ALL THE COMSAE

ALL THE COMSAE EXAM WITH ACTUAL QUESTION AND CORRECT ANSWERS NEWEST 2025




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



PTH is made by what cells? - CORRECT ANSWER-chief cells of parathyroid gland



PTH inhibits reabsorption of phosphate where? increases calcium resorption where? - CORRECT
ANSWER-PO4- proximal tubule

ca- DCT



anterior innominate rotation means tight hip flexors or extensors? - CORRECT ANSWER-extensor-
hamstrings



thoracic CS - CORRECT ANSWER-E SaRa



most common cause of cellultis - CORRECT ANSWER-staph aureus, strep pyogenes