COMSAE 2026 COMPREHENSIVE EXAM
SCRIPT COMPLETE ANSWERS
◉what kind of teratogenic effects are seen w ACE/ARBs . Answer:
fetal renal agenesis
◉stones bones groans moans psych overtones . Answer: high Ca or
PTH
◉PTH is made by what cells? . Answer: chief cells of parathyroid
gland
◉PTH inhibits reabsorption of phosphate where? increases calcium
resorption where? . Answer: PO4- proximal tubule
ca- DCT
◉anterior innominate rotation means tight hip flexors or extensors?
. Answer: extensor- hamstrings
◉thoracic CS . Answer: E SaRa
,◉most common cause of cellultis . Answer: staph aureus, strep
pyogenes
◉FPR- direct or indirect? active or passive? . Answer: indirect- place
them in position of diagnosis
passive
◉cant treat kid w tetracycline so what do you give? . Answer:
amoxicillin
◉which Heps are there currently vaccines for? . Answer: A and B
(and so by virtue, also D)
◉why does Hep D need Hep B? . Answer: Hep D utilizes the HBV
surface antigen as its envelope?
◉most common hepatitis A/W IVDA in the US . Answer: hep c
◉roseola . 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 . 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 . Answer: chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
◉dimorphic- butterflies . Answer: candida, histo, cocci, paracocci,
blasto, sporothrix,
, butterflies huge pair of cocc catching stamp
◉hip restricted in internal rotation
dx? . Answer: innom outflare
◉immune complex in glomerular mesangium 2 days after URI
berger or PSGN? . Answer: berger
PSGN is 2 wks post URI
◉kidney ureter viscerosomatic innervation . Answer: T10-11
◉college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates . Answer: myco PNA
◉test for trichomonas . Answer: nucleic acid amplification
SCRIPT COMPLETE ANSWERS
◉what kind of teratogenic effects are seen w ACE/ARBs . Answer:
fetal renal agenesis
◉stones bones groans moans psych overtones . Answer: high Ca or
PTH
◉PTH is made by what cells? . Answer: chief cells of parathyroid
gland
◉PTH inhibits reabsorption of phosphate where? increases calcium
resorption where? . Answer: PO4- proximal tubule
ca- DCT
◉anterior innominate rotation means tight hip flexors or extensors?
. Answer: extensor- hamstrings
◉thoracic CS . Answer: E SaRa
,◉most common cause of cellultis . Answer: staph aureus, strep
pyogenes
◉FPR- direct or indirect? active or passive? . Answer: indirect- place
them in position of diagnosis
passive
◉cant treat kid w tetracycline so what do you give? . Answer:
amoxicillin
◉which Heps are there currently vaccines for? . Answer: A and B
(and so by virtue, also D)
◉why does Hep D need Hep B? . Answer: Hep D utilizes the HBV
surface antigen as its envelope?
◉most common hepatitis A/W IVDA in the US . Answer: hep c
◉roseola . 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 . 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 . Answer: chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
◉dimorphic- butterflies . Answer: candida, histo, cocci, paracocci,
blasto, sporothrix,
, butterflies huge pair of cocc catching stamp
◉hip restricted in internal rotation
dx? . Answer: innom outflare
◉immune complex in glomerular mesangium 2 days after URI
berger or PSGN? . Answer: berger
PSGN is 2 wks post URI
◉kidney ureter viscerosomatic innervation . Answer: T10-11
◉college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates . Answer: myco PNA
◉test for trichomonas . Answer: nucleic acid amplification
