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ALL THE COMSAE EXAM QUESTIONS WITH CORRECT ANSWERS 2025/2026( A+ GRADED 100% VERIFIED).

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ALL THE COMSAE EXAM QUESTIONS WITH CORRECT ANSWERS 2025/2026( A+ GRADED 100% VERIFIED).

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COMSAE
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COMSAE











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COMSAE
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Uploaded on
March 3, 2025
Number of pages
52
Written in
2024/2025
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ALL THE COMSAE
drug for UC/Crohns - ANS -sulfasalazine

pulmonary effects of CF - ANS -chronic bronchitis and bronchiectasis

osteoporosis affects what parts of bone? - ANS -(spongy and ) trabecular bone mass loss

imipramine - ANS -TCA

SE: Tri-Cs
convulsions
coma
cardiotox

antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block
alpha1)

viscerosomatic - ANS -visceral disease --> somatic finding

loratidine vs ranitidine - ANS -loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less
sedating

ranitidine: H2 receptor antagonist (like cimetidine)

cells w RBCs inside - ANS -entaemoba histolytica

which type of pneumothorax causes tracheal deviation to the contra side? - ANS -tension

intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous
vessels - ANS -AVM arteriovenous malformation

cavernous hemangioma - ANS -benign tumor of liver, A/W VHL

anti-HepB surface antibody is only present in what pop - ANS -recovered or immunized

not in chronic or

proctalgia fugax - ANS -levator ani syndrome

fasciculus is UMN or LMN lesion? - ANS -LMN

,ectopic gastric tissue - ANS -meckels diverticulum

can also have ectopic pancreatic tissue

remnant of vitelline duct

antibodies in hashimotos attacks - ANS -thyroid peroxidase or antithyroglobulin

enlarged non tender thyroid

2 factors that influence starling curve - ANS -x axis- preload (EDV)
y axis- stroke volume or CO

treatment for fibromyalgia - ANS -TCA, SNRIs anticonvulsants

what blocks NE reuptake? - ANS -TCA or SNRIs

possible complication of pagets bone disease - ANS -osteocarcoma

what does Hct tell you? - ANS -ratio of volume of RBCs compared to total blood volume

probenecid - ANS -inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi

2 causes of SCID - ANS -ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID

hypoplastic thymus

lithiums effects on urination - ANS -inhibits vasopression/ADH --> increased urinary frequency

infertility drug that can result in multiple fetuses - ANS -clomiphene (clones- multiple babies)

antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback)

upregulates LH and FSH release from pituitary --> ovulation

used to treat PCOS but can cause ovarian enlargement, multiple fetuses

AFP levels in down syndrome - ANS -low

,GI malformation A/W down syndrome - ANS -Hirschprungs- congenital aganglionic megacolon

defective relaxation and peristalsis of rectum and distal sigmoid colon

failure to pass meconium, empty rectal vault, megacolon

myasthenia gravis associations - ANS -thymoma, thymic hyperplasia

ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration

tx for tinea - ANS -azoles

beta blockers for asthma - ANS -none- even beta 1s can be nonselective at higher doses

what kind of teratogenic effects are seen w ACE/ARBs - ANS -fetal renal agenesis

stones bones groans moans psych overtones - ANS -high Ca or PTH

PTH is made by what cells? - ANS -chief cells of parathyroid gland

PTH inhibits reabsorption of phosphate where? increases calcium resorption where? - ANS
-PO4- proximal tubule
ca- DCT

anterior innominate rotation means tight hip flexors or extensors? - ANS -extensor- hamstrings

thoracic CS - ANS -E SaRa

most common cause of cellultis - ANS -staph aureus, strep pyogenes

FPR- direct or indirect? active or passive? - ANS -indirect- place them in position of diagnosis
passive

cant treat kid w tetracycline so what do you give? - ANS -amoxicillin

which Heps are there currently vaccines for? - ANS -A and B (and so by virtue, also D)

why does Hep D need Hep B? - ANS -Hep D utilizes the HBV surface antigen as its envelope?

most common hepatitis A/W IVDA in the US - ANS -hep c

roseola - ANS -4 day high fever
then rash on the trunk (spares face)

, affects babies up to 2 years

HHV6- affects CD4 helper cells and kills them off

erythema infectiosum - ANS -slapped cheek

parvovirus B19

nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on arms and
spreads to trunk/legs

rash can worsen w fever and sun exposure

TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis

most common STD - ANS -chlamydia

sxs similar to STI plus discharge

will have high neutrophil count

dimorphic- butterflies - ANS -candida, histo, cocci, paracocci, blasto, sporothrix,

butterflies huge pair of cocc catching stamp

hip restricted in internal rotation

dx? - ANS -innom outflare

immune complex in glomerular mesangium 2 days after URI

berger or PSGN? - ANS -berger

PSGN is 2 wks post URI

kidney ureter viscerosomatic innervation - ANS -T10-11

college student w nonspecific symptoms

nonproductive cough, sore throat
CXR- diffuse infiltrates - ANS -myco PNA

test for trichomonas - ANS -nucleic acid amplification

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