ALL CHAPTERS COMPREHENSIVE OSTEOPATHIC MEDICAL
SELF-ASSESSMENT (COMSAE) ACTUAL EXAM WITH OVER 700
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Chamberlain College Nursing
1. Drug for UC/Crohns
Answer.
sulfasalazine
2. Pulmonary effects of CF
Answer.
Chronic bronchitis an dbronchiectasis
3. Osteoporosis affects what parts of bone?
Answer (spongy and ) trabecular bone mass loss
4. imipramine
Answer:
TCA
SE: Tri-Cs
Convulsions
Coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
5. Viscerosomatic
Answer
, Visceral disease --> somatic finding
6. loratidine vs ranitidine
Answer:
loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
7. cells w RBCs inside
Answer:
entaemoba histolytica
8. Which type of pneumothorax causes tracheal deviation to the contra side? –
Answer:
tension
9. Intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels
Answer:
AVM arteriovenous malformation
10. Cavernous hemangioma
Answer:
Benign tumor of liver, A/W VHL
11. Anti-HepB surface antibody is only present in what pop
Answer:
Recovered or immunized not in chronic
12. Proctalgia fugax
Answer:
levator ani syndrome
13. Fasciculus is UMN or LMN lesion?
, Answer: LMN
14. Ectopic gastric tissue
Answer
Meckels diverticulum
Can also have ectopic pancreatic tissue
Remnant of vitelline duct
15. Antibodies in hashimotos attacks
Answer:
Thyroid peroxidase or antithyroglobulin
Enlarged non tender thyroid
16. 2 factors that influence starling curve
Answer:
x axis- preload (EDV)y axis- stroke volume or CO
17. Treatment for fibromyalgia
Answer:
TCA, SNRIs anticonvulsants
18. What blocks NE reuptake?
Answer:
TCA or SNRIs
19. Possible complication of pagets bone disease
Answer:
osteocarcoma
20. What does Hct tell you?
Answer:
ratio of volume of RBCs compared to total blood volume
21. Probenecid
, Answer:
inhibits reabsoprtion of uric acid in PCT
also inhibits secretion of PCN
can ppt uric acid calculi
22. 2 causes of SCID
Answer:
ADA deficiency (adenosine deaminase required for degradation of adenosim and
deoxyadenosine
in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
23. Lithiums effects on urination
Answer:
inhibits vasopression/ADH --> increased urinary frequency
24. Infertility drug that can result in multiple fetuses
Answer:
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
25. AFP levels in down syndrome
Answer:
low
26. GI malformation A/W down syndrome
Answer:
SELF-ASSESSMENT (COMSAE) ACTUAL EXAM WITH OVER 700
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Chamberlain College Nursing
1. Drug for UC/Crohns
Answer.
sulfasalazine
2. Pulmonary effects of CF
Answer.
Chronic bronchitis an dbronchiectasis
3. Osteoporosis affects what parts of bone?
Answer (spongy and ) trabecular bone mass loss
4. imipramine
Answer:
TCA
SE: Tri-Cs
Convulsions
Coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
5. Viscerosomatic
Answer
, Visceral disease --> somatic finding
6. loratidine vs ranitidine
Answer:
loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
7. cells w RBCs inside
Answer:
entaemoba histolytica
8. Which type of pneumothorax causes tracheal deviation to the contra side? –
Answer:
tension
9. Intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels
Answer:
AVM arteriovenous malformation
10. Cavernous hemangioma
Answer:
Benign tumor of liver, A/W VHL
11. Anti-HepB surface antibody is only present in what pop
Answer:
Recovered or immunized not in chronic
12. Proctalgia fugax
Answer:
levator ani syndrome
13. Fasciculus is UMN or LMN lesion?
, Answer: LMN
14. Ectopic gastric tissue
Answer
Meckels diverticulum
Can also have ectopic pancreatic tissue
Remnant of vitelline duct
15. Antibodies in hashimotos attacks
Answer:
Thyroid peroxidase or antithyroglobulin
Enlarged non tender thyroid
16. 2 factors that influence starling curve
Answer:
x axis- preload (EDV)y axis- stroke volume or CO
17. Treatment for fibromyalgia
Answer:
TCA, SNRIs anticonvulsants
18. What blocks NE reuptake?
Answer:
TCA or SNRIs
19. Possible complication of pagets bone disease
Answer:
osteocarcoma
20. What does Hct tell you?
Answer:
ratio of volume of RBCs compared to total blood volume
21. Probenecid
, Answer:
inhibits reabsoprtion of uric acid in PCT
also inhibits secretion of PCN
can ppt uric acid calculi
22. 2 causes of SCID
Answer:
ADA deficiency (adenosine deaminase required for degradation of adenosim and
deoxyadenosine
in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
23. Lithiums effects on urination
Answer:
inhibits vasopression/ADH --> increased urinary frequency
24. Infertility drug that can result in multiple fetuses
Answer:
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
25. AFP levels in down syndrome
Answer:
low
26. GI malformation A/W down syndrome
Answer:
