COMSAE 110 QUESTIONS WITH
COMPLETE SOLUTIONS
Bacillus hAnthracis hCharacteristics h- h✔✔Gram h+ hrods hin hchains h
may hmanifest hin hcutaneous hor hpulmonary hanthrax
platelet hmembrane habnormalities hpresent has h- h✔✔purpura
epistaxis
gingival hbleeding
anemia h
low hhemoglobin h
low hhematocrit
Spermatocele hcharacteristics h- h✔✔1. hDilated htubular hstructures hin hthe hefferent
htubules hof hepidydymis
2. hcystic hmass hin hepidydimis hthat htransilluminates
Histological hexamination hof hacne h- h✔✔comedones hfilled hwith hsebum hand hkeratin
Spinal hMuscular hAtrophy h- h✔✔1.proximal hlower hlimb hweakness hin hyoung hchildren
2.bilateral hdestruction hof hanterior hhorn hcells h
3. hMutations hin hSMN1 hon hChr.5
PDA hmurmur h- h✔✔Continuous hmachine-like hmurmur
located hin hthe hleft hupper hsternal hborder
Rebound hcongestion his hseen hwith h- h✔✔use hof hphenylephrine-containing htopical
hdecongestant hfor hmore hthan h3-5 hdays
The hbest hway hto hobtain hdifferential hdiagnoses hfor hthe hchief hcomplaint hof hfatigue his
h- h✔✔a hcomplete hhistory hand hphysical hexam
Drugs hthat hreduce hthe hactivity hof hHMG h-CoA hreductase hare h- h✔✔Statins
Using hStatins hand hMacrolides htogether hmay hcause h- h✔✔Rhabdomyolysis h(muscle
hpain hand hweakness)
Examples hof hMacrolides h- h✔✔Azithromycin
Clarithromycin
Erythromycin
,Staph hepidermidis h- h✔✔gram h+ hcoagulase h- hcatalase h+ hcocci
Anterior hsuperior halveolar h- h✔✔upper hincisors hand hcanine hteeth
infraorbital hnerve hsupplies h- h✔✔branch hof hthe hmaxillary hdivision hof htrigeminal
hnerve h
skin hof hcheek, hupper hlip, hlateral hnose, hand hipsilateral hupper hteeth
middle hsuperior halveolar hnerve hsupplies h- h✔✔maxillary hsinus, hmid hmaxillary horal
hmucosa, hthe hmesiobuccal hroot hof hthe hfirst hmaxillary hmolar htooth hand hthe
hpremolar hteeth
nasopalatine hnerve hsupplies h- h✔✔the hanterior hpart hof hthe hhard hpalate hand hthe
hmucosa hof hthe hnasal hseptum
posterior hsuperior halveolar hnerve hsupplies h- h✔✔posterior hupper hteeth
Viral hinfection hof hthe hdorsal hroot hganglia h- h✔✔varicella hzoster/shingles
Multiple hSclerosis h- h✔✔autoimmune hmediated hdemyelination h
episodes hmay hbe hpreceded hby hviral hillness
HELLP hsyndrome h- h✔✔Hemolysis, helevated hliver henzymes, hand hlow hplatelets
typically hoccurs hin hpregnant hwomen hwith hpreeclampsia
Atrophy hof hthe hmamillary hbodies hon hbrain hMRI his hfrom h- h✔✔Wernicke-Korsakoff
hsyndrome hin hchronic halcoholics, hlack hof hvitamin hB1 hor hthiamine
What hdrug hmay hpotentially hhelp halzheimers hpatients h- h✔✔acetylcholinesterase
hinhibitors h(donepazil, hrivastigmine, hand hgalantamine)
pencil hshaped hmacronidia hare hcharacteristics hof h- h✔✔epidermophyton hfloccosum
Antifungals hwork hby h- h✔✔inhibiting hthe hsynthesis hof hergosterol
the hanterior hpart hof hthe hhard hpalate hand hthe hmucosa hof hthe hnasal hseptum. h-
h✔✔thyroid hgland
Strep hpyogenes hcharacteristics h- h✔✔B-hemolytic
gram h+ hcocci hin hchains h
most hcommonly hcauses hpharyngitis
, alpha hblockers hcommon hside heffect h- h✔✔orthostatic hhypotension
Lateral hEpicondylitis h- h✔✔Tennis hElbow h
inflammation hof hthe hwrist hextensors
Adrenocortical hInsufficiency h- h✔✔low hsodium h
high hpotassium h
high hcreatinine h
symptoms hof hfatigue, hweakness, hand hweight hloss
brachioradial hreflex h- h✔✔C6
lactulose his h- h✔✔a hsynthetic hsugar hused hto htreat hconstipation h
SE: hdiarrhea/bloating
nephrolithiasis hmay hbe hcaused hby h- h✔✔high hprotein hdiet
Halitosis hmay hbe hseen hin h- h✔✔kidney hdisease
Pure hsensory hstrokes hare hin hthe h- h✔✔thalamus
Best hway hto hprevent hprogression hof hosteoporosis hin holder hadults hwho hare
hsupplementing hwith hvitamin hD/Calcium h- h✔✔daily hweight hbearing hexercise
hprogram
Panic hattack htreatment h(acute) h- h✔✔diazepam
Glioblastoma hMultiforme h- h✔✔most hmalignant hform hof hastrocytoma h
perinecrotic hpalisading hcells, hnecrosis, hpleomorphism, hmitotic hfigures, hand
hendothelial hcell hproliferation
blue hdome hcysts hand hmicrocalcifications hon hmammography hare hfeatures hmost
hconsistent hwith h- h✔✔fibrocystic hchange hin hbreast
Ketamine hMOA h- h✔✔blocking hNMDA hglutamate hreceptors
Treatment hfor holder hpt hwith hosteoperosis hwith hhistory hof hDVT h- h✔✔Alendronate
Stasis hDermatitis h- h✔✔erythematous hscaling hplaques
superficial hulcers
brownish hhyperpigmentation h
dermatitis hwith hulcer hformation hand hhemosiderin hpigment hgranules
PMH hof hvaricose hveins
COMPLETE SOLUTIONS
Bacillus hAnthracis hCharacteristics h- h✔✔Gram h+ hrods hin hchains h
may hmanifest hin hcutaneous hor hpulmonary hanthrax
platelet hmembrane habnormalities hpresent has h- h✔✔purpura
epistaxis
gingival hbleeding
anemia h
low hhemoglobin h
low hhematocrit
Spermatocele hcharacteristics h- h✔✔1. hDilated htubular hstructures hin hthe hefferent
htubules hof hepidydymis
2. hcystic hmass hin hepidydimis hthat htransilluminates
Histological hexamination hof hacne h- h✔✔comedones hfilled hwith hsebum hand hkeratin
Spinal hMuscular hAtrophy h- h✔✔1.proximal hlower hlimb hweakness hin hyoung hchildren
2.bilateral hdestruction hof hanterior hhorn hcells h
3. hMutations hin hSMN1 hon hChr.5
PDA hmurmur h- h✔✔Continuous hmachine-like hmurmur
located hin hthe hleft hupper hsternal hborder
Rebound hcongestion his hseen hwith h- h✔✔use hof hphenylephrine-containing htopical
hdecongestant hfor hmore hthan h3-5 hdays
The hbest hway hto hobtain hdifferential hdiagnoses hfor hthe hchief hcomplaint hof hfatigue his
h- h✔✔a hcomplete hhistory hand hphysical hexam
Drugs hthat hreduce hthe hactivity hof hHMG h-CoA hreductase hare h- h✔✔Statins
Using hStatins hand hMacrolides htogether hmay hcause h- h✔✔Rhabdomyolysis h(muscle
hpain hand hweakness)
Examples hof hMacrolides h- h✔✔Azithromycin
Clarithromycin
Erythromycin
,Staph hepidermidis h- h✔✔gram h+ hcoagulase h- hcatalase h+ hcocci
Anterior hsuperior halveolar h- h✔✔upper hincisors hand hcanine hteeth
