - correct answer -1 to -2.5 = osteopenia



below -2.5 = osteoporosis



fever 48 hours postop?



after 5 days? - correct answer 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 answer T11-T12

, tx gastroschiss? - correct answer immediate fluid resuscitation and urgent surgical replacement



most reliable method for preventing febrile transfusion rxns? - correct answer use tleukocyte washed red
blood cells



preventing cluster headaches med? - correct answer verapamil, prednisone, valproic acid, topiramate,
ergotamine



complications of adult polycystic kidney disease? - correct answer intracerebral berry aneurysms, hepatic
cysts, thoracic aortic aneurysms



old person with closed head injury? - correct answer subdural hematoma



especially w antithrombotic meds



severe vomiting does what to potassium and chloride? - correct answer LOW potassium

LOW chloride



metab alkalosis



middle meningeal artery is a branch of which artery? - correct answer maxillary artery

which arises from external carotid artery



how to dx BPPV? - correct answer 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



first step in treating and dx normal pressure hydrocephalus? - correct answer removal of high voolume
of CSF via lumbar puncture

THEN doing ventriculoperitoneal shunt

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