Comsae 107 [713 ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH PLACTICE EXAM
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
imipramine - CORRECT ANSWER TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
viscerosomatic - CORRECT ANSWER visceral disease --> somatic finding
loratidine vs ranitidine - CORRECT ANSWER loratidine: 2nd gen H1 blocker,
doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - CORRECT ANSWER entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - CORRECT
ANSWER tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels - CORRECT ANSWER AVM arteriovenous malformation
cavernous hemangioma - CORRECT ANSWER benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - CORRECT ANSWER
recovered or immunized
not in chronic or
proctalgia fugax - CORRECT ANSWER levator ani syndrome
,fasciculus is UMN or LMN lesion? - CORRECT ANSWER LMN
ectopic gastric tissue - CORRECT ANSWER meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks - CORRECT ANSWER thyroid peroxidase or
antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - CORRECT ANSWER x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - CORRECT ANSWER TCA, SNRIs anticonvulsants
what blocks NE reuptake? - CORRECT ANSWER TCA or SNRIs
possible complication of pagets bone disease - CORRECT ANSWER
osteocarcoma
what does Hct tell you? - CORRECT ANSWER ratio of volume of RBCs compared
to total blood volume
probenecid - CORRECT ANSWER inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - CORRECT ANSWER 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 - CORRECT ANSWER inhibits vasopression/ADH -->
increased urinary frequency
infertility drug that can result in multiple fetuses - CORRECT ANSWER
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 - CORRECT ANSWER low
GI malformation A/W down syndrome - CORRECT ANSWER 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 - CORRECT ANSWER thymoma, thymic
hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - CORRECT ANSWER azoles
beta blockers for asthma - CORRECT ANSWER none- even beta 1s can be
nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - CORRECT ANSWER
fetal renal agenesis
stones bones groans moans psych overtones - CORRECT ANSWER high Ca or
PTH
PTH is made by what cells? - CORRECT ANSWER chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
CORRECT ANSWER PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - CORRECT
ANSWER extensor- hamstrings
thoracic CS - CORRECT ANSWER E SaRa
most common cause of cellultis - CORRECT ANSWER staph aureus, strep
pyogenes
, FPR- direct or indirect? active or passive? - CORRECT ANSWER indirect- place
them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give? - CORRECT ANSWER
amoxicillin
which Heps are there currently vaccines for? - CORRECT ANSWER A and B (and
so by virtue, also D)
why does Hep D need Hep B? - CORRECT ANSWER Hep D utilizes the HBV
surface antigen as its envelope?
most common hepatitis A/W IVDA in the US - CORRECT ANSWER hep c
roseola - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - CORRECT ANSWER candida, histo, cocci, paracocci,
blasto, sporothrix,
butterflies huge pair of cocc catching stamp
[QUESTIONS AND ANSWERS] WITH PLACTICE EXAM
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
imipramine - CORRECT ANSWER TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
viscerosomatic - CORRECT ANSWER visceral disease --> somatic finding
loratidine vs ranitidine - CORRECT ANSWER loratidine: 2nd gen H1 blocker,
doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - CORRECT ANSWER entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - CORRECT
ANSWER tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels - CORRECT ANSWER AVM arteriovenous malformation
cavernous hemangioma - CORRECT ANSWER benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - CORRECT ANSWER
recovered or immunized
not in chronic or
proctalgia fugax - CORRECT ANSWER levator ani syndrome
,fasciculus is UMN or LMN lesion? - CORRECT ANSWER LMN
ectopic gastric tissue - CORRECT ANSWER meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks - CORRECT ANSWER thyroid peroxidase or
antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - CORRECT ANSWER x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - CORRECT ANSWER TCA, SNRIs anticonvulsants
what blocks NE reuptake? - CORRECT ANSWER TCA or SNRIs
possible complication of pagets bone disease - CORRECT ANSWER
osteocarcoma
what does Hct tell you? - CORRECT ANSWER ratio of volume of RBCs compared
to total blood volume
probenecid - CORRECT ANSWER inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - CORRECT ANSWER 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 - CORRECT ANSWER inhibits vasopression/ADH -->
increased urinary frequency
infertility drug that can result in multiple fetuses - CORRECT ANSWER
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 - CORRECT ANSWER low
GI malformation A/W down syndrome - CORRECT ANSWER 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 - CORRECT ANSWER thymoma, thymic
hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - CORRECT ANSWER azoles
beta blockers for asthma - CORRECT ANSWER none- even beta 1s can be
nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - CORRECT ANSWER
fetal renal agenesis
stones bones groans moans psych overtones - CORRECT ANSWER high Ca or
PTH
PTH is made by what cells? - CORRECT ANSWER chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
CORRECT ANSWER PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - CORRECT
ANSWER extensor- hamstrings
thoracic CS - CORRECT ANSWER E SaRa
most common cause of cellultis - CORRECT ANSWER staph aureus, strep
pyogenes
, FPR- direct or indirect? active or passive? - CORRECT ANSWER indirect- place
them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give? - CORRECT ANSWER
amoxicillin
which Heps are there currently vaccines for? - CORRECT ANSWER A and B (and
so by virtue, also D)
why does Hep D need Hep B? - CORRECT ANSWER Hep D utilizes the HBV
surface antigen as its envelope?
most common hepatitis A/W IVDA in the US - CORRECT ANSWER hep c
roseola - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - CORRECT ANSWER candida, histo, cocci, paracocci,
blasto, sporothrix,
butterflies huge pair of cocc catching stamp
