U World Internal Medicine COMAT EXAM / ACTUAL
COMAT INTERNAL MEDICINE EXAM TEST BANK EXAM
PRACTICE QUESTIONS AND STUDY GUIDE EXAM
COMPLETE EXAM WITH REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENT UPDATED VERSION
2026-2027
Patient with decreased appetite, weight loss, and nagging epigastric
discomfort. CXR shows atelectasis and bilateral pleural plaques over
the diaphragm. CT shows reticular opacities of the lower lung fields,
multiple pleural plaques, and round 6 cm cavitary mass in the RLL field.
Dx?
ANSWERS: Bronchogenic carcinoma
Patient presents with recurrent, burning epigastric pain and diarrhea.
His stools are frothy and unusually foul smelling and float. He has lost
weight. No antiacids have helped. He has 2 duodenal ulcers and a
jejunal ulcer. Dx?
ANSWERS: Pancreatic enzyme inactivation--> ZE syndrome
,Reduced bile acid absorption
ANSWERS: Crohn disease
Asbestosis
ANSWERS: Progressive dyspnea, basilar fine crackles, and
clubbing Restrictive pattern on PFTs
Increased pulmonary artery pressure
ANSWERS: Pulmonary HTN
Electrolyte abnormality with bulimia
Metabolic alkalosis
Correction of metabolic alkalosis
ANSWERS: Normal saline infusion
Hyperventilation
ANSWERS: Causes respiratory alkalosis
SLE
ANSWERS:
Photosensitive skin
Thombocytopenia
GN w/ low C3
,GPA
ANSWERS: Sinus, pulmonary, and renal symptoms
PSGN
ANSWERS: HTN, ARF, RBC casts, and low serum C3
Drug induced hypothyroidism
ANSWERS: Amiodarone
SE of verapamil
ANSWERS: Constipation and impaired cardiac conduction
Hydralazine SE
ANSWERS: Fluid retention, peripheral edema, palpitations, OH, and drug-
induced lupus
Electrial alternans
ANSWERS: cardiac tamponade
Cocaine abuse EKG
ANSWERS:
ST elevations in V1-V4
Tachycardia
Dilated pupils
, Acute pericarditis
ANSWERS: Diffuse ST elevations and PR depression
Unilateral obstructive uropathy
ANSWERS: Flank pain and poor urine output
Intermittent episodes of high-volume urination
K+ wasting and dehydration
Likely in people with a single kidney
What is FSGN associated with?
ANSWERS: HIV, heroin abuse, morbid obesity
Membranous GN is associated with?
ANSWERS: Hep B
COMAT INTERNAL MEDICINE EXAM TEST BANK EXAM
PRACTICE QUESTIONS AND STUDY GUIDE EXAM
COMPLETE EXAM WITH REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENT UPDATED VERSION
2026-2027
Patient with decreased appetite, weight loss, and nagging epigastric
discomfort. CXR shows atelectasis and bilateral pleural plaques over
the diaphragm. CT shows reticular opacities of the lower lung fields,
multiple pleural plaques, and round 6 cm cavitary mass in the RLL field.
Dx?
ANSWERS: Bronchogenic carcinoma
Patient presents with recurrent, burning epigastric pain and diarrhea.
His stools are frothy and unusually foul smelling and float. He has lost
weight. No antiacids have helped. He has 2 duodenal ulcers and a
jejunal ulcer. Dx?
ANSWERS: Pancreatic enzyme inactivation--> ZE syndrome
,Reduced bile acid absorption
ANSWERS: Crohn disease
Asbestosis
ANSWERS: Progressive dyspnea, basilar fine crackles, and
clubbing Restrictive pattern on PFTs
Increased pulmonary artery pressure
ANSWERS: Pulmonary HTN
Electrolyte abnormality with bulimia
Metabolic alkalosis
Correction of metabolic alkalosis
ANSWERS: Normal saline infusion
Hyperventilation
ANSWERS: Causes respiratory alkalosis
SLE
ANSWERS:
Photosensitive skin
Thombocytopenia
GN w/ low C3
,GPA
ANSWERS: Sinus, pulmonary, and renal symptoms
PSGN
ANSWERS: HTN, ARF, RBC casts, and low serum C3
Drug induced hypothyroidism
ANSWERS: Amiodarone
SE of verapamil
ANSWERS: Constipation and impaired cardiac conduction
Hydralazine SE
ANSWERS: Fluid retention, peripheral edema, palpitations, OH, and drug-
induced lupus
Electrial alternans
ANSWERS: cardiac tamponade
Cocaine abuse EKG
ANSWERS:
ST elevations in V1-V4
Tachycardia
Dilated pupils
, Acute pericarditis
ANSWERS: Diffuse ST elevations and PR depression
Unilateral obstructive uropathy
ANSWERS: Flank pain and poor urine output
Intermittent episodes of high-volume urination
K+ wasting and dehydration
Likely in people with a single kidney
What is FSGN associated with?
ANSWERS: HIV, heroin abuse, morbid obesity
Membranous GN is associated with?
ANSWERS: Hep B
