COMSAE Questions with verified answers
1. drug for UC/Crohns ...Answer Is...sulfasalazine
2. pulmonary effects of CF ...Answer Is...chronic bronchitis an dbronchiectasis
3. osteoporosis affects what parts of bone? ...Answer Is...(spongy and ) trabecular
bone mass loss
4. imipramine ...Answer Is...TCA
5. SE: Tri-Cs
6. convulsions
7. coma
8. cardiotox
9. antichol effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
10. viscerosomatic ...Answer Is...visceral disease --> somatic finding
11. loratidine vs ranitidine ...Answer Is...loratidine: 2nd gen H1 blocker, doesnt cross
BBB --> less sedating
12. ranitidine: H2 receptor antagonist (like cimetidine)
13. cells w RBCs inside ...Answer Is...entaemoba histolytica
14. which type of pneumothorax causes tracheal deviation to the contra
side? ...Answer Is...tension
15. intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels ...Answer Is...AVM arteriovenous malformation
16. cavernous hemangioma ...Answer Is...benign tumor of liver, A/W VHL
17. anti-HepB surface antibody is only present in what pop ...Answer Is...recovered
or immunized
18. not in chronic or
19. proctalgia fugax ...Answer Is...levator ani syndrome
,20. fasciculus is UMN or LMN lesion? ...Answer Is...LMN
21. ectopic gastric tissue ...Answer Is...meckels diverticulum
22. can also have ectopic pancreatic tissue
23. remnant of vitelline duct
24. antibodies in hashimotos attacks ...Answer Is...thyroid peroxidase or
antithyroglobulin
25. enlarged non tender thyroid
26. 2 factors that influence starling curve ...Answer Is...x axis- preload (EDV)
27. y axis- stroke volume or CO
28. treatment for fibromyalgia ...Answer Is...TCA, SNRIs anticonvulsants
29. what blocks NE reuptake? ...Answer Is...TCA or SNRIs
30. possible complication of pagets bone disease ...Answer Is...osteocarcoma
31. what does Hct tell you? ...Answer Is...ratio of volume of RBCs compared to total
blood volume
32. probenecid ...Answer Is...inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
33. 2 causes of SCID ...Answer Is...ADA deficiency
34. (adenosine deaminase required for degradation of adenosim and
deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
35. hypoplastic thymus
36. lithiums effects on urination ...Answer Is...inhibits vasopression/ADH -->
increased urinary frequency
37. infertility drug that can result in multiple fetuses ...Answer Is...clomiphene
(clones- multiple babies)
38. antagonist at estrogen R in hypothalamus (thus inhibits normal negative
feedback)
,39. upregulates LH and FSH release from pituitary --> ovulation
40. used to treat PCOS but can cause ovarian enlargement, multiple fetuses
41. AFP levels in down syndrome ...Answer Is...low
42. GI malformation A/W down syndrome ...Answer Is...Hirschprungs- congenital
aganglionic megacolon
43. defective relaxation and peristalsis of rectum and distal sigmoid colon
44. failure to pass meconium, empty rectal vault, megacolon
45. myasthenia gravis associations ...Answer Is...thymoma, thymic hyperplasia
46. ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
47. tx for tinea ...Answer Is...azoles
48. beta blockers for asthma ...Answer Is...none- even beta 1s can be nonselective
at higher doses
49. what kind of teratogenic effects are seen w ACE/ARBs ...Answer Is...fetal renal
agenesis
50. stones bones groans moans psych overtones ...Answer Is...high Ca or PTH
51. PTH is made by what cells? ...Answer Is...chief cells of parathyroid gland
52. PTH inhibits reabsorption of phosphate where? increases calcium resorption
where? ...Answer Is...PO4- proximal tubule
53. ca- DCT
54. anterior innominate rotation means tight hip flexors or extensors? ...Answer
Is...extensor- hamstrings
55. thoracic CS ...Answer Is...E SaRa
56. most common cause of cellultis ...Answer Is...staph aureus, strep pyogenes
57. FPR- direct or indirect? active or passive? ...Answer Is...indirect- place them in
position of diagnosis
58. passive
59. cant treat kid w tetracycline so what do you give? ...Answer Is...amoxicillin
, 60. which Heps are there currently vaccines for? ...Answer Is...A and B (and so by
virtue, also D)
61. why does Hep D need Hep B? ...Answer Is...Hep D utilizes the HBV surface
antigen as its envelope?
