COMSAE 107 (Latest ) Complete
Questions and 100% Correct Answers
(Verified Pass)
• pulmonary effects of CF -✓✓chronic bronchitis and bronchiectasis
• osteoporosis affects what parts of bone? -✓✓(spongy and ) trabecular bone mass loss
• imipramine -✓✓TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
• viscerosomatic -✓✓visceral disease --> somatic finding
• loratidine vs ranitidine -✓✓loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less
sedating
ranitidine: H2 receptor antagonist (like cimetidine)
• cells w RBCs inside -✓✓entaemoba histolytica
• which type of pneumothorax causes tracheal deviation to the contra side? -✓✓tension
• intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels -✓✓AVM arteriovenous malformation
• cavernous hemangioma -✓✓benign tumor of liver, A/W VHL
• anti-HepB surface antibody is only present in what pop -✓✓recovered or immunized
not in chronic or
• proctalgia fugax -✓✓levator ani syndrome
• fasciculus is UMN or LMN lesion? -✓✓LMN
,• ectopic gastric tissue -✓✓meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
• antibodies in hashimotos attacks -✓✓thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
• 2 factors that influence starling curve -✓✓x axis- preload (EDV)
y axis- stroke volume or CO
• treatment for fibromyalgia -✓✓TCA, SNRIs anticonvulsants
• what blocks NE reuptake? -✓✓TCA or SNRIs
• possible complication of pagets bone disease -✓✓osteocarcoma
• what does Hct tell you? -✓✓ratio of volume of RBCs compared to total blood volume
• probenecid -✓✓inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
• 2 causes of SCID -✓✓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 -✓✓inhibits vasopression/ADH --> increased urinary
frequency
• infertility drug that can result in multiple fetuses -✓✓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 -✓✓low
,• GI malformation A/W down syndrome -✓✓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 -✓✓thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
• tx for tinea -✓✓azoles
• beta blockers for asthma -✓✓none- even beta 1s can be nonselective at higher doses
• what kind of teratogenic effects are seen w ACE/ARBs -✓✓fetal renal agenesis
• stones bones groans moans psych overtones -✓✓high Ca or PTH
• PTH is made by what cells? -✓✓chief cells of parathyroid gland
• PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
✓✓PO4- proximal tubule
ca- DCT
• anterior innominate rotation means tight hip flexors or extensors? -✓✓extensor-
hamstrings
• thoracic CS -✓✓E SaRa
• most common cause of cellultis -✓✓staph aureus, strep pyogenes
• FPR- direct or indirect? active or passive? -✓✓indirect- place them in position of
diagnosis
passive
• cant treat kid w tetracycline so what do you give? -✓✓amoxicillin
• which Heps are there currently vaccines for? -✓✓A and B (and so by virtue, also D)
• why does Hep D need Hep B? -✓✓Hep D utilizes the HBV surface antigen as its
envelope?
• most common hepatitis A/W IVDA in the US -✓✓hep c
, • roseola -✓✓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 -✓✓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 -✓✓chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
• dimorphic- butterflies -✓✓candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
• hip restricted in internal rotation
dx? -✓✓innom outflare
• immune complex in glomerular mesangium 2 days after URI
berger or PSGN? -✓✓berger
PSGN is 2 wks post URI
• kidney ureter viscerosomatic innervation -✓✓T10-11
• college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates -✓✓myco PNA
Questions and 100% Correct Answers
(Verified Pass)
• pulmonary effects of CF -✓✓chronic bronchitis and bronchiectasis
• osteoporosis affects what parts of bone? -✓✓(spongy and ) trabecular bone mass loss
• imipramine -✓✓TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
• viscerosomatic -✓✓visceral disease --> somatic finding
• loratidine vs ranitidine -✓✓loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less
sedating
ranitidine: H2 receptor antagonist (like cimetidine)
• cells w RBCs inside -✓✓entaemoba histolytica
• which type of pneumothorax causes tracheal deviation to the contra side? -✓✓tension
• intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels -✓✓AVM arteriovenous malformation
• cavernous hemangioma -✓✓benign tumor of liver, A/W VHL
• anti-HepB surface antibody is only present in what pop -✓✓recovered or immunized
not in chronic or
• proctalgia fugax -✓✓levator ani syndrome
• fasciculus is UMN or LMN lesion? -✓✓LMN
,• ectopic gastric tissue -✓✓meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
• antibodies in hashimotos attacks -✓✓thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
• 2 factors that influence starling curve -✓✓x axis- preload (EDV)
y axis- stroke volume or CO
• treatment for fibromyalgia -✓✓TCA, SNRIs anticonvulsants
• what blocks NE reuptake? -✓✓TCA or SNRIs
• possible complication of pagets bone disease -✓✓osteocarcoma
• what does Hct tell you? -✓✓ratio of volume of RBCs compared to total blood volume
• probenecid -✓✓inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
• 2 causes of SCID -✓✓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 -✓✓inhibits vasopression/ADH --> increased urinary
frequency
• infertility drug that can result in multiple fetuses -✓✓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 -✓✓low
,• GI malformation A/W down syndrome -✓✓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 -✓✓thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
• tx for tinea -✓✓azoles
• beta blockers for asthma -✓✓none- even beta 1s can be nonselective at higher doses
• what kind of teratogenic effects are seen w ACE/ARBs -✓✓fetal renal agenesis
• stones bones groans moans psych overtones -✓✓high Ca or PTH
• PTH is made by what cells? -✓✓chief cells of parathyroid gland
• PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
✓✓PO4- proximal tubule
ca- DCT
• anterior innominate rotation means tight hip flexors or extensors? -✓✓extensor-
hamstrings
• thoracic CS -✓✓E SaRa
• most common cause of cellultis -✓✓staph aureus, strep pyogenes
• FPR- direct or indirect? active or passive? -✓✓indirect- place them in position of
diagnosis
passive
• cant treat kid w tetracycline so what do you give? -✓✓amoxicillin
• which Heps are there currently vaccines for? -✓✓A and B (and so by virtue, also D)
• why does Hep D need Hep B? -✓✓Hep D utilizes the HBV surface antigen as its
envelope?
• most common hepatitis A/W IVDA in the US -✓✓hep c
, • roseola -✓✓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 -✓✓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 -✓✓chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
• dimorphic- butterflies -✓✓candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
• hip restricted in internal rotation
dx? -✓✓innom outflare
• immune complex in glomerular mesangium 2 days after URI
berger or PSGN? -✓✓berger
PSGN is 2 wks post URI
• kidney ureter viscerosomatic innervation -✓✓T10-11
• college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates -✓✓myco PNA
