COMSAE Exam Newest Actual Exam 200

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COMSAE Exam Newest Actual Exam 200 Questions And Correct Detailed Answers (verified Answers) ||Already Graded A+||Brand New Version!!

50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is a cattle farmer who has recently been working in an enclosed hay storage barn. His serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules sparing the apices and bases. DX - ANSWER-hypersensitivity pneumonitis. (Type III/IV hypersensitivity)

Folic acid will ensure fetus has adequate methylene tetrahydrofolate for - ANSWER-conversion of dUMP to dTMP.(limits neural tube risk)

Nausea, headache, breast tenderness. Mother of 4 and taking monophasic combine oral contraceptive therapy for 3 months.Consider a different contraceptive. Switch her to - ANSWER- administer depot medroxyprogesterone acetate injections.(estrogen is causing issues - switch to a progesterone only med) 1 / 4

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62 yr old tired by the end of the day. More breathless and burning sensation in legs when he jogs. PMH HTN for 20 yrs untreated. Labs- NA ↑, BUN↑, glucose ↑, GFR↓. Exercise tolerance impaired b/c - ANSWER-arterial blood oxygen content is reduced. Chronic kidney disease leading to anemia.He wouldn't be able to jog is there was a ↓in cardiac output.

• day history of R elbow pain that began shortly after tennis

tournament. Winces when shaking hands/ Diminished flexion of the wrist and tender end point at the R lateral epicondyle.Additional tender point is found at - ANSWER-extensors of the wrist. Extensors connect directly to the lateral epicondyle, pronator teres is wrong because that attaches to the medial epicondyle.

54 yr old man present with increasing difficulty initiating urination, which results in multiple nocturnal attempts to void.Which receptor should the pharm aim for to provide relief - ANSWER-block of alpha 1 adrenergic receptor in the prostate.

Pt has HTN. Multiple medication has not allowed for control.She has no meds currently. Exam reveals edema with LOW 2 / 4

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potassium. Etiology - ANSWER-renal artery stenosis. No

EDEMA IN CUSHING SYNDROME!

You review article result sin which 1,000 patient s with and without heart disease had this test performed with 900 positive results (p value of 0.5). you conclude that - ANSWER-the observed difference is due to chance. No type 1 error present b/c you didn't incorrectly reject the null hypothesis.

45 yr old man has L lower extremity edema. Surgical history reveals a L inguinal hernia repair 2 weeks ago. Anterior innominate rotation present. Edema most likely because - ANSWER-mechanical obstruction to absorptive flow.Obstruction most likely due to PMH of recent surgery.

History of palpitations and dyspnea + PMH of coronary artery disease and HTN. Lungs are clear to auscultation. Most appropriate pharm agent to control the HR - ANSWER- diltiazem. Adenosine is a short-acting agent that temporarily blocks AV nodal conduction. It's primarily used for paroxysmal supraventricular tachycardia (PSVT), especially in cases of reentrant arrhythmias involving the AV node (like AV nodal reentry tachycardia).

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6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA reveals too numerous to count erythrocytes.Hematuria is due to - ANSWER-inhibition of factor 7 synthesis.Rat poison is a vitamin k analog like warfarin and results in lack of factor 7. Heparin is an antithrombin 3 analog - but that is not present in rat poison.

• weeks history of productive cough, fatigue, intermittent mild

fever. Sputum has tinged discolored red streaks. Lung auscultation reveals bilateral wheezes as well as increased respiratory rate. No posterior nasal drainage. Diagnosis - ANSWER-bronchitis. Shows lower respiratory sx unlike strep pharyngitis which would present with upper respiratory sx and sore throat.

CC of left sided weakness. Muscle strength reduced on both left limbs. Plantar reflex is extensor on the L and flexor on the R.Protrusion of her tongue deviates to the R. Sensory deficit is most likely present - ANSWER-loss of discriminative touch of L arm and leg. Medial medulla lesion. Pain and temp spared b/c on the lateral medulla.

52 yr old found drinking wood alcohol. PMH is AUD. He is disoriented, cool extremity and dilated pupils. Prominent retinal congestion and blurring of the edges of the optic disk. Most

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