infraorbital hnerve hsupplies h- h✔✔branch hof hthe hmaxillary hdivision hof htrigeminal
hnerve h
skin hof hcheek, hupper hlip, hlateral hnose, hand hipsilateral hupper hteeth
middle hsuperior halveolar hnerve hsupplies h- h✔✔maxillary hsinus, hmid hmaxillary horal
hmucosa, hthe hmesiobuccal hroot hof hthe hfirst hmaxillary hmolar htooth hand hthe
hpremolar hteeth
nasopalatine hnerve hsupplies h- h✔✔the hanterior hpart hof hthe hhard hpalate hand hthe
hmucosa hof hthe hnasal hseptum
posterior hsuperior halveolar hnerve hsupplies h- h✔✔posterior hupper hteeth
Viral hinfection hof hthe hdorsal hroot hganglia h- h✔✔varicella hzoster/shingles
Multiple hSclerosis h- h✔✔autoimmune hmediated hdemyelination h
episodes hmay hbe hpreceded hby hviral hillness
HELLP hsyndrome h- h✔✔Hemolysis, helevated hliver henzymes, hand hlow hplatelets
typically hoccurs hin hpregnant hwomen hwith hpreeclampsia
Atrophy hof hthe hmamillary hbodies hon hbrain hMRI his hfrom h- h✔✔Wernicke-Korsakoff
hsyndrome hin hchronic halcoholics, hlack hof hvitamin hB1 hor hthiamine
What hdrug hmay hpotentially hhelp halzheimers hpatients h- h✔✔acetylcholinesterase
hinhibitors h(donepazil, hrivastigmine, hand hgalantamine)
pencil hshaped hmacronidia hare hcharacteristics hof h- h✔✔epidermophyton hfloccosum
Antifungals hwork hby h- h✔✔inhibiting hthe hsynthesis hof hergosterol
the hanterior hpart hof hthe hhard hpalate hand hthe hmucosa hof hthe hnasal hseptum. h-
h✔✔thyroid hgland
Strep hpyogenes hcharacteristics h- h✔✔B-hemolytic
gram h+ hcocci hin hchains h
most hcommonly hcauses hpharyngitis
, alpha hblockers hcommon hside heffect h- h✔✔orthostatic hhypotension
Lateral hEpicondylitis h- h✔✔Tennis hElbow h
inflammation hof hthe hwrist hextensors
Adrenocortical hInsufficiency h- h✔✔low hsodium h
high hpotassium h
high hcreatinine h
symptoms hof hfatigue, hweakness, hand hweight hloss
brachioradial hreflex h- h✔✔C6
lactulose his h- h✔✔a hsynthetic hsugar hused hto htreat hconstipation h
SE: hdiarrhea/bloating
nephrolithiasis hmay hbe hcaused hby h- h✔✔high hprotein hdiet
Halitosis hmay hbe hseen hin h- h✔✔kidney hdisease
Pure hsensory hstrokes hare hin hthe h- h✔✔thalamus
Best hway hto hprevent hprogression hof hosteoporosis hin holder hadults hwho hare
hsupplementing hwith hvitamin hD/Calcium h- h✔✔daily hweight hbearing hexercise
hprogram
Panic hattack htreatment h(acute) h- h✔✔diazepam
Glioblastoma hMultiforme h- h✔✔most hmalignant hform hof hastrocytoma h
perinecrotic hpalisading hcells, hnecrosis, hpleomorphism, hmitotic hfigures, hand
hendothelial hcell hproliferation
blue hdome hcysts hand hmicrocalcifications hon hmammography hare hfeatures hmost
hconsistent hwith h- h✔✔fibrocystic hchange hin hbreast
Ketamine hMOA h- h✔✔blocking hNMDA hglutamate hreceptors
Treatment hfor holder hpt hwith hosteoperosis hwith hhistory hof hDVT h- h✔✔Alendronate
Stasis hDermatitis h- h✔✔erythematous hscaling hplaques
superficial hulcers
brownish hhyperpigmentation h
dermatitis hwith hulcer hformation hand hhemosiderin hpigment hgranules
PMH hof hvaricose hveins
