COMAT FAMILY MEDICINE EXAM 2024/2025 NEWEST !!! COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+. What initial labs evaluate hypertension? Renal: Electrolytes, Cr, UA, albumin/Cr ration (optional) Endocrine: Fasting glucose or A1c, lipids, TSH Cardiac: ECG, echo (optional) Other: CBC, Uric acid (optional) What labs evaluate for resistant hypertension, atypical or secondary HTN disorder? -24-hr urinary free cortisol -Plasma aldosterone and renin Primary hyperaldosteronism labs -High aldosterone -Low renin -Aldosterone/renin ratio > 20 cause: bilateral adrenal hyperplasia or aldosterone producing adrenal adenoma (Conn syndrome) What should you order if you suspect primary hyperaldosteronism? Adrenal CT Secondary hyperaldosteronism labs -High aldosterone -High renin-Aldosterone/renin ratio ~ 10 causes: cirrhosis, diuretics, CHF, renin secreting tumors, renal artery stenosis, renovascular HTN Initial evaluation in a male patient with lower urinary tract symptoms (LUTS) and BPH? -Urinalysis (r/o infection or hematuria) -Serum PSA (prostate cancer) -Cr (sometimes) Elevated Cr with LUTS and BPH, next steps? Renal ultrasound r/o hydronephrosis and exclude other causes of obstruction What disease presents with abdominal pain, NB diarrhea, oral ulcers, malabsorption, weight loss and perianal disease? Crohn disease Labs and imaging results are associated with Crohn disease? -Leukocytosis -Iron deficiency -Elevated ESR -B12 deficiency (terminal