ALL THE COMSAE QUESTIONS WITH
COMPLETE SOLUTIONS
drug yfor yUC/Crohns y- y✔✔sulfasalazine
pulmonary yeffects yof yCF y- y✔✔chronic ybronchitis yan ydbronchiectasis
osteoporosis yaffects ywhat yparts yof ybone? y- y✔✔(spongy yand y) ytrabecular ybone
ymass yloss
imipramine y- y✔✔TCA
SE: yTri-Cs
convulsions
coma
cardiotox
antichol yeffects- yconfusion yin yelderly; y(acute yglaucoma yand yorthostatic yhypotension-
yblock yalpha1)
viscerosomatic y- y✔✔visceral ydisease y--> ysomatic yfinding
loratidine yvs yranitidine y- y✔✔loratidine: y2nd ygen yH1 yblocker, ydoesnt ycross yBBB y-->
yless ysedating
ranitidine: yH2 yreceptor yantagonist y(like ycimetidine)
cells yw yRBCs yinside y- y✔✔entaemoba yhistolytica
which ytype yof ypneumothorax ycauses ytracheal ydeviation yto ythe ycontra yside? y-
y✔✔tension
intracerebral yhemorrhage yadjacent yto ya ylesion ythat ycontains ya ytangle yof ynumerous
ytortuous yvessels y- y✔✔AVM yarteriovenous ymalformation
cavernous yhemangioma y- y✔✔benign ytumor yof yliver, yA/W yVHL
anti-HepB ysurface yantibody yis yonly ypresent yin ywhat ypop y- y✔✔recovered yor
yimmunized
not yin ychronic yor
,proctalgia yfugax y- y✔✔levator yani ysyndrome
fasciculus yis yUMN yor yLMN ylesion? y- y✔✔LMN
ectopic ygastric ytissue y- y✔✔meckels ydiverticulum
can yalso yhave yectopic ypancreatic ytissue
remnant yof yvitelline yduct
antibodies yin yhashimotos yattacks y- y✔✔thyroid yperoxidase yor yantithyroglobulin
enlarged ynon ytender ythyroid
2 yfactors ythat yinfluence ystarling ycurve y- y✔✔x yaxis- ypreload y(EDV)
y yaxis- ystroke yvolume yor yCO
treatment yfor yfibromyalgia y- y✔✔TCA, ySNRIs yanticonvulsants
what yblocks yNE yreuptake? y- y✔✔TCA yor ySNRIs
possible ycomplication yof ypagets ybone ydisease y- y✔✔osteocarcoma
what ydoes yHct ytell yyou? y- y✔✔ratio yof yvolume yof yRBCs ycompared yto ytotal yblood
yvolume
probenecid y- y✔✔inhibits yreabsoprtion yof yuric yacid yin yPCT
- yalso yinhibits ysecretion yof yPCN
- ycan yppt yuric yacid ycalculi
2 ycauses yof ySCID y- y✔✔ADA ydeficiency
(adenosine ydeaminase yrequired yfor ydegradation yof yadenosim yand ydeoxyadenosine
- yin yADA ydeficiency, yhigh ylevels yof ydATP y--> ytoxicity yin ylymphocytes y--> ySCID
hypoplastic ythymus
lithiums yeffects yon yurination y- y✔✔inhibits yvasopression/ADH y--> yincreased yurinary
yfrequency
infertility ydrug ythat ycan yresult yin ymultiple yfetuses y- y✔✔clomiphene y(clones- ymultiple
ybabies)
antagonist yat yestrogen yR yin yhypothalamus y(thus yinhibits ynormal ynegative yfeedback)
upregulates yLH yand yFSH yrelease yfrom ypituitary y--> yovulation
,used yto ytreat yPCOS ybut ycan ycause yovarian yenlargement, ymultiple yfetuses
AFP ylevels yin ydown ysyndrome y- y✔✔low
GI ymalformation yA/W ydown ysyndrome y- y✔✔Hirschprungs- ycongenital yaganglionic
ymegacolon
defective yrelaxation yand yperistalsis yof yrectum yand ydistal ysigmoid ycolon
failure yto ypass ymeconium, yempty yrectal yvault, ymegacolon
myasthenia ygravis yassociations y- y✔✔thymoma, ythymic yhyperplasia
ptosis, ydiplopia, ycan yaffect ychewing, yswallowing, yspeaking, yshoulders, yrespiration
tx yfor ytinea y- y✔✔azoles
beta yblockers yfor yasthma y- y✔✔none- yeven ybeta y1s ycan ybe ynonselective yat yhigher
ydoses
what ykind yof yteratogenic yeffects yare yseen yw yACE/ARBs y- y✔✔fetal yrenal yagenesis
stones ybones ygroans ymoans ypsych yovertones y- y✔✔high yCa yor yPTH
PTH yis ymade yby ywhat ycells? y- y✔✔chief ycells yof yparathyroid ygland
PTH yinhibits yreabsorption yof yphosphate ywhere? yincreases ycalcium yresorption
ywhere? y- y✔✔PO4- yproximal ytubule
ca- yDCT
anterior yinnominate yrotation ymeans ytight yhip yflexors yor yextensors? y- y✔✔extensor-
yhamstrings
thoracic yCS y- y✔✔E ySaRa
most ycommon ycause yof ycellultis y- y✔✔staph yaureus, ystrep ypyogenes
FPR- ydirect yor yindirect? yactive yor ypassive? y- y✔✔indirect- yplace ythem yin yposition yof
ydiagnosis
passive
cant ytreat ykid yw ytetracycline yso ywhat ydo yyou ygive? y- y✔✔amoxicillin
which yHeps yare ythere ycurrently yvaccines yfor? y- y✔✔A yand yB y(and yso yby yvirtue,
yalso yD)
, why ydoes yHep yD yneed yHep yB? y- y✔✔Hep yD yutilizes ythe yHBV ysurface yantigen yas
yits yenvelope?
