COMSAE 110 FINAL STUDY SHEET 2026
SOLVED QUESTIONS FULLY CORRECT
⫸ Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall
compromises Answer: vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
⫸ PMH of calcium disorder which he ran out of supplements. BP is
110/70 and taking BP elicits carpal spasm. PT is short, stocky and
shortened medial digits (Albright Hereditary Osteodystrophy).
Phosphate and cAMP don't respond to IV PTH. The cause is decreased
Answer: Galphas mediated signaling. Pseudohypoparathyroidism type
1a (PHP1A).
⫸ Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg
bacilli. They acquired the bacteria via Answer: inhalation if
environmental aerosols (usually HVAC person). Legionella
pneumophila.
⫸ Sudden loss of consciousness that lasted for less than 1 minute. No
tongue biting or urinary incontinence. Most likely cause Answer:
idioventricular rhythm. sudden drop in cerebral perfusion due pacemaker
failure.
,⫸ 50 yr old man presents for annual visit. FMH lung and bladder
cancer. Drinks alcohol. PMH hemorrhoids. Screening for him Answer:
colonoscopy. Should be done starting at 45yrs old for everyone.
⫸ Low grade lumbosacral achiness for as long as he can remember.
Narrow lucency down the middle of the L5 spinous process present.
Patent sacroiliac joints. Congenital abnormality Answer: spina bifida
occulta.
⫸ 68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at
52. DXA scan -2.1. Add calcium, vitamin D and what med Answer:
alendronate to prevent osteoporosis (Inhibits osteoclast activity,
reducing bone resorption - bisphosphonate)
⫸ What is the Pearson correlation value for this data set? Answer:
correlation close to 0.00.
⫸ 78 yr old presents to office with 1 week history of lower abdominal
pain and urinary hesitancy with interrupted flow. Enlarge, firm, tender
prostate. PSA is normal. Gram pos, catalase neg coccus. Etiological
agent Answer: Enterococcus faecalis .
⫸ 75 yr old pruritic vulvar lesion which she first noticed 1 week. White,
flaky, slightly roughened lesion with focal areas of ecchymoses from
scratching. Thinning of the squamous epithelium. Hypocellular
collagenous tissue. Dx Answer: lichen sclerosus et atrophicus.
, ⫸ 37 yr old man presents with pruritus and bullae that are localized to
sun exposed areas of the skin. Urine sample is reddish brown in
appearance and pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What would be elevated
Answer: uroporphyrinogen III. Porphyria cutanea tarda (PCT).
⫸ Weakness and numbness in his right upper extremity following a
shoulder injury. Reveals anesthesia along the lateral aspect of the arm
and forearm, including the thumb. Biceps ad brachioradialis reflex are
0/4 on the right and 2/4 on the left. Which additional muscle is
diminished Answer: abduction of the humerus. Axillary n. C5-C6 (from
the brachial plexus).
⫸ 62 yr old is slurring words, talking a lot but not making sense.
Arthroscopic knee surgery 2 weeks ago w/ upper respiratory tract
recently. PMH is on psych drug. Mental status deteriorates and develops
seizure. Low NA, Psych drug acts by Answer: inhibiting serotonin
reuptake. Patient presents with serotonin syndrome due to SSRI.
⫸ 7yr old has lethargy, daytime somnolence, nighttime snoring,
increased respiratory infections. DX Answer: adenotonsilar hypertrophy.
Enlarged tonsils and adenoids more common in kids. Not cystic fibrosis
b/c they would have lower resp infections and thick mucus production.
⫸ 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
SOLVED QUESTIONS FULLY CORRECT
⫸ Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall
compromises Answer: vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
⫸ PMH of calcium disorder which he ran out of supplements. BP is
110/70 and taking BP elicits carpal spasm. PT is short, stocky and
shortened medial digits (Albright Hereditary Osteodystrophy).
Phosphate and cAMP don't respond to IV PTH. The cause is decreased
Answer: Galphas mediated signaling. Pseudohypoparathyroidism type
1a (PHP1A).
⫸ Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg
bacilli. They acquired the bacteria via Answer: inhalation if
environmental aerosols (usually HVAC person). Legionella
pneumophila.
⫸ Sudden loss of consciousness that lasted for less than 1 minute. No
tongue biting or urinary incontinence. Most likely cause Answer:
idioventricular rhythm. sudden drop in cerebral perfusion due pacemaker
failure.
,⫸ 50 yr old man presents for annual visit. FMH lung and bladder
cancer. Drinks alcohol. PMH hemorrhoids. Screening for him Answer:
colonoscopy. Should be done starting at 45yrs old for everyone.
⫸ Low grade lumbosacral achiness for as long as he can remember.
Narrow lucency down the middle of the L5 spinous process present.
Patent sacroiliac joints. Congenital abnormality Answer: spina bifida
occulta.
⫸ 68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at
52. DXA scan -2.1. Add calcium, vitamin D and what med Answer:
alendronate to prevent osteoporosis (Inhibits osteoclast activity,
reducing bone resorption - bisphosphonate)
⫸ What is the Pearson correlation value for this data set? Answer:
correlation close to 0.00.
⫸ 78 yr old presents to office with 1 week history of lower abdominal
pain and urinary hesitancy with interrupted flow. Enlarge, firm, tender
prostate. PSA is normal. Gram pos, catalase neg coccus. Etiological
agent Answer: Enterococcus faecalis .
⫸ 75 yr old pruritic vulvar lesion which she first noticed 1 week. White,
flaky, slightly roughened lesion with focal areas of ecchymoses from
scratching. Thinning of the squamous epithelium. Hypocellular
collagenous tissue. Dx Answer: lichen sclerosus et atrophicus.
, ⫸ 37 yr old man presents with pruritus and bullae that are localized to
sun exposed areas of the skin. Urine sample is reddish brown in
appearance and pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What would be elevated
Answer: uroporphyrinogen III. Porphyria cutanea tarda (PCT).
⫸ Weakness and numbness in his right upper extremity following a
shoulder injury. Reveals anesthesia along the lateral aspect of the arm
and forearm, including the thumb. Biceps ad brachioradialis reflex are
0/4 on the right and 2/4 on the left. Which additional muscle is
diminished Answer: abduction of the humerus. Axillary n. C5-C6 (from
the brachial plexus).
⫸ 62 yr old is slurring words, talking a lot but not making sense.
Arthroscopic knee surgery 2 weeks ago w/ upper respiratory tract
recently. PMH is on psych drug. Mental status deteriorates and develops
seizure. Low NA, Psych drug acts by Answer: inhibiting serotonin
reuptake. Patient presents with serotonin syndrome due to SSRI.
⫸ 7yr old has lethargy, daytime somnolence, nighttime snoring,
increased respiratory infections. DX Answer: adenotonsilar hypertrophy.
Enlarged tonsils and adenoids more common in kids. Not cystic fibrosis
b/c they would have lower resp infections and thick mucus production.
⫸ 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
