COMSAE 111 LATEST VERSION 77 QUESTIONS AND ANSWERS WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
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vagal trunk (runs posterior
to the esophagus). Mallo-
1. Patient is retching, vomiting small amount of blood,
history of AUD. Nonpentrating mucosal tear of the
posterior wall superior to the gastroesophageal junc- ry-Weiss syndrome.
tion that continues to the esophageal wall compro-
mises
2. PMH of calcium disorder which he ran out of sup- Galphas mediated signal-
plements. BP is 110/70 and taking BP elicits carpal ing. Pseudohypoparathy-
spasm. PT is short, stocky and shortened medial digits roidism type 1a (PHP1A).
(Albright Hereditary Osteodystrophy). Phosphate and
cAMP don't respond to IV PTH. The cause is decreased
3. Fever, dry cough, GI upset with COPD. Patchy opaci- inhalation if environmen-
ties. Gram neg bacilli. They acquired the bacteria via tal aerosols (usually HVAC
person). Legionella pneu-
mophila.
4. Sudden loss of consciousness that lasted for less than idioventricular rhythm. sud-
1 minute. No tongue biting or urinary incontinence. den drop in cerebral perfu-
Most likely cause sion due pacemaker failure.
5. 50 yr old man presents for annual visit. FMH lung and colonoscopy. Should be
bladder cancer. Drinks alcohol. PMH hemorrhoids. done starting at 45yrs old
Screening for him for everyone.
6. Low grade lumbosacral achiness for as long as he can spina bifida occulta.
remember. Narrow lucency down the middle of the
, COMSAE 111 LATEST VERSION 77 QUESTIONS AND ANSWERS WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
TO MESSAGE ME WITH QUESTIONS }
L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality
7. 68 yr old woman with T2DM, HTN, hyperlipidemia. alendronate to prevent os-
Menopause at 52. DXA scan -2.1. Add calcium, vitamin teoporosis (Inhibits os-
D and what med teoclast activity, reducing
bone resorption - bisphos-
phonate)
8. What is the Pearson correlation value for this data set? correlation close to 0.00.
9. 78 yr old presents to office with 1 week history of Enterococcus faecalis .
lower abdominal pain and urinary hesitancy with in-
terrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological
agent
10. 75 yr old pruritic vulvar lesion which she first noticed 1 lichen sclerosus et atrophi-
week. White, flaky, slightly roughened lesion with fo- cus.
cal areas of ecchymoses from scratching. Thinning of
the squamous epithelium. Hypocellular collagenous
tissue. Dx
11. 37 yr old man presents with pruritus and bullae uroporphyrinogen III. Por-
that are localized to sun exposed areas of the skin. phyria cutanea tarda (PCT).
Urine sample is reddish brown in appearance and
pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What
would be elevated
12. Weakness and numbness in his right upper extremity abduction of the humerus.
following a shoulder injury. Reveals anesthesia along Axillary n. C5-C6 (from the
the lateral aspect of the arm and forearm, including brachial plexus).
, COMSAE 111 LATEST VERSION 77 QUESTIONS AND ANSWERS WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
TO MESSAGE ME WITH QUESTIONS }
the thumb. Biceps ad brachioradialis reflex are 0/4 on
the right and 2/4 on the left. Which additional muscle
is diminished
13. 62 yr old is slurring words, talking a lot but not making inhibiting serotonin reup-
sense. Arthroscopic knee surgery 2 weeks ago w/ up- take. Patient presents with
per respiratory tract recently. PMH is on psych drug. serotonin syndrome due to
Mental status deteriorates and develops seizure. Low SSRI.
NA, Psych drug acts by
14. 7yr old has lethargy, daytime somnolence, nighttime adenotonsilar hypertrophy.
snoring, increased respiratory infections. DX Enlarged tonsils and ade-
noids more common in
kids. Not cystic fibrosis b/c
they would have lower resp
infections and thick mucus
production.
15. 50 yr old man acute episode cough, dyspnea, fever, hypersensitivity pneumoni-
and chest pain. Reveals that he is a cattle farmer who tis. (Type III/IV hypersensi-
has recently been working in an enclosed hay storage tivity)
barn. His serum IgE level is normal. High serum pre-
cipitating antibody levels to actinomycetes are pre-
sent. Restrictive pattern and reducing diffusing capac-
ity. Multiple bilateral nodules sparing the apices and
bases. DX
16. Folic acid will ensure fetus has adequate methylene conversion of dUMP to
tetrahydrofolate for dTMP. (limits neural tube
risk)
17. Nausea, headache, breast tenderness. Mother of 4 administer depot medrox-
and taking monophasic combine oral contraceptive yprogesterone acetate in-
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
TO MESSAGE ME WITH QUESTIONS }
vagal trunk (runs posterior
to the esophagus). Mallo-
1. Patient is retching, vomiting small amount of blood,
history of AUD. Nonpentrating mucosal tear of the
posterior wall superior to the gastroesophageal junc- ry-Weiss syndrome.
tion that continues to the esophageal wall compro-
mises
2. PMH of calcium disorder which he ran out of sup- Galphas mediated signal-
plements. BP is 110/70 and taking BP elicits carpal ing. Pseudohypoparathy-
spasm. PT is short, stocky and shortened medial digits roidism type 1a (PHP1A).
