COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
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
which type of pneumothorax causes tracheal deviation tension
to the contra side?
intracerebral hemorrhage adjacent to a lesion that AVM arteriovenous malformation
contains a tangle of numerous tortuous vessels
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
,COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
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? 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
myasthenia gravis associations thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders,
respiration
,COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
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? PO4- proximal tubule
increases calcium resorption where? ca- DCT
anterior innominate rotation means tight hip flexors or extensor- hamstrings
extensors?
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? A and B (and so by virtue, also D)
why does Hep D need Hep B? Hep D utilizes the HBV surface antigen as its envelope?
most common hepatitis A/W IVDA in the US hep c
, COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
roseola 4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
HHV6- affects CD4 helper cells and kills them off
erythema infectiosum slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash
appears on arms and spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation innom outflare
dx?
immune complex in glomerular mesangium 2 days after berger
URI
PSGN is 2 wks post URI
berger or PSGN?
kidney ureter viscerosomatic innervation T10-11
college student w nonspecific symptoms myco PNA
nonproductive cough, sore throat
CXR- diffuse infiltrates
test for trichomonas nucleic acid amplification
painless enlarging tumor in left testis 75 yo diffuse large B cell lymphoma
most common in 70-80s
choriocarcinoma affecst what age group 15-35
yolk sac tumor affects what population infants and children 1-2 years
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
which type of pneumothorax causes tracheal deviation tension
to the contra side?
intracerebral hemorrhage adjacent to a lesion that AVM arteriovenous malformation
contains a tangle of numerous tortuous vessels
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
,COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
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? 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
myasthenia gravis associations thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders,
respiration
,COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
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? PO4- proximal tubule
increases calcium resorption where? ca- DCT
anterior innominate rotation means tight hip flexors or extensor- hamstrings
extensors?
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? A and B (and so by virtue, also D)
why does Hep D need Hep B? Hep D utilizes the HBV surface antigen as its envelope?
most common hepatitis A/W IVDA in the US hep c
, COMSAE Form 107 Study Guide | Practice Questions and Answers | COMLEX Exam Prep
roseola 4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
HHV6- affects CD4 helper cells and kills them off
erythema infectiosum slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash
appears on arms and spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation innom outflare
dx?
immune complex in glomerular mesangium 2 days after berger
URI
PSGN is 2 wks post URI
berger or PSGN?
kidney ureter viscerosomatic innervation T10-11
college student w nonspecific symptoms myco PNA
nonproductive cough, sore throat
CXR- diffuse infiltrates
test for trichomonas nucleic acid amplification
painless enlarging tumor in left testis 75 yo diffuse large B cell lymphoma
most common in 70-80s
choriocarcinoma affecst what age group 15-35
yolk sac tumor affects what population infants and children 1-2 years
