ALL COMSAE REAL EXAM WITH Q&A GRADED A+
TESTED AND APPROVED!!!
Wolff Parkinson White Syndrome -- ANSWER--MC ventricular pre excitation
syndrome
abnml fast atria to ventricle (bundle of Kent); bypasses AV node>> ventricles
begin partially depolarization earlier (NOTED BY DELTA WAVE ON EKG)
widened QRS and shortened PR
Conduction pathway heart -- ANSWER--SA node> atira> AV node> bundle
HIS, R and L bundle branches> purkinje fibers> ventricles
L branch anterior/posterior fascicles
Edema -- ANSWER--inc capillary pressure dec plasma proteins (dec oncotic
capillary pressure) inc capillary permeability increase interstitial fluid colloid
oncotic pressure
Celiac Disease -- ANSWER--setting: 14 mo kid losing weight eating lots of
foods;
Page 1 of 147
,histology: crypt abnormalities (hyperplasia); villous atrophy, lymphocytic
infiltration
presents as malabsorbtion (diarrhea etc in kids) in adults= short stature, anemia
delayed puberty
Musculocutaneous nerve C5-C7 -- ANSWER--upper trunk compression cause
injury; loss forearm flexion/supination; loss sensation over lateral forearm
Axillary nerve C5-C6 -- ANSWER--flat deltoid; loss arm abduction, loss
sensation over deltoid and lateral arm
Radial C5-T1 -- ANSWER--mid shaft fracture humerus, compression axilla
find: dec grip, loss extension (wrist drop); loss sensation posterior arm, dorsal
hand
Median C5-T1 -- ANSWER--supracondylar fracture humerus (proximal) CTS,
wrist laceration (distal)
ape hand pope's blessing
Page 2 of 147
,loss wrist flexion, flex of lateral fingers, thumb opposition, lumbricals 2nd and
3rd digit; loss sensation over thenar eminence and dorsal and palmar aspects of
lateral 3 1/2 fingers w/ proximal
Ulnar C8-T1 -- ANSWER--Fracture medial epicondyle humerus; fractured hook
hamate (distal lesion)
ulnar claw on extension; radial deception wrist upon flexion (proximal lesion)
loss wrist flex, flex of medial fingers, abduction and adduction fingers; medial 2
lumbricals; loss sensation over 1 1/2 fingers including hypothenar eminence
Recurrent branch median nerve -- ANSWER--superficial laceration palm
ape hand; loss thenar muscles no loss sensation
Gilbert Syndrome -- ANSWER--mild dec UDP glucuronosyltransferase
conjugation and impaired bilirubin uptake; asymptomatic or mild jaundice>>
inc unconjugated bilirubin w/o hemolysis; w/ fasting and stress
Osteoporosis histo -- ANSWER--trabecular and cortical bone lose mass and
interconnection despite normal bone mineralization
Page 3 of 147
, assoc w/ Colles fracture- distal radial fracture; fracture of femoral neck
Crigler Najjar -- ANSWER--ABSENT UDP glucuronsyltransferase; early in
life; die few years
find: jaundice, kernicterus (in brain) inc unconjugated bilirubin;
tx: plasmapheresis and phototherapy; type II respond phenobarbital
COCAINE intoxication -- ANSWER--impaired judgement, pupil dilate,
hallucination (coke bugs) sudden cardiac death; paranoid ideations, angina
Tx: alpha blockers/ benzos caution B block bc can cause unopposed alpha
Dubin Johnson -- ANSWER--Conjugated hyperbilirubinemia b/c defective liver
excretion; grossly black liver
Benign
Rotor syndrome -- ANSWER--milder in presentation w/o black liver
impaired hepatic uptake and excretion
Page 4 of 147
TESTED AND APPROVED!!!
Wolff Parkinson White Syndrome -- ANSWER--MC ventricular pre excitation
syndrome
abnml fast atria to ventricle (bundle of Kent); bypasses AV node>> ventricles
begin partially depolarization earlier (NOTED BY DELTA WAVE ON EKG)
widened QRS and shortened PR
Conduction pathway heart -- ANSWER--SA node> atira> AV node> bundle
HIS, R and L bundle branches> purkinje fibers> ventricles
L branch anterior/posterior fascicles
Edema -- ANSWER--inc capillary pressure dec plasma proteins (dec oncotic
capillary pressure) inc capillary permeability increase interstitial fluid colloid
oncotic pressure
Celiac Disease -- ANSWER--setting: 14 mo kid losing weight eating lots of
foods;
Page 1 of 147
,histology: crypt abnormalities (hyperplasia); villous atrophy, lymphocytic
infiltration
presents as malabsorbtion (diarrhea etc in kids) in adults= short stature, anemia
delayed puberty
Musculocutaneous nerve C5-C7 -- ANSWER--upper trunk compression cause
injury; loss forearm flexion/supination; loss sensation over lateral forearm
Axillary nerve C5-C6 -- ANSWER--flat deltoid; loss arm abduction, loss
sensation over deltoid and lateral arm
Radial C5-T1 -- ANSWER--mid shaft fracture humerus, compression axilla
find: dec grip, loss extension (wrist drop); loss sensation posterior arm, dorsal
hand
Median C5-T1 -- ANSWER--supracondylar fracture humerus (proximal) CTS,
wrist laceration (distal)
ape hand pope's blessing
Page 2 of 147
,loss wrist flexion, flex of lateral fingers, thumb opposition, lumbricals 2nd and
3rd digit; loss sensation over thenar eminence and dorsal and palmar aspects of
lateral 3 1/2 fingers w/ proximal
Ulnar C8-T1 -- ANSWER--Fracture medial epicondyle humerus; fractured hook
hamate (distal lesion)
ulnar claw on extension; radial deception wrist upon flexion (proximal lesion)
loss wrist flex, flex of medial fingers, abduction and adduction fingers; medial 2
lumbricals; loss sensation over 1 1/2 fingers including hypothenar eminence
Recurrent branch median nerve -- ANSWER--superficial laceration palm
ape hand; loss thenar muscles no loss sensation
Gilbert Syndrome -- ANSWER--mild dec UDP glucuronosyltransferase
conjugation and impaired bilirubin uptake; asymptomatic or mild jaundice>>
inc unconjugated bilirubin w/o hemolysis; w/ fasting and stress
Osteoporosis histo -- ANSWER--trabecular and cortical bone lose mass and
interconnection despite normal bone mineralization
Page 3 of 147
, assoc w/ Colles fracture- distal radial fracture; fracture of femoral neck
Crigler Najjar -- ANSWER--ABSENT UDP glucuronsyltransferase; early in
life; die few years
find: jaundice, kernicterus (in brain) inc unconjugated bilirubin;
tx: plasmapheresis and phototherapy; type II respond phenobarbital
COCAINE intoxication -- ANSWER--impaired judgement, pupil dilate,
hallucination (coke bugs) sudden cardiac death; paranoid ideations, angina
Tx: alpha blockers/ benzos caution B block bc can cause unopposed alpha
Dubin Johnson -- ANSWER--Conjugated hyperbilirubinemia b/c defective liver
excretion; grossly black liver
Benign
Rotor syndrome -- ANSWER--milder in presentation w/o black liver
impaired hepatic uptake and excretion
Page 4 of 147
