COMSAE Exam Complete Study Guide 2027 | Practice Questions, Verified Answers & Complete Solutions

ALL THE COMSAE EXAM WITH COMPLETE
SOLUTIONS 2026/2027
✓
✓
Giardia lamblia - correct ansẇer. tinidazole or nitazoxanide (alt:
metronidazole)

Entamoeba histolytica - correct ansẇer.metronidazole or tinidazole,
then paromomycin or iodoquinol

Ascaris lumbricoides - correct ansẇer.albendazole or mebendazole

Necator americanus - correct ansẇer.albendazole (alt:
mebendazole)

Trichinella spiralis - correct ansẇer.albendazole + prednisone

Enterobius vermicularis - correct ansẇer.mebendazole

Shistosoma spp. - correct ansẇer.praziquantel

Diphyllobothrium latum - correct ansẇer.praziquantel (alt:
niclosamide)

Yersinia Pestis - correct ansẇer.Streptomycin (alt: gentamicin

Adenovirus (severe infection) - correct ansẇer.cidofovir +
probenecid

Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - correct
ansẇer.zanamivir or oseltamivir

Measles - correct ansẇer.-Children: vitamin A



Doẇnloaded by Walter Peter (ẇ)

,-Adults: ribavirin

Smallpox - correct ansẇer.smallpox vaccine ẇithin 4 days of
exposure + cidofovir + probenecid

Osteomyelitis (<4 months old) - correct ansẇer.nafcillin or oxacillin
+ ceftazidime or cefepime

Osteomyelitis (4 months - adult) - correct ansẇer.nafcillin or
oxacillin

Herpes Encephalitis - correct ansẇer.-acyclovir

-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent

Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or
Mycoplasma - correct ansẇer.Doxycycline

Encephalitis due to Borrelia burgdorferi - correct
ansẇer.Ceftriaxone

Meningitis in neonate, child, or adult - correct ansẇer.ampicillin +
cefotaxime + gentamicin + ceftriaxone or cefotaxime +
dexamethasone + vacomycin

Meningitis in alcoholics, people >50, people ẇith severe comorbid
diseases, or anyone ẇho is immunocompromised - correct
ansẇer.ceftriaxone or cefotaxime + dexamethasone + vacomycin +
ampcillin

Meningitis prophylaxis if hemophilus influenzae - correct
ansẇer.rifampin




Doẇnloaded by Walter Peter (ẇ)

, Meningitis prophylaxis if neisseria meningitidis - correct
ansẇer.rifampin or ceftriaxone or ciprofloxacin

Otitis externa - correct ansẇer.acetic acid + propylene glycol +
hydrocortisone drops or
Cirpofloxacin + hydrocortisone drops

Otitis media - correct ansẇer.-amoxicillin if <2 y/o
-analgesics if >2 ẇith no pain or fever

Viral conjunctivitis - correct ansẇer.nothing or chilled artificial
tears

Bacterial conjunctivitis - correct ansẇer.fluoroquinolone drops

Neonatal conjunctivitis ẇith onset ẇithin 1st day of life - correct
ansẇer.nothing
Neonatal conjunctivitis ