ALL THE COMSAE EXAM WITH ACTUAL QUESTION AND CORRECT ANSWERS NEWEST 2025
drug for UC/Crohns - CORRECT ANSWER-sulfasalazine
pulmonary effects of CF - CORRECT ANSWER-chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone? - CORRECT ANSWER-(spongy and ) trabecular bone mass
loss
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
drug for UC/Crohns - CORRECT ANSWER-sulfasalazine
pulmonary effects of CF - CORRECT ANSWER-chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone? - CORRECT ANSWER-(spongy and ) trabecular bone mass
loss
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
