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COMSAE Exam Questions and Answers 100% Pass

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COMSAE Exam Questions and Answers 100% Pass electrical alterans - ANSWER -Alternating of the amplitude of the QRS complex from beat to beat. Seen in Cardiac Tamponade. reactive hypoglycemia? - ANSWER -occurs postprandially most common in pts with prior gastric surgery ranson criteria - 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 2 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. relative risk equation? - ANSWER -(a/(a+B)) / (c/(c+d)) unstable pt with SVT? - ANSWER -IV access followed by sedation and synchronized cardioversion less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ANSWER -staph scalded syndrome triad of chronic pancreatitis? - ANSWER -diabetes, steatorrhea, and pancreatic calcifications on CT exudative effusions critera? caused by? - 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? - ANSWER -penicillamine how to tx akathisia? - ANSWER -beta blocker or benzo osteopenia vs osteoporosis? - ANSWER --1 to -2.5 = osteopenia below -2.5 = osteoporosis fever 48 hours postop? after 5 days? - ANSWER -phlebitis, UTI, or PNA 3 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. wound infxn or surgical space infxn - dx using CT viscerosomatic segment for lower GU/GI ? transverse colon to rectum, lower ureter to bladder - ANSWER -T11-T12 tx gastroschiss? - ANSWER -immediate fluid resuscitation and urgent surgical replacement most reliable method for preventing febrile transfusion rxns? - ANSWER -use tleukocyte washed red blood cells preventing cluster headaches med? - ANSWER -verapamil, prednisone, valproic acid, topiramate, ergotamine complications of adult polycystic kidney disease? - ANSWER -intracerebral berry aneurysms, hepatic cysts, thoracic aortic aneurysms old person with closed head injury? - ANSWER -subdural hematoma especially w antithrombotic meds severe vomiting does what to potassium and chloride? - ANSWER -LOW potassium LOW chloride metab alkalosis middle meningeal artery is a branch of which artery? - ANSWER -maxillary artery 4 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. which arises from external carotid artery how to dx BPPV? - 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? - ANSWER -removal of high voolume of CSF via lumbar puncture THEN doing ventriculoperitoneal shunt urine coproporphyrin I is _____ in rotor syndrome? - ANSWER -less than 70% 80% coproporphyrin I ? - ANSWER -dubin johnson syndrone ability of a test to rule out cancer for a patient? - ANSWER -sensitivity sn-n-out neg test on high sensitivty rules a disease OUT elevated pH is seen in what vaginal disease? - ANSWER -trichomoniasis and bacterial vaginosis neonate less than 34 weeks gestation with respiratoryr condition? - ANSWER -respiratory distress syndrome low lung compliance (no surfactant) right to left shunt 5 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. nephrotoxic drugs to remember? - ANSWER -aminoglycosides amphotericin B cisplatin ACEI NSAID loop diuretics cyclosporine tacrolimus acyclovir decreased compliance means what? - ANSWER -restrictive cardiomyopathy decrease in relaxation of ventricle

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COMSAE Exam Questions and Answers 100% Pass


electrical alterans - ANSWER ✔✔-Alternating of the amplitude of the QRS complex from beat to beat.

Seen in Cardiac Tamponade.


reactive hypoglycemia? - ANSWER ✔✔-occurs postprandially most common in pts with prior gastric

surgery


ranson criteria - 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



Created by Grace Amelia © 2025, All Rights Reserved.

,2|Page


relative risk equation? - ANSWER ✔✔-(a/(a+B)) / (c/(c+d))


unstable pt with SVT? - ANSWER ✔✔-IV access followed by sedation and synchronized cardioversion


less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ANSWER ✔✔-staph scalded

syndrome


triad of chronic pancreatitis? - ANSWER ✔✔-diabetes, steatorrhea, and pancreatic calcifications on CT


exudative effusions critera?


caused by? - 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? - ANSWER ✔✔-penicillamine


how to tx akathisia? - ANSWER ✔✔-beta blocker or benzo


osteopenia vs osteoporosis? - ANSWER ✔✔--1 to -2.5 = osteopenia




below -2.5 = osteoporosis


fever 48 hours postop?




after 5 days? - ANSWER ✔✔-phlebitis, UTI, or PNA



Created by Grace Amelia © 2025, All Rights Reserved.

, 3|Page




wound infxn or surgical space infxn


- dx using CT


viscerosomatic segment for lower GU/GI ?


transverse colon to rectum, lower ureter to bladder - ANSWER ✔✔-T11-T12


tx gastroschiss? - ANSWER ✔✔-immediate fluid resuscitation and urgent surgical replacement


most reliable method for preventing febrile transfusion rxns? - ANSWER ✔✔-use tleukocyte washed red

blood cells


preventing cluster headaches med? - ANSWER ✔✔-verapamil, prednisone, valproic acid, topiramate,

ergotamine


complications of adult polycystic kidney disease? - ANSWER ✔✔-intracerebral berry aneurysms, hepatic

cysts, thoracic aortic aneurysms


old person with closed head injury? - ANSWER ✔✔-subdural hematoma




especially w antithrombotic meds


severe vomiting does what to potassium and chloride? - ANSWER ✔✔-LOW potassium


LOW chloride




metab alkalosis


middle meningeal artery is a branch of which artery? - ANSWER ✔✔-maxillary artery




Created by Grace Amelia © 2025, All Rights Reserved.

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