ALL THE COMSAE UPDATED Questions and CORRECT Answers

ALL THE COMSAE UPDATED Questions
and CORRECT Answers
drug for UC/Crohns - CORRECT ANSWER - sulfasalazine



pulmonary effects of CF - CORRECT ANSWER - chronic bronchitis an dbronchiectasis



osteoporosis affects what parts of bone? - CORRECT ANSWER - (spongy and ) trabecular
bone mass loss


imipramine - CORRECT ANSWER - TCA


SE: Tri-Cs
convulsions
coma
cardiotox


antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block
alpha1)


viscerosomatic - CORRECT ANSWER - visceral disease --> somatic finding



loratidine vs ranitidine - CORRECT ANSWER - loratidine: 2nd gen H1 blocker, doesnt
cross BBB --> less sedating


ranitidine: H2 receptor antagonist (like cimetidine)


cells w RBCs inside - CORRECT ANSWER - entaemoba histolytica

,which type of pneumothorax causes tracheal deviation to the contra side? - CORRECT
ANSWER - tension


intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels
- CORRECT ANSWER - AVM arteriovenous malformation



cavernous hemangioma - CORRECT ANSWER - benign tumor of liver, A/W VHL



anti-HepB surface antibody is only present in what pop - CORRECT ANSWER -
recovered or immunized


not in chronic or


proctalgia fugax - CORRECT ANSWER - levator ani syndrome



fasciculus is UMN or LMN lesion? - CORRECT ANSWER - LMN



ectopic gastric tissue - CORRECT ANSWER - meckels diverticulum


can also have ectopic pancreatic tissue


remnant of vitelline duct


antibodies in hashimotos attacks - CORRECT ANSWER - thyroid peroxidase or
antithyroglobulin


enlarged non tender thyroid

,2 factors that influence starling curve - CORRECT ANSWER - x axis- preload (EDV)
y axis- stroke volume or CO


treatment for fibromyalgia - CORRECT ANSWER - TCA, SNRIs anticonvulsants



what blocks NE reuptake? - CORRECT ANSWER - TCA or SNRIs



possible complication of pagets bone disease - CORRECT ANSWER - osteocarcoma



what does Hct tell you? - CORRECT ANSWER - ratio of volume of RBCs compared to
total blood volume


probenecid - CORRECT ANSWER - inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi


2 causes of SCID - CORRECT 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


lithiums effects on urination - CORRECT ANSWER - inhibits vasopression/ADH -->
increased urinary frequency


infertility drug that can result in multiple fetuses - CORRECT 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


AFP levels in down syndrome - CORRECT ANSWER - low



GI malformation A/W down syndrome - CORRECT ANSWER - Hirschprungs- congenital
aganglionic megacolon


defective relaxation and peristalsis of rectum and distal sigmoid colon


failure to pass meconium, empty rectal vault, megacolon


myasthenia gravis associations - CORRECT ANSWER - thymoma, thymic hyperplasia


ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration


tx for tinea - CORRECT ANSWER - azoles



beta blockers for asthma - CORRECT ANSWER - none- even beta 1s can be nonselective
at higher doses


what kind of teratogenic effects are seen w ACE/ARBs - CORRECT ANSWER - fetal
renal agenesis


stones bones groans moans psych overtones - CORRECT ANSWER - high Ca or PTH