COMSAE I EXAM QUESTIONS AND ANSWERS 100%
SCORES
dilation of veins in abdomen and hemorrhoids what else will you see? - -esophageal
varices
-18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea. Gram-, non motile,
nonencapsulated. bug? - -shigella...on test it was sonnei
-does pseudomonas have a capsule? - -yes!
-leads v1 and 2 - -anteroseptal (LAD)
-v3-4 leads - -anteroapical (distal LAD)
-v5-6 - -anterolateral (LAD or LCX)
-I, avL - -lateral (LCX)
-avf, II, III - -inFerior (RCA)
-v7-9 ST depression in V1-3 with tall R waves - -PDA
-mcc of meningitis - -strep pneumo
n meningitis is #1 in teens
-freshwater lake, gets headache/flu like illness...dx? - -leptospira
-indirect hyperbilis? d/t? - -gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
-direct hyperbilis? - -rotor
dubin johnson (black liver)
-innervation of bottom of foot - -
-what is built up in lactose intolerance? - -LACTOSE!
lactase breaks it down into glucose and galactose
-what is seen in G6PD (rbcs) - -bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
, -roth spots are - -dark spots in the retina assoc with bacterial endocarditis
-what is pcos dt - -higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
-atrioventricular nodal tachy - -
-where does fibularis brevis insert - -base of 5th metatarsal
-where does fibularis longus insert - -medial cuneiform and base of 1st metatarsal
-circle of willis - -good to know bc they may ask what a syndrome is based off of their
origin from ICA or vertebral body
from vertebral: PICA, AICA, ASA, Basialr, PCA (all posterior circulation)
ICA: MCA and ACA (all anterior circulation
-degeneration of axon distal to site of injury and axonal retration proximally - -wallerian
degeneration
-what can be seen in urine with uteric calculs - -blood but probs not bacteria
-what is seen in normal pressure hydrocepahlus? - -ventricular dilattaion---look for triad
-what are the porphyrias d/t? - -heme synthesis probs
- lead poisoning, AIP, pCT
-natural habitat of strep pneumo - -oropharynx?
-mcc of meningtis from 0-6 mos - -GBS
then e coli
then listeria
-what is subarachnoid hemorrage d/t - -AV malformation or saccular aneursym
-threated v incomplete v spontaneous complete abortion - -
-12 hours after meat or poult FP - -c perfringens
SCORES
dilation of veins in abdomen and hemorrhoids what else will you see? - -esophageal
varices
-18 yo sexuallyl active female w/hx of cramps, ab pain, bloody diarrhea. Gram-, non motile,
nonencapsulated. bug? - -shigella...on test it was sonnei
-does pseudomonas have a capsule? - -yes!
-leads v1 and 2 - -anteroseptal (LAD)
-v3-4 leads - -anteroapical (distal LAD)
-v5-6 - -anterolateral (LAD or LCX)
-I, avL - -lateral (LCX)
-avf, II, III - -inFerior (RCA)
-v7-9 ST depression in V1-3 with tall R waves - -PDA
-mcc of meningitis - -strep pneumo
n meningitis is #1 in teens
-freshwater lake, gets headache/flu like illness...dx? - -leptospira
-indirect hyperbilis? d/t? - -gilbert (mildy absent)
crigler naijar (absent/fatal)---responds to phenobarb
-direct hyperbilis? - -rotor
dubin johnson (black liver)
-innervation of bottom of foot - -
-what is built up in lactose intolerance? - -LACTOSE!
lactase breaks it down into glucose and galactose
-what is seen in G6PD (rbcs) - -bite cells/degmacyte and heinz bodies
heinz bodies are denatured hemoglobin
, -roth spots are - -dark spots in the retina assoc with bacterial endocarditis
-what is pcos dt - -higher production of LH
this produces androgens by the ovarin thecal cells
(granulosa cells produces estrogens via conversion by aromatase)
-atrioventricular nodal tachy - -
-where does fibularis brevis insert - -base of 5th metatarsal
-where does fibularis longus insert - -medial cuneiform and base of 1st metatarsal
-circle of willis - -good to know bc they may ask what a syndrome is based off of their
origin from ICA or vertebral body
from vertebral: PICA, AICA, ASA, Basialr, PCA (all posterior circulation)
ICA: MCA and ACA (all anterior circulation
-degeneration of axon distal to site of injury and axonal retration proximally - -wallerian
degeneration
-what can be seen in urine with uteric calculs - -blood but probs not bacteria
-what is seen in normal pressure hydrocepahlus? - -ventricular dilattaion---look for triad
-what are the porphyrias d/t? - -heme synthesis probs
- lead poisoning, AIP, pCT
-natural habitat of strep pneumo - -oropharynx?
-mcc of meningtis from 0-6 mos - -GBS
then e coli
then listeria
-what is subarachnoid hemorrage d/t - -AV malformation or saccular aneursym
-threated v incomplete v spontaneous complete abortion - -
-12 hours after meat or poult FP - -c perfringens
