COMSAE COMPLETE EXAM ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
drug for UC/Crohns
sulfasalazine
pulmonary effects of CF
chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone?
(spongy and ) trabecular bone mass loss
imipramine
TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
viscerosomatic
visceral disease --> somatic finding
loratidine vs ranitidine
loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside
entaemoba histolytica
1|Page
,which type of pneumothorax causes tracheal deviation to the contra side?
tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels
AVM arteriovenous malformation
cavernous hemangioma
benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop
recovered or immunized
not in chronic or
proctalgia fugax
levator ani syndrome
fasciculus is UMN or LMN lesion?
LMN
ectopic gastric tissue
meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks
thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve
x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia
TCA, SNRIs anticonvulsants
what blocks NE reuptake?
2|Page
,TCA or SNRIs
possible complication of pagets bone disease
osteocarcoma
what does Hct tell you?
ratio of volume of RBCs compared to total blood volume
probenecid
inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID
ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
lithiums effects on urination
inhibits vasopression/ADH --> increased urinary frequency
infertility drug that can result in multiple fetuses
clomiphene (clones- multiple babies)
antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback)
upregulates LH and FSH release from pituitary --> ovulation
used to treat PCOS but can cause ovarian enlargement, multiple fetuses
AFP levels in down syndrome
low
GI malformation A/W down syndrome
Hirschprungs- congenital aganglionic megacolon
defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
3|Page
, myasthenia gravis associations
thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea
azoles
beta blockers for asthma
none- even beta 1s can be nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs
fetal renal agenesis
stones bones groans moans psych overtones
high Ca or PTH
PTH is made by what cells?
chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where?
PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors?
extensor- hamstrings
thoracic CS
E SaRa
most common cause of cellultis
staph aureus, strep pyogenes
FPR- direct or indirect? active or passive?
indirect- place them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give?
amoxicillin
which Heps are there currently vaccines for?
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
drug for UC/Crohns
sulfasalazine
pulmonary effects of CF
chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone?
(spongy and ) trabecular bone mass loss
imipramine
TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
viscerosomatic
visceral disease --> somatic finding
loratidine vs ranitidine
loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside
entaemoba histolytica
1|Page
,which type of pneumothorax causes tracheal deviation to the contra side?
tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels
AVM arteriovenous malformation
cavernous hemangioma
benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop
recovered or immunized
not in chronic or
proctalgia fugax
levator ani syndrome
fasciculus is UMN or LMN lesion?
LMN
ectopic gastric tissue
meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks
thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve
x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia
TCA, SNRIs anticonvulsants
what blocks NE reuptake?
2|Page
,TCA or SNRIs
possible complication of pagets bone disease
osteocarcoma
what does Hct tell you?
ratio of volume of RBCs compared to total blood volume
probenecid
inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID
ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
lithiums effects on urination
inhibits vasopression/ADH --> increased urinary frequency
infertility drug that can result in multiple fetuses
clomiphene (clones- multiple babies)
antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback)
upregulates LH and FSH release from pituitary --> ovulation
used to treat PCOS but can cause ovarian enlargement, multiple fetuses
AFP levels in down syndrome
low
GI malformation A/W down syndrome
Hirschprungs- congenital aganglionic megacolon
defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
3|Page
, myasthenia gravis associations
thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea
azoles
beta blockers for asthma
none- even beta 1s can be nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs
fetal renal agenesis
stones bones groans moans psych overtones
high Ca or PTH
PTH is made by what cells?
chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where?
PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors?
extensor- hamstrings
thoracic CS
E SaRa
most common cause of cellultis
staph aureus, strep pyogenes
FPR- direct or indirect? active or passive?
indirect- place them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give?
amoxicillin
which Heps are there currently vaccines for?
4|Page