62. most common hepatitis A/W IVDA in the US ...Answer Is...hep c
63. roseola ...Answer Is...4 day high fever
64. then rash on the trunk (spares face)
65. affects babies up to 2 years
66. HHV6- affects CD4 helper cells and kills them off
67. erythema infectiosum ...Answer Is...slapped cheek
68. parvovirus B19
69. nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash
appears on arms and spreads to trunk/legs
70. rash can worsen w fever and sun exposure
71. TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
72. most common STD ...Answer Is...chlamydia
73. sxs similar to STI plus discharge
74. will have high neutrophil count
75. dimorphic- butterflies ...Answer Is...candida, histo, cocci, paracocci, blasto,
sporothrix,
76. butterflies huge pair of cocc catching stamp
77. hip restricted in internal rotation
78. dx? ...Answer Is...innom outflare
79. immune complex in glomerular mesangium 2 days after URI
80. berger or PSGN? ...Answer Is...berger
81. PSGN is 2 wks post URI
1. drug for UC/Crohns ...Answer Is...sulfasalazine
2. pulmonary effects of CF ...Answer Is...chronic bronchitis an dbronchiectasis
3. osteoporosis affects what parts of bone? ...Answer Is...(spongy and ) trabecular
bone mass loss
4. imipramine ...Answer Is...TCA
5. SE: Tri-Cs
6. convulsions
7. coma
8. cardiotox
9. antichol effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
10. viscerosomatic ...Answer Is...visceral disease --> somatic finding
11. loratidine vs ranitidine ...Answer Is...loratidine: 2nd gen H1 blocker, doesnt cross
BBB --> less sedating
12. ranitidine: H2 receptor antagonist (like cimetidine)
13. cells w RBCs inside ...Answer Is...entaemoba histolytica
14. which type of pneumothorax causes tracheal deviation to the contra
side? ...Answer Is...tension
15. intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels ...Answer Is...AVM arteriovenous malformation
16. cavernous hemangioma ...Answer Is...benign tumor of liver, A/W VHL
17. anti-HepB surface antibody is only present in what pop ...Answer Is...recovered
or immunized
18. not in chronic or
19. proctalgia fugax ...Answer Is...levator ani syndrome
,20. fasciculus is UMN or LMN lesion? ...Answer Is...LMN
21. ectopic gastric tissue ...Answer Is...meckels diverticulum
22. can also have ectopic pancreatic tissue
23. remnant of vitelline duct
24. antibodies in hashimotos attacks ...Answer Is...thyroid peroxidase or
antithyroglobulin
25. enlarged non tender thyroid
26. 2 factors that influence starling curve ...Answer Is...x axis- preload (EDV)
27. y axis- stroke volume or CO
28. treatment for fibromyalgia ...Answer Is...TCA, SNRIs anticonvulsants
29. what blocks NE reuptake? ...Answer Is...TCA or SNRIs
30. possible complication of pagets bone disease ...Answer Is...osteocarcoma
31. what does Hct tell you? ...Answer Is...ratio of volume of RBCs compared to total
blood volume
32. probenecid ...Answer Is...inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
33. 2 causes of SCID ...Answer Is...ADA deficiency
34. (adenosine deaminase required for degradation of adenosim and
deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
35. hypoplastic thymus
36. lithiums effects on urination ...Answer Is...inhibits vasopression/ADH -->
increased urinary frequency
37. infertility drug that can result in multiple fetuses ...Answer Is...clomiphene
(clones- multiple babies)
38. antagonist at estrogen R in hypothalamus (thus inhibits normal negative
feedback)
,39. upregulates LH and FSH release from pituitary --> ovulation
40. used to treat PCOS but can cause ovarian enlargement, multiple fetuses
41. AFP levels in down syndrome ...Answer Is...low
42. GI malformation A/W down syndrome ...Answer Is...Hirschprungs- congenital
aganglionic megacolon
43. defective relaxation and peristalsis of rectum and distal sigmoid colon
44. failure to pass meconium, empty rectal vault, megacolon
45. myasthenia gravis associations ...Answer Is...thymoma, thymic hyperplasia
46. ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
47. tx for tinea ...Answer Is...azoles
48. beta blockers for asthma ...Answer Is...none- even beta 1s can be nonselective
at higher doses
49. what kind of teratogenic effects are seen w ACE/ARBs ...Answer Is...fetal renal
agenesis
50. stones bones groans moans psych overtones ...Answer Is...high Ca or PTH
51. PTH is made by what cells? ...Answer Is...chief cells of parathyroid gland
52. PTH inhibits reabsorption of phosphate where? increases calcium resorption
where? ...Answer Is...PO4- proximal tubule
53. ca- DCT
54. anterior innominate rotation means tight hip flexors or extensors? ...Answer
Is...extensor- hamstrings
55. thoracic CS ...Answer Is...E SaRa
56. most common cause of cellultis ...Answer Is...staph aureus, strep pyogenes
57. FPR- direct or indirect? active or passive? ...Answer Is...indirect- place them in
position of diagnosis
58. passive
59. cant treat kid w tetracycline so what do you give? ...Answer Is...amoxicillin
, 60. which Heps are there currently vaccines for? ...Answer Is...A and B (and so by
virtue, also D)
61. why does Hep D need Hep B? ...Answer Is...Hep D utilizes the HBV surface
antigen as its envelope?
62. most common hepatitis A/W IVDA in the US ...Answer Is...hep c
63. roseola ...Answer Is...4 day high fever
64. then rash on the trunk (spares face)
65. affects babies up to 2 years
66. HHV6- affects CD4 helper cells and kills them off
67. erythema infectiosum ...Answer Is...slapped cheek
68. parvovirus B19
69. nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash
appears on arms and spreads to trunk/legs
70. rash can worsen w fever and sun exposure
71. TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
72. most common STD ...Answer Is...chlamydia
73. sxs similar to STI plus discharge
74. will have high neutrophil count
75. dimorphic- butterflies ...Answer Is...candida, histo, cocci, paracocci, blasto,
sporothrix,
76. butterflies huge pair of cocc catching stamp
77. hip restricted in internal rotation
78. dx? ...Answer Is...innom outflare
79. immune complex in glomerular mesangium 2 days after URI
80. berger or PSGN? ...Answer Is...berger
81. PSGN is 2 wks post URI