most ycommon yhepatitis yA/W yIVDA yin ythe yUS y- y✔✔hep yc
roseola y- y✔✔4 yday yhigh yfever
then yrash yon ythe ytrunk y(spares yface)
affects ybabies yup yto y2 yyears
HHV6- yaffects yCD4 yhelper ycells yand ykills ythem yoff
erythema yinfectiosum y- y✔✔slapped ycheek
parvovirus yB19
nonspecific yfever/prodrome ythen yslapp ycheek yrash y5 ydays ylater, ythen yrash yappears
yon yarms yand yspreads yto ytrunk/legs
rash ycan yworsen yw yfever yand ysun yexposure
TORCH yinfxn yso ybaby yin ywomb ythat yis yexposed ycan ylead yto yhydrops yfetalis
most ycommon ySTD y- y✔✔chlamydia
sxs ysimilar yto ySTI yplus ydischarge
will yhave yhigh yneutrophil ycount
dimorphic- ybutterflies y- y✔✔candida, yhisto, ycocci, yparacocci, yblasto, ysporothrix,
butterflies yhuge ypair yof ycocc ycatching ystamp
hip yrestricted yin yinternal yrotation
dx? y- y✔✔innom youtflare
immune ycomplex yin yglomerular ymesangium y2 ydays yafter yURI
berger yor yPSGN? y- y✔✔berger
PSGN yis y2 ywks ypost yURI
kidney yureter yviscerosomatic yinnervation y- y✔✔T10-11
college ystudent yw ynonspecific ysymptoms
COMPLETE SOLUTIONS
drug yfor yUC/Crohns y- y✔✔sulfasalazine
pulmonary yeffects yof yCF y- y✔✔chronic ybronchitis yan ydbronchiectasis
osteoporosis yaffects ywhat yparts yof ybone? y- y✔✔(spongy yand y) ytrabecular ybone
ymass yloss
imipramine y- y✔✔TCA
SE: yTri-Cs
convulsions
coma
cardiotox
antichol yeffects- yconfusion yin yelderly; y(acute yglaucoma yand yorthostatic yhypotension-
yblock yalpha1)
viscerosomatic y- y✔✔visceral ydisease y--> ysomatic yfinding
loratidine yvs yranitidine y- y✔✔loratidine: y2nd ygen yH1 yblocker, ydoesnt ycross yBBB y-->
yless ysedating
ranitidine: yH2 yreceptor yantagonist y(like ycimetidine)
cells yw yRBCs yinside y- y✔✔entaemoba yhistolytica
which ytype yof ypneumothorax ycauses ytracheal ydeviation yto ythe ycontra yside? y-
y✔✔tension
intracerebral yhemorrhage yadjacent yto ya ylesion ythat ycontains ya ytangle yof ynumerous
ytortuous yvessels y- y✔✔AVM yarteriovenous ymalformation
cavernous yhemangioma y- y✔✔benign ytumor yof yliver, yA/W yVHL
anti-HepB ysurface yantibody yis yonly ypresent yin ywhat ypop y- y✔✔recovered yor
yimmunized
not yin ychronic yor
,proctalgia yfugax y- y✔✔levator yani ysyndrome
fasciculus yis yUMN yor yLMN ylesion? y- y✔✔LMN
ectopic ygastric ytissue y- y✔✔meckels ydiverticulum
can yalso yhave yectopic ypancreatic ytissue
remnant yof yvitelline yduct
antibodies yin yhashimotos yattacks y- y✔✔thyroid yperoxidase yor yantithyroglobulin
enlarged ynon ytender ythyroid
2 yfactors ythat yinfluence ystarling ycurve y- y✔✔x yaxis- ypreload y(EDV)
y yaxis- ystroke yvolume yor yCO
treatment yfor yfibromyalgia y- y✔✔TCA, ySNRIs yanticonvulsants
what yblocks yNE yreuptake? y- y✔✔TCA yor ySNRIs
possible ycomplication yof ypagets ybone ydisease y- y✔✔osteocarcoma
what ydoes yHct ytell yyou? y- y✔✔ratio yof yvolume yof yRBCs ycompared yto ytotal yblood
yvolume
probenecid y- y✔✔inhibits yreabsoprtion yof yuric yacid yin yPCT
- yalso yinhibits ysecretion yof yPCN
- ycan yppt yuric yacid ycalculi
2 ycauses yof ySCID y- y✔✔ADA ydeficiency
(adenosine ydeaminase yrequired yfor ydegradation yof yadenosim yand ydeoxyadenosine