(Albright Hereditary Osteodystrophy). Phosphate and
cAMP don't respond to IV PTH. The cause is decreased
3. Fever, dry cough, GI upset with COPD. Patchy opaci- inhalation if environmen-
ties. Gram neg bacilli. They acquired the bacteria via tal aerosols (usually HVAC
person). Legionella pneu-
mophila.
4. Sudden loss of consciousness that lasted for less than idioventricular rhythm. sud-
1 minute. No tongue biting or urinary incontinence. den drop in cerebral perfu-
Most likely cause sion due pacemaker failure.
5. 50 yr old man presents for annual visit. FMH lung and colonoscopy. Should be
bladder cancer. Drinks alcohol. PMH hemorrhoids. done starting at 45yrs old
Screening for him for everyone.
6. Low grade lumbosacral achiness for as long as he can spina bifida occulta.
remember. Narrow lucency down the middle of the
, COMSAE 111 LATEST VERSION 77 QUESTIONS AND ANSWERS WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
TO MESSAGE ME WITH QUESTIONS }
L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality
7. 68 yr old woman with T2DM, HTN, hyperlipidemia. alendronate to prevent os-
Menopause at 52. DXA scan -2.1. Add calcium, vitamin teoporosis (Inhibits os-
D and what med teoclast activity, reducing
bone resorption - bisphos-
phonate)
8. What is the Pearson correlation value for this data set? correlation close to 0.00.
9. 78 yr old presents to office with 1 week history of Enterococcus faecalis .
lower abdominal pain and urinary hesitancy with in-
terrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological
agent
10. 75 yr old pruritic vulvar lesion which she first noticed 1 lichen sclerosus et atrophi-
week. White, flaky, slightly roughened lesion with fo- cus.
cal areas of ecchymoses from scratching. Thinning of
the squamous epithelium. Hypocellular collagenous
tissue. Dx
11. 37 yr old man presents with pruritus and bullae uroporphyrinogen III. Por-
that are localized to sun exposed areas of the skin. phyria cutanea tarda (PCT).
Urine sample is reddish brown in appearance and
pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What
would be elevated
12. Weakness and numbness in his right upper extremity abduction of the humerus.
following a shoulder injury. Reveals anesthesia along Axillary n. C5-C6 (from the
the lateral aspect of the arm and forearm, including brachial plexus).
, COMSAE 111 LATEST VERSION 77 QUESTIONS AND ANSWERS WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST UPDATE { FEEL FREE
TO MESSAGE ME WITH QUESTIONS }
the thumb. Biceps ad brachioradialis reflex are 0/4 on
the right and 2/4 on the left. Which additional muscle
is diminished
13. 62 yr old is slurring words, talking a lot but not making inhibiting serotonin reup-
sense. Arthroscopic knee surgery 2 weeks ago w/ up- take. Patient presents with
per respiratory tract recently. PMH is on psych drug. serotonin syndrome due to
Mental status deteriorates and develops seizure. Low SSRI.
NA, Psych drug acts by
14. 7yr old has lethargy, daytime somnolence, nighttime adenotonsilar hypertrophy.
snoring, increased respiratory infections. DX Enlarged tonsils and ade-
noids more common in
kids. Not cystic fibrosis b/c
they would have lower resp
infections and thick mucus
production.
15. 50 yr old man acute episode cough, dyspnea, fever, hypersensitivity pneumoni-
and chest pain. Reveals that he is a cattle farmer who tis. (Type III/IV hypersensi-
has recently been working in an enclosed hay storage tivity)
barn. His serum IgE level is normal. High serum pre-
cipitating antibody levels to actinomycetes are pre-
sent. Restrictive pattern and reducing diffusing capac-
ity. Multiple bilateral nodules sparing the apices and
bases. DX
16. Folic acid will ensure fetus has adequate methylene conversion of dUMP to
tetrahydrofolate for dTMP. (limits neural tube
risk)
17. Nausea, headache, breast tenderness. Mother of 4 administer depot medrox-
and taking monophasic combine oral contraceptive yprogesterone acetate in-
