COMBANK Assessment 2 Newest
2026-2027. Questions & Correct
Answers. Graded A
Alkaptonuria - ANSBLACK URINE deficiency of HOMOGENTISIC
OXIDASE; presents 30yo
Alpha 1=vasoconstriction, alpha 2=Sympathetic repression - ANSAlpha 1
antagonist—>vasodilation, SE=first dose orthostatic HYPOtension; Alpha-2
antag (Clonidine)—>decrease BP and decrease CO decrease SVR,
SE=rebound HYPERtension
Are ACEinhibitors contraindicated in kidney infection or Hereditary
angioedema? - ANSHereditary angioedema—duh thats the fat tongue
thing!!!
CML - ANSBRC ABL t(9;22), low LAP leukocyte alkaline phosphatase bcuz
in CML have decreased apoptosis, so cells live longer and aren't as
functional, so the LAP enzyme is low/absent
Does the splenic artery or left gastric artery supply blood to the superior
aspect of lesser curvature of stomach? - ANSLeft gastric artery
1
, Does the splenic artery or left gastric supply blood to the posterior stomach
along body/tail of panc? - ANSSplenic artery
Ducheene Muscular Dystrophy - ANSComplete absence of dystrophin
protein intermediate filament; X linked recessive; dx:^^CK
Ethosuximide - ANSMOA: blocks calcium channels; tx for Absence
seizures
Farmer presents with diarrhea, miosis, bronchospasm, lacrimation, and xs
sweating. How do you treat? - ANSPt has organophosphate poisoning from
pesticides=irreversibly bind to AchE, so can't break down Ach and get xs
muscarinic effects; 1st line tx=ATROPINE=anti-muscarinic, use atropine
first bcuz works very fast to help alleviate symptoms; then must use
PRALIDOXIME (regenerates AchE at nicotinic receptors) very imp bcuz
diaphragm is skeletal (uses nAchR) must relieve Respiratory Paralysis also
skeletal m.
Female patient presents w/ ^bleeding time and mild ^of PTT; normal
platelets and PT. What is dx? - ANSVonwillebrand dz! Not Hemophilia A or
B bcuz these are x-linked recessive so not likely to get in female pt!
Function of CN IX - ANSAfferent for GAG reflex, sensory/taste for posterior
1/3 of tongue, innervates Carotid body/sinus, parasympathetics to parotid
gland, and MOTOR FOR STYLOPHARYNGEUS MUSCLE
Hairy Cell Leukemia - ANSTRAP positive
2
2026-2027. Questions & Correct
Answers. Graded A
Alkaptonuria - ANSBLACK URINE deficiency of HOMOGENTISIC
OXIDASE; presents 30yo
Alpha 1=vasoconstriction, alpha 2=Sympathetic repression - ANSAlpha 1
antagonist—>vasodilation, SE=first dose orthostatic HYPOtension; Alpha-2
antag (Clonidine)—>decrease BP and decrease CO decrease SVR,
SE=rebound HYPERtension
Are ACEinhibitors contraindicated in kidney infection or Hereditary
angioedema? - ANSHereditary angioedema—duh thats the fat tongue
thing!!!
CML - ANSBRC ABL t(9;22), low LAP leukocyte alkaline phosphatase bcuz
in CML have decreased apoptosis, so cells live longer and aren't as
functional, so the LAP enzyme is low/absent
Does the splenic artery or left gastric artery supply blood to the superior
aspect of lesser curvature of stomach? - ANSLeft gastric artery
1
, Does the splenic artery or left gastric supply blood to the posterior stomach
along body/tail of panc? - ANSSplenic artery
Ducheene Muscular Dystrophy - ANSComplete absence of dystrophin
protein intermediate filament; X linked recessive; dx:^^CK
Ethosuximide - ANSMOA: blocks calcium channels; tx for Absence
seizures
Farmer presents with diarrhea, miosis, bronchospasm, lacrimation, and xs
sweating. How do you treat? - ANSPt has organophosphate poisoning from
pesticides=irreversibly bind to AchE, so can't break down Ach and get xs
muscarinic effects; 1st line tx=ATROPINE=anti-muscarinic, use atropine
first bcuz works very fast to help alleviate symptoms; then must use
PRALIDOXIME (regenerates AchE at nicotinic receptors) very imp bcuz
diaphragm is skeletal (uses nAchR) must relieve Respiratory Paralysis also
skeletal m.
Female patient presents w/ ^bleeding time and mild ^of PTT; normal
platelets and PT. What is dx? - ANSVonwillebrand dz! Not Hemophilia A or
B bcuz these are x-linked recessive so not likely to get in female pt!
Function of CN IX - ANSAfferent for GAG reflex, sensory/taste for posterior
1/3 of tongue, innervates Carotid body/sinus, parasympathetics to parotid
gland, and MOTOR FOR STYLOPHARYNGEUS MUSCLE
Hairy Cell Leukemia - ANSTRAP positive
2
