COMSAE Cramming Test. Newest
2026-2027. Questions & Correct
Answers. Graded A
A secondary brainstem hemorrhage caused by downward (transtentorial)
cerebral herniation due to increased ICP, usually a ruptured Berry
Aneurysm - ANSDuret Hemorrhage
Alcoholic ataxia is related to a deficiency of... - ANSthiamine (B1), which
leads to impaired glucose breakdown of ATP. Give thiamine before
dextrose to avoid precipitation of Wenicke Korsakoff syndrome
Ampho B side effects - ANSPROLONGED QT (vtach or vfib), nephrotoxic,
hypomagnesemia and hypokalemia
Anti-centromere - ANSCREST - Calcinosis, Raynaud disease, esophageal
dysmotility, Sclerodactyly, Telangiectasia
Anti-Jo-1 - ANSPolymyositits - insidious onset of symmetrical, proximal
muscle weakness in the upper and lower extremities. Exertional dyspnea.
Laboratory studies reveal an elevated serum concentration of creatine
kinase, lactate dehydrogenase, and aldolase
OR
1
,Dermatomyositis - same deal but with "mechanics hands" and heliotrope
rash on eyelids
Anti-Ro and Anti-La - ANSScleroderma
Antibiotics for Legionella - ANSMacrolides such as azithromycin
Antidote for acetaminophen tox - ANSN-acetylcysteine
Antidote for amphetamine overdose - ANSAmmonium Chloride
Antidote for tricyclic antidepressant overdose - ANSSodium Bicarbonate
Antidote to organophosphate toxicity (ie parathion) - ANSAtropine AND
Pralidoxime
Apple-core appearance on a barium enema is concerning for what? -
ANSCarcinoma of colon
Bacteroides fragilis is a gram _____ strict ____ and causes _____ -
ANSGram negative strict anaerobe and causes pelvic or bowl abscess.
Tx: metronidazole or clindamycin + surgical drainage
Bleeding gums with menorrhagia is almost always.... - ANSvon Willebrand
Bordetella pertussis - ANSBordet-Gengou (Potato extract)
2
, BRCA1 and BRCA2 increase risk of which two cancers - ANSbreast and
ovarian
Broad based budding yeast (in tissue) and hyphae with conida (in
environment) - ANSBloastomycosis, causes bone skin and pulmonary
disease, common in midwest, treat with Amphotericin B
C. diphtheria - ANSLoffler's + Tellurite
Cat bite organism - ANSPaseurella
Cat Poop - ANSToxo gondii
Cat scratch organism - ANSBartonella, treat with azithro, DO NOT
ASPIRATE
Causes of watery diarrhea in HIV - ANSCryptosporidium parvum (acid fast
oocysts in stool, bx shows dots in intestinal glands)
Isospora belli (acid fast parasite, treat with TMP-SMX)
Cyclospora (acid-fast, transmitted by raspberries. TMP-SMX)
Confabulation, personality change, ataxia, memory loss (permanent) in an
alcoholic due to damage to medial dorsal nucleus of thalamus and
mammillary bodies - ANSWenicke Korsakoff syndrome
Congenital adrenal hyperplasia, hypertension and UNDER virilization you
think - ANS17 hydroxylase deficiency
3
2026-2027. Questions & Correct
Answers. Graded A
A secondary brainstem hemorrhage caused by downward (transtentorial)
cerebral herniation due to increased ICP, usually a ruptured Berry
Aneurysm - ANSDuret Hemorrhage
Alcoholic ataxia is related to a deficiency of... - ANSthiamine (B1), which
leads to impaired glucose breakdown of ATP. Give thiamine before
dextrose to avoid precipitation of Wenicke Korsakoff syndrome
Ampho B side effects - ANSPROLONGED QT (vtach or vfib), nephrotoxic,
hypomagnesemia and hypokalemia
Anti-centromere - ANSCREST - Calcinosis, Raynaud disease, esophageal
dysmotility, Sclerodactyly, Telangiectasia
Anti-Jo-1 - ANSPolymyositits - insidious onset of symmetrical, proximal
muscle weakness in the upper and lower extremities. Exertional dyspnea.
Laboratory studies reveal an elevated serum concentration of creatine
kinase, lactate dehydrogenase, and aldolase
OR
1
,Dermatomyositis - same deal but with "mechanics hands" and heliotrope
rash on eyelids
Anti-Ro and Anti-La - ANSScleroderma
Antibiotics for Legionella - ANSMacrolides such as azithromycin
Antidote for acetaminophen tox - ANSN-acetylcysteine
Antidote for amphetamine overdose - ANSAmmonium Chloride
Antidote for tricyclic antidepressant overdose - ANSSodium Bicarbonate
Antidote to organophosphate toxicity (ie parathion) - ANSAtropine AND
Pralidoxime
Apple-core appearance on a barium enema is concerning for what? -
ANSCarcinoma of colon
Bacteroides fragilis is a gram _____ strict ____ and causes _____ -
ANSGram negative strict anaerobe and causes pelvic or bowl abscess.
Tx: metronidazole or clindamycin + surgical drainage
Bleeding gums with menorrhagia is almost always.... - ANSvon Willebrand
Bordetella pertussis - ANSBordet-Gengou (Potato extract)
2
, BRCA1 and BRCA2 increase risk of which two cancers - ANSbreast and
ovarian
Broad based budding yeast (in tissue) and hyphae with conida (in
environment) - ANSBloastomycosis, causes bone skin and pulmonary
disease, common in midwest, treat with Amphotericin B
C. diphtheria - ANSLoffler's + Tellurite
Cat bite organism - ANSPaseurella
Cat Poop - ANSToxo gondii
Cat scratch organism - ANSBartonella, treat with azithro, DO NOT
ASPIRATE
Causes of watery diarrhea in HIV - ANSCryptosporidium parvum (acid fast
oocysts in stool, bx shows dots in intestinal glands)
Isospora belli (acid fast parasite, treat with TMP-SMX)
Cyclospora (acid-fast, transmitted by raspberries. TMP-SMX)
Confabulation, personality change, ataxia, memory loss (permanent) in an
alcoholic due to damage to medial dorsal nucleus of thalamus and
mammillary bodies - ANSWenicke Korsakoff syndrome
Congenital adrenal hyperplasia, hypertension and UNDER virilization you
think - ANS17 hydroxylase deficiency
3
