COMSAE 1

Question 1

weird looking ear on neonatal check up . .next step?

Answer 1

renal US . . . CHARGE syndrome

Question 2

This also known as the “Patient Anti-Dumping” statute, is a Federal statute intended to prevent Medicare-participating hospitals with dedicated emergency departments from refusing to treat people based on their insurance status or ability to pay.

Answer 2

The Emergency Medical Treatment and Active Labor Act (EMTALA),

Question 3

What does hypocalcemia do to ECG?

Answer 3

Prolongation of QT interval

Question 4

Explain tumor lysis syndrome and renal implications

Answer 4

• Chemo
• Hyperphosphatemia, Hyperkalemia, hypocalcemia, high uric acid
• Leads to AKI

Question 5

How do you prevent flushing from carcinoid syndrome

Answer 5

Octreotide

Question 6

Management of varicocele in patients trying to have children

Answer 6

Spermatic vein ligation

Question 7

Describe the mechanism of how Dexamethasone helps in the management of vasogenic edema in patients with a brain mass

Answer 7

• Decreased endothelial permeability

- Decrease in capillary permeability (ie, improvement in blood brain barrier function)

Question 8

OMM for Eustachian tube dysfunction (ie. otitis media)

Answer 8

Galbreath

Question 9

time frame for newborn jaundice due to ABO compatibility?

Answer 9

<24 hours

Question 10

What causes of newborn jaundice does the newborn initially appear normal?

Answer 10

• Sepsis
• Hypothyroid
• Possibly BF/BM

Question 11

Time frame for Breastfeeding jaundice?

Answer 11

first week of life

Question 12

Time frame for Breast milk jaundice?

Answer 12

Starts at age 3-5 days

-peaks at 2 weeks

Question 13

Maternal and fetus blood types in ABO incompatibility

Answer 13

• Mother is O

- infant is A or B

Question 14

First line agents for otitis externa

Answer 14

• a fluoroquinolone +/- cortisone cream
• Polymyxin-neomycin-hydrocortisone
• The aminoglycosides tobramycin and gentamicin

Question 15

Classic triad of endometriosis

Answer 15

• dysmenorrhea
• Dyspareunia
• Infertility
• The pain occurs 1-2 weeks prior to menses and peaks just before menstruation

Question 16

This is a gonadotropin-releasing hormone agonist used for treatment of endometriosis

Answer 16

Leuprolide

Question 17

When is egophony on lung exam heard?

Answer 17

lung consolidation

Question 18

Describe the difference between a structural curve and a functional curve in scoliosis?

Answer 18

• Structural: relatively fixed and inflexible. A structural curve will not correct with sidebending in the opposite direction. It is associated with vertebral wedging and shortened ligaments and muscles on the concave side
• Functional: A spinal curve that is flexible and can be partially or completely corrected with sidebending to the opposite side. An uncorrected functional curve may eventually progress into a structural curve

Question 19

Most important post op care after endarterectomy

Answer 19

BP management