COMSAE 110 QUESTIONS WITH CORRECT ANSWERS COMSAE 110 QUESTIONS WITH CORRECT ANSWERS
UPDATED 2025 UPDATED 2025
MMR
Varicella
flu
7) Dx of fibromyalgia: Tenderness in at least 11/18 trigger points
1) Childhood vaccines: Birth: Hep B Dx of exclusion
*Birth = Hep B
2) Childhood vaccines: 2mo: Hep B
DTaP
PCV
RV
Polio
Hib
3) Childhood vaccines: 4mo: DTaP
PCV
RV
Polio
Hib
*same as 2mo except Hep B
4) Childhood vaccines: 6mo: Hep B
DTaP
PCV
RV
Polio
Hib
flu
*same as 2mo
5) Childhood vaccines: 12-18mo: DTaP
PCV
Hib
MMR
Varicella
Hep A
flu
6) Childhood vaccines: 4-6yo: DTaP
Polio
, COMSAE 110 QUESTIONS WITH CORRECT ANSWERS COMSAE 110 QUESTIONS WITH CORRECT ANSWERS
UPDATED 2025 UPDATED 2025
8) Which is the best predictor for good outcome? 20) Give 3 noninvasive breast carcinomas: Ductal carcinoma in situ
Paget disease
a) daily walking Lobular carcinoma in situ
b) smoking cessation: b. smoking cessation 21) Ductal carcinoma in situ:
9) Karyotype for complete mole: 46 XX gross morphology (2)
-enucleated egg + single sperm (double paternal DNA) micro morphology (2) penetrates
10) Karyotype for partial mole: 69 XXX the basement mem?
-2 sperm + 1 egg subtype (1): Gross: fills duct lumen & engorged blood vessels
-p57 positive Micro: ductal atypia & microcalcifications on mammography
11) Give 4 antihypertensives that are safe during pregnancy: Hydralazine Does NOT penetrate basement membrane
Methyldopa Subtype = comedocarcinoma
Labetalol 22) Comedocarcinoma: DCIS w/ central necrosis & dystrophic cal cification
Nifedipine
12) Give 2 inflammatory processes of benign breast disease: Fat necrosis
Lactational mastitis
13) Fat necrosis of the breast: Painless lump due to trauma 23) Paget disease: Extension of DCIS up lactiferous ducts & into ski n of nipple
Calcified oil cyst on mammography -eczematous patches over nipple & areola
14) Lactational mastitis: Breastfeeding -Paget cells = intraepithelial adenocarcinoma cells (large cells surrou nded by clear
S. aureus halo)
15) Give 3 benign breast tumors: Fibroadenoma 24) Lobular carcinoma in situ:
Intraductal papilloma genetics
Phyllodes tumor mass & calcifications?
16) Fibroadenoma: F <35 risk of cancer?: Genetics: dec E-cadherin
Small, mobile mass No mass or calcifications (Incidental finding on biopsy)
Made of fibrous tissue & glands Inc risk of cancer
Inc size & tenderness w/ estrogen 25) Give 4 invasive breast carcinomas: invasive ductal
17) Intraductal papilloma: Fibroepithelial tumor in lactiferous duc ts Invasive lobular
Usually beneath areola Medullary
Most common cause of nipple discharge (bloody or serous) Inflammatory
26) Invasive ductal carcinoma:
gross morphology
18) Phyllodes tumor: Large mass of CT w/ "leaflike" lobulated cy sts micro morphology: Most common invasive breast cancer
5th decade Gross: firm, fibrous "rock hard" mass
May become malignant Micro: glandular, ductlike cells in desmoplastic stroma
27) Invasive lobular carcinoma:
19) Breast cancer is often due to overexpression of: estrogen/progesterone genetics
receptors or HER2 micro morphology
-triple negative (ER, PR, & HER2 neg = more aggressive) BL or UL: Genetics: dec E-cadherin
UPDATED 2025 UPDATED 2025
MMR
Varicella
flu
7) Dx of fibromyalgia: Tenderness in at least 11/18 trigger points
1) Childhood vaccines: Birth: Hep B Dx of exclusion
*Birth = Hep B
2) Childhood vaccines: 2mo: Hep B
DTaP
PCV
RV
Polio
Hib
3) Childhood vaccines: 4mo: DTaP
PCV
RV
Polio
Hib
*same as 2mo except Hep B
4) Childhood vaccines: 6mo: Hep B
DTaP
PCV
RV
Polio
Hib
flu
*same as 2mo
5) Childhood vaccines: 12-18mo: DTaP
PCV
Hib
MMR
Varicella
Hep A
flu
6) Childhood vaccines: 4-6yo: DTaP
Polio
, COMSAE 110 QUESTIONS WITH CORRECT ANSWERS COMSAE 110 QUESTIONS WITH CORRECT ANSWERS
UPDATED 2025 UPDATED 2025
8) Which is the best predictor for good outcome? 20) Give 3 noninvasive breast carcinomas: Ductal carcinoma in situ
Paget disease
a) daily walking Lobular carcinoma in situ
b) smoking cessation: b. smoking cessation 21) Ductal carcinoma in situ:
9) Karyotype for complete mole: 46 XX gross morphology (2)
-enucleated egg + single sperm (double paternal DNA) micro morphology (2) penetrates
10) Karyotype for partial mole: 69 XXX the basement mem?
-2 sperm + 1 egg subtype (1): Gross: fills duct lumen & engorged blood vessels
-p57 positive Micro: ductal atypia & microcalcifications on mammography
11) Give 4 antihypertensives that are safe during pregnancy: Hydralazine Does NOT penetrate basement membrane
Methyldopa Subtype = comedocarcinoma
Labetalol 22) Comedocarcinoma: DCIS w/ central necrosis & dystrophic cal cification
Nifedipine
12) Give 2 inflammatory processes of benign breast disease: Fat necrosis
Lactational mastitis
13) Fat necrosis of the breast: Painless lump due to trauma 23) Paget disease: Extension of DCIS up lactiferous ducts & into ski n of nipple
Calcified oil cyst on mammography -eczematous patches over nipple & areola
14) Lactational mastitis: Breastfeeding -Paget cells = intraepithelial adenocarcinoma cells (large cells surrou nded by clear
S. aureus halo)
15) Give 3 benign breast tumors: Fibroadenoma 24) Lobular carcinoma in situ:
Intraductal papilloma genetics
Phyllodes tumor mass & calcifications?
16) Fibroadenoma: F <35 risk of cancer?: Genetics: dec E-cadherin
Small, mobile mass No mass or calcifications (Incidental finding on biopsy)
Made of fibrous tissue & glands Inc risk of cancer
Inc size & tenderness w/ estrogen 25) Give 4 invasive breast carcinomas: invasive ductal
17) Intraductal papilloma: Fibroepithelial tumor in lactiferous duc ts Invasive lobular
Usually beneath areola Medullary
Most common cause of nipple discharge (bloody or serous) Inflammatory
26) Invasive ductal carcinoma:
gross morphology
18) Phyllodes tumor: Large mass of CT w/ "leaflike" lobulated cy sts micro morphology: Most common invasive breast cancer
5th decade Gross: firm, fibrous "rock hard" mass
May become malignant Micro: glandular, ductlike cells in desmoplastic stroma
27) Invasive lobular carcinoma:
19) Breast cancer is often due to overexpression of: estrogen/progesterone genetics
receptors or HER2 micro morphology
-triple negative (ER, PR, & HER2 neg = more aggressive) BL or UL: Genetics: dec E-cadherin
