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Exam (elaborations)

COMSAE Comprehensive Study Guide | Exam Preparation & Practice Review

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Prepare for your COMSAE assessment with this comprehensive study guide, designed to support structured revision, reinforce key concepts, and help you practice applying your knowledge. What’s included: Study material covering relevant exam topics Key concepts for focused review Exam preparation and practice review Organized material to support independent study

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COMSAE COMPREHENSIVE STUDY GUIDE:
EXAM PREPARATION AND PRACTICE
REVIEW GRADED A+
Pseudohypoparathydoidism

Albrights hereditary osteodystrophy autosomal dominant kidney unresponsiveness to PTH.
leads to hypocalcemia, shortened 4th/5th digits, short stature.




Trousseau's Syndrome

a migratory thrombophlebitis - presents with redness and tenderness on palpation of
extremities. associated with a visceral malignancy mostly pancreatic adenocarcinoma or
adenocarcinoma of the colon and lung etc.




treatment for legionares?

respiratory floroquinolone




Polyostotic fibrous dysplasia

bone is replaced by fibroblasts, collagen and irregular bony trabeculae.




McCune-Albright Syndrome

a form of polyostotic fibrous dysplasia characterized by multiple unilateral bone lesions
associated with endocrine abnormalities (precocious puberty) and cafe au lait spots.

,treatment for tinea versicolor

selenium sulfatide, topical miconazole




Papillary thyroid carcinoma

malignant - good prognosis, lymphatic spread, most common thyroid cancer, papillary growth
with optically clear nuclie (orphan annie nuclie) (ground glass chromatin)




Clomiphine

a SERM that inhibits negative feedback of estrogen in the hypothalamus on gonadotropin
release causing an increased release of LH and FSH from the anterior pituitary glans which
stimulates ovulation. It is used to treat infertility in the setting of PCOS.




Osteitis fibrosa cystica

bone pain, subperiosteal bone resorption on the radial aspect of middle phalanges along with
brown tumors of the long bones.




Carcinoid Syndrome

flushing wheezing, diahrrea and right sided valvular lesions especially tricuspid regurgitation.
needs to have metastasized to the liver because if not and its in the GI tract it is subject to first
pass effect so you will not see symptoms.




causes of epiddymitis >35 yo

,ecoli, pseudomonas, proteus




causes of epididymitis < 35 yo

chlamydia, gonnohrea.




Fanconi's syndrome

proximal tubular reabsorption defect

polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances,
hypophosphatemic rickets.




GP120

HIV docking protein in viral envelope, formed from cleavage of GP160. responsible for
attachment to host CD4+ T cell.

ENV




GP41

HIV transmembrane protein in viral envelope, formed from cleavage of gp160. responsible for
fusion and entry.

ENV




p24

gag - HIV capsid protein

, pol codes for?

reverse transcriptase, aspartate protease, integrase.




B1

thiamine: TPP




B2

riboflavin: FAD, FMN




B3

Niacin: NAD+




B5

pantothenic acid: CoA




B6

pyridoxine: PLP

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