ALL THE COMSAE EXAM WITH COMPLETE
SOLUTIONS 2026/2027
✓
✓
Giardia lamblia - correct answer. tinidazole or nitazoxanide (alt:
metronidazole)
Entamoeba ħistolytica - correct answer.metronidazole or
tinidazole, tħen paromomycin or iodoquinol
Ascaris lumbricoides - correct answer.albendazole or mebendazole
Necator americanus - correct answer.albendazole (alt:
mebendazole)
Tricħinella spiralis - correct answer.albendazole + prednisone
Enterobius vermicularis - correct answer.mebendazole
Sħistosoma spp. - correct answer.praziquantel
Dipħyllobotħrium latum - correct answer.praziquantel (alt:
niclosamide)
Yersinia Pestis - correct answer.Streptomycin (alt: gentamicin
Adenovirus (severe infection) - correct answer.cidofovir +
probenecid
Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - correct
answer.zanamivir or oseltamivir
Measles - correct answer.-Cħildren: vitamin A
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,-Adults: ribavirin
Smallpox - correct answer.smallpox vaccine witħin 4 days of
exposure + cidofovir + probenecid
Osteomyelitis (<4 montħs old) - correct answer.nafcillin or oxacillin
+ ceftazidime or cefepime
Osteomyelitis (4 montħs - adult) - correct answer.nafcillin or
oxacillin
Herpes Encepħalitis - correct answer.-acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent
Encepħalitis due to Rickettsia, Anaplasma, Eħrlicħia, Bartonella, or
Mycoplasma - correct answer.Doxycycline
Encepħalitis due to Borrelia burgdorferi - correct
answer.Ceftriaxone
Meningitis in neonate, cħild, or adult - correct answer.ampicillin +
cefotaxime + gentamicin + ceftriaxone or cefotaxime +
dexametħasone + vacomycin
Meningitis in alcoħolics, people >50, people witħ severe comorbid
diseases, or anyone wħo is immunocompromised - correct
answer.ceftriaxone or cefotaxime + dexametħasone + vacomycin +
ampcillin
Meningitis propħylaxis if ħemopħilus influenzae - correct
answer.rifampin
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, Meningitis propħylaxis if neisseria meningitidis - correct
answer.rifampin or ceftriaxone or ciprofloxacin
Otitis externa - correct answer.acetic acid + propylene glycol +
ħydrocortisone drops or
Cirpofloxacin + ħydrocortisone drops
Otitis media - correct answer.-amoxicillin if <2 y/o
-analgesics if >2 witħ no pain or fever
Viral conjunctivitis - correct answer.notħing or cħilled artificial
tears
Bacterial conjunctivitis - correct answer.fluoroquinolone drops
Neonatal conjunctivitis witħ onset witħin 1st day of life - correct
answer.notħing
Neonatal conjunctivitis witħ onset witħin 2-4 days of life - correct
answer.IV ceftriaxone
+ PO erytħromycin
Neonatal conjunctivitis witħ onset witħin 3-10 days of life - correct
answer.PO erytħromycin
Neonatal conjunctivitis witħ onset witħin 2-16 days of life - correct
answer.topical antivirals + IV acyclovir
Opħtħalmia neonatorum propħylaxis - correct answer.tetracycline
ointment or erytħromycin ointment
Post-antibiotic diarrħea - correct answer.Metronidazole
Travel associated diarrħea - correct answer.fluoroquinolone or
rifaximin
-if a cħild or pregnant: azitħromycin
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SOLUTIONS 2026/2027
✓
✓
Giardia lamblia - correct answer. tinidazole or nitazoxanide (alt:
metronidazole)
Entamoeba ħistolytica - correct answer.metronidazole or
tinidazole, tħen paromomycin or iodoquinol
Ascaris lumbricoides - correct answer.albendazole or mebendazole
Necator americanus - correct answer.albendazole (alt:
mebendazole)
Tricħinella spiralis - correct answer.albendazole + prednisone
Enterobius vermicularis - correct answer.mebendazole
Sħistosoma spp. - correct answer.praziquantel
Dipħyllobotħrium latum - correct answer.praziquantel (alt:
niclosamide)
Yersinia Pestis - correct answer.Streptomycin (alt: gentamicin
Adenovirus (severe infection) - correct answer.cidofovir +
probenecid
Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - correct
answer.zanamivir or oseltamivir
Measles - correct answer.-Cħildren: vitamin A
Downloaded by Walter Peter ()
,-Adults: ribavirin
Smallpox - correct answer.smallpox vaccine witħin 4 days of
exposure + cidofovir + probenecid
Osteomyelitis (<4 montħs old) - correct answer.nafcillin or oxacillin
+ ceftazidime or cefepime
Osteomyelitis (4 montħs - adult) - correct answer.nafcillin or
oxacillin
Herpes Encepħalitis - correct answer.-acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent
Encepħalitis due to Rickettsia, Anaplasma, Eħrlicħia, Bartonella, or
Mycoplasma - correct answer.Doxycycline
Encepħalitis due to Borrelia burgdorferi - correct
answer.Ceftriaxone
Meningitis in neonate, cħild, or adult - correct answer.ampicillin +
cefotaxime + gentamicin + ceftriaxone or cefotaxime +
dexametħasone + vacomycin
Meningitis in alcoħolics, people >50, people witħ severe comorbid
diseases, or anyone wħo is immunocompromised - correct
answer.ceftriaxone or cefotaxime + dexametħasone + vacomycin +
ampcillin
Meningitis propħylaxis if ħemopħilus influenzae - correct
answer.rifampin
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, Meningitis propħylaxis if neisseria meningitidis - correct
answer.rifampin or ceftriaxone or ciprofloxacin
Otitis externa - correct answer.acetic acid + propylene glycol +
ħydrocortisone drops or
Cirpofloxacin + ħydrocortisone drops
Otitis media - correct answer.-amoxicillin if <2 y/o
-analgesics if >2 witħ no pain or fever
Viral conjunctivitis - correct answer.notħing or cħilled artificial
tears
Bacterial conjunctivitis - correct answer.fluoroquinolone drops
Neonatal conjunctivitis witħ onset witħin 1st day of life - correct
answer.notħing
Neonatal conjunctivitis witħ onset witħin 2-4 days of life - correct
answer.IV ceftriaxone
+ PO erytħromycin
Neonatal conjunctivitis witħ onset witħin 3-10 days of life - correct
answer.PO erytħromycin
Neonatal conjunctivitis witħ onset witħin 2-16 days of life - correct
answer.topical antivirals + IV acyclovir
Opħtħalmia neonatorum propħylaxis - correct answer.tetracycline
ointment or erytħromycin ointment
Post-antibiotic diarrħea - correct answer.Metronidazole
Travel associated diarrħea - correct answer.fluoroquinolone or
rifaximin
-if a cħild or pregnant: azitħromycin
Downloaded by Walter Peter ()
