Family Medicine COMAT EXAM Questions AND Correct Answers
AAA screening - ✔✔One-time screening for AAA by ultrasonography
in men aged 65-75 who have ever smoked
Not recommended for or against screening for AAA in men aged 65-75
who have never smoked; recommends against routine screening in
women
Abortive/acute migraine therapy - ✔✔Triptans and ergotamines (use
if attacks are less than 2-4 times/month)
Abruptly worsening pneumonia - ✔✔Pneumococcal
Acamprosat - ✔✔Most effective at reducing EtOH relapse
Acute gastritis treatment - ✔✔IV normal saline
Cipro 500 mg BID for 1-2 days
Azithromycin 1 1000 mg dose
Acute onset of painless jaundice in person >50 years - ✔✔Workup for
pancreatic cancer
,Adenomatous polyps - ✔✔Benign but have malignant potential (types
= tubular, tubulovilous, villous)
Adults at risk for Hep B - ✔✔Sexually-active persons w/ >1 partner in
the last 6 months, persons seeking evaluation/treatment for a STD,
current/recent IVDU, MSM, health care and public safety workers
exposed to blood or body fluids, ESRD, HIV, chronic liver disease
Alpha blocker effect on bladder/urethra - ✔✔Sphincter relaxation =
leakage
Alpha-glucosidase inhibitors
Example
MOA
Side effects - ✔✔Acarbose, Miglitol
Delay carb absorption by inhibiting alpha glucosidase in small
intestine which decreases post-prandial hyperglycemia
GI side effects; contraindicated in ketoacidosis and hepatic disorders;
avoid if creatinine >2.0
,Alzheimer medications - ✔✔Cholinesterase inhibitors (donepezil,
galantamine, rivastigmine), donepezil, memantine
Amenorrhea - ✔✔Absence of menstrual bleeding for 6+ months
without pregnancy
Anaphylaxis treatment - ✔✔Give SQ or IM injection of 0.3-0.5 mL of
1:1000 epinephrine quickly and repeat in 10-15 minutes if needed
Antalgic gait - ✔✔When stance phase of gait is shortened, usually
because of pain during weight baring
Anti-depressant least likely to cause sexual dysfunction -
✔✔Bupropion
Anti-hypertensives for CHF - ✔✔ACE/ARB, BB, diuretic, aldosterone
antagonist
Antibiotics for acute COPD exacerbations - ✔✔Azithromycin,
ciprofloxacin, augmentin
ASCUS + HPV positive - ✔✔Colposcopy
, Aspiration pneumonia location - ✔✔Right lower lobe
Asthma classifications - ✔✔Mild intermittent: symptoms <2x/week
with brief exacerbations and with night-time symptoms <2x/month
Mild persistent: symptoms >2x/week but <1x/day; sometimes affects
usual activity; night-time symptoms occur >2x/month
Moderate persistent: daily symptoms with use of short-acting inhaler;
exacerbations that affect activity and may last for days; night-time
symptoms occur at least weekly
Severe persistent: continual symptoms that limit physical activities
with frequent exacerbations and night-time symptoms
Asthma daily symptoms with use of short-acting inhaler;
exacerbations that affect activity and may last for days; night-time
symptoms occur at least weekly - ✔✔Moderate persistent
Asthma symptoms <2x/week with brief exacerbations and with night-
time symptoms <2x/month - ✔✔Mild intermittent
AAA screening - ✔✔One-time screening for AAA by ultrasonography
in men aged 65-75 who have ever smoked
Not recommended for or against screening for AAA in men aged 65-75
who have never smoked; recommends against routine screening in
women
Abortive/acute migraine therapy - ✔✔Triptans and ergotamines (use
if attacks are less than 2-4 times/month)
Abruptly worsening pneumonia - ✔✔Pneumococcal
Acamprosat - ✔✔Most effective at reducing EtOH relapse
Acute gastritis treatment - ✔✔IV normal saline
Cipro 500 mg BID for 1-2 days
Azithromycin 1 1000 mg dose
Acute onset of painless jaundice in person >50 years - ✔✔Workup for
pancreatic cancer
,Adenomatous polyps - ✔✔Benign but have malignant potential (types
= tubular, tubulovilous, villous)
Adults at risk for Hep B - ✔✔Sexually-active persons w/ >1 partner in
the last 6 months, persons seeking evaluation/treatment for a STD,
current/recent IVDU, MSM, health care and public safety workers
exposed to blood or body fluids, ESRD, HIV, chronic liver disease
Alpha blocker effect on bladder/urethra - ✔✔Sphincter relaxation =
leakage
Alpha-glucosidase inhibitors
Example
MOA
Side effects - ✔✔Acarbose, Miglitol
Delay carb absorption by inhibiting alpha glucosidase in small
intestine which decreases post-prandial hyperglycemia
GI side effects; contraindicated in ketoacidosis and hepatic disorders;
avoid if creatinine >2.0
,Alzheimer medications - ✔✔Cholinesterase inhibitors (donepezil,
galantamine, rivastigmine), donepezil, memantine
Amenorrhea - ✔✔Absence of menstrual bleeding for 6+ months
without pregnancy
Anaphylaxis treatment - ✔✔Give SQ or IM injection of 0.3-0.5 mL of
1:1000 epinephrine quickly and repeat in 10-15 minutes if needed
Antalgic gait - ✔✔When stance phase of gait is shortened, usually
because of pain during weight baring
Anti-depressant least likely to cause sexual dysfunction -
✔✔Bupropion
Anti-hypertensives for CHF - ✔✔ACE/ARB, BB, diuretic, aldosterone
antagonist
Antibiotics for acute COPD exacerbations - ✔✔Azithromycin,
ciprofloxacin, augmentin
ASCUS + HPV positive - ✔✔Colposcopy
, Aspiration pneumonia location - ✔✔Right lower lobe
Asthma classifications - ✔✔Mild intermittent: symptoms <2x/week
with brief exacerbations and with night-time symptoms <2x/month
Mild persistent: symptoms >2x/week but <1x/day; sometimes affects
usual activity; night-time symptoms occur >2x/month
Moderate persistent: daily symptoms with use of short-acting inhaler;
exacerbations that affect activity and may last for days; night-time
symptoms occur at least weekly
Severe persistent: continual symptoms that limit physical activities
with frequent exacerbations and night-time symptoms
Asthma daily symptoms with use of short-acting inhaler;
exacerbations that affect activity and may last for days; night-time
symptoms occur at least weekly - ✔✔Moderate persistent
Asthma symptoms <2x/week with brief exacerbations and with night-
time symptoms <2x/month - ✔✔Mild intermittent
