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Family Medicine COMAT Exam Study Guide & Review 2026

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Family Medicine COMAT Exam Study Guide & Review 2026

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Family Med COMAT (COMBANK)


Most sensitive diagnostic modality to initially look for H. Pylori? -
correct answer ✔ ✔ serologic testing



test to see if eradication of H. pylori? - correct answer ✔ ✔ urea
breath test



Best first test to see if have fungal toe infection? - correct answer ✔ ✔
KOH scrapings from toe


can take up to 12 weeks for turbinafen to take effect


most common lobe of aspiration in alcoholics? - correct answer ✔ ✔
right superior lobe b/c they are choking on their vomit while lying on
their back.


why are NSAIDS contraindicated in heart failure?


what to give them for osteoarthritic pain instead? - correct answer ✔
✔ NSAIDS cause intake of Na+ as well as inc vascular resistance.

,-Tramadol/opiates


fasting lipid profile requires how much time between Alcoholic
beverages? - correct answer ✔ ✔ 24 hrs



tests for diabetics to ensure no complications? - correct answer ✔ ✔
-urinary spot microalbumin/creatinine ratio: diabetic
glomerulonephropathy--> put on ACE/ARB to preserve kidney function
The rest are annually...
-Opthalmic Fundoscopic Exam
-peripheral neuropathy (lightly touching skin to see if feeling)
-foot exam to check for ulcerations



bronchiectasis - correct answer ✔ ✔ when bronchioles inflame and
mucus builds up inside--> productive cough like white sputum


Honeycombing on CT


Acute Otitis Media Tx Plan: - correct answer ✔ ✔ 1) don't give if kid
healthy btw. 6mo-2y/o
2) give amoxacillin if complicated
3)amoxacillin-clavinic acid if recurrent

, test to see if have mono - correct answer ✔ ✔ -CBC w/ Heterophile
Ab test (monospot)


dog/cat bites: - correct answer ✔ ✔ -gram negative bugs
(pasteurella)
-Abx: amoxacillin-clavulanate (augmentin) 3-5 days



what age to start giving flouride? - correct answer ✔ ✔ 6 mo



vaccinations if you have HIV? - correct answer ✔ ✔ -pneumococcal

-Hepatitis B
-tetanus
-pertusus
-influenza


Alpha-1 Antitrypsin Deficiency causes buildup in what organ?



Dx for AAT? - correct answer ✔ ✔ liver-->cirrhosis


-genetic testing

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