- yin yADA ydeficiency, yhigh ylevels yof ydATP y--> ytoxicity yin ylymphocytes y--> ySCID
hypoplastic ythymus
lithiums yeffects yon yurination y- y✔✔inhibits yvasopression/ADH y--> yincreased yurinary
yfrequency
infertility ydrug ythat ycan yresult yin ymultiple yfetuses y- y✔✔clomiphene y(clones- ymultiple
ybabies)
antagonist yat yestrogen yR yin yhypothalamus y(thus yinhibits ynormal ynegative yfeedback)
upregulates yLH yand yFSH yrelease yfrom ypituitary y--> yovulation
,used yto ytreat yPCOS ybut ycan ycause yovarian yenlargement, ymultiple yfetuses
AFP ylevels yin ydown ysyndrome y- y✔✔low
GI ymalformation yA/W ydown ysyndrome y- y✔✔Hirschprungs- ycongenital yaganglionic
ymegacolon
defective yrelaxation yand yperistalsis yof yrectum yand ydistal ysigmoid ycolon
failure yto ypass ymeconium, yempty yrectal yvault, ymegacolon
myasthenia ygravis yassociations y- y✔✔thymoma, ythymic yhyperplasia
ptosis, ydiplopia, ycan yaffect ychewing, yswallowing, yspeaking, yshoulders, yrespiration
tx yfor ytinea y- y✔✔azoles
beta yblockers yfor yasthma y- y✔✔none- yeven ybeta y1s ycan ybe ynonselective yat yhigher
ydoses
what ykind yof yteratogenic yeffects yare yseen yw yACE/ARBs y- y✔✔fetal yrenal yagenesis
stones ybones ygroans ymoans ypsych yovertones y- y✔✔high yCa yor yPTH
PTH yis ymade yby ywhat ycells? y- y✔✔chief ycells yof yparathyroid ygland
PTH yinhibits yreabsorption yof yphosphate ywhere? yincreases ycalcium yresorption
ywhere? y- y✔✔PO4- yproximal ytubule
ca- yDCT
anterior yinnominate yrotation ymeans ytight yhip yflexors yor yextensors? y- y✔✔extensor-
yhamstrings
thoracic yCS y- y✔✔E ySaRa
most ycommon ycause yof ycellultis y- y✔✔staph yaureus, ystrep ypyogenes
FPR- ydirect yor yindirect? yactive yor ypassive? y- y✔✔indirect- yplace ythem yin yposition yof
ydiagnosis
passive
cant ytreat ykid yw ytetracycline yso ywhat ydo yyou ygive? y- y✔✔amoxicillin
which yHeps yare ythere ycurrently yvaccines yfor? y- y✔✔A yand yB y(and yso yby yvirtue,
yalso yD)
, why ydoes yHep yD yneed yHep yB? y- y✔✔Hep yD yutilizes ythe yHBV ysurface yantigen yas
yits yenvelope?
most ycommon yhepatitis yA/W yIVDA yin ythe yUS y- y✔✔hep yc
roseola y- y✔✔4 yday yhigh yfever
then yrash yon ythe ytrunk y(spares yface)
affects ybabies yup yto y2 yyears
HHV6- yaffects yCD4 yhelper ycells yand ykills ythem yoff
erythema yinfectiosum y- y✔✔slapped ycheek
parvovirus yB19
nonspecific yfever/prodrome ythen yslapp ycheek yrash y5 ydays ylater, ythen yrash yappears
yon yarms yand yspreads yto ytrunk/legs
rash ycan yworsen yw yfever yand ysun yexposure
TORCH yinfxn yso ybaby yin ywomb ythat yis yexposed ycan ylead yto yhydrops yfetalis
most ycommon ySTD y- y✔✔chlamydia
sxs ysimilar yto ySTI yplus ydischarge
will yhave yhigh yneutrophil ycount
dimorphic- ybutterflies y- y✔✔candida, yhisto, ycocci, yparacocci, yblasto, ysporothrix,
butterflies yhuge ypair yof ycocc ycatching ystamp
hip yrestricted yin yinternal yrotation
dx? y- y✔✔innom youtflare
immune ycomplex yin yglomerular ymesangium y2 ydays yafter yURI
berger yor yPSGN? y- y✔✔berger
PSGN yis y2 ywks ypost yURI
kidney yureter yviscerosomatic yinnervation y- y✔✔T10-11
college ystudent yw ynonspecific ysymptoms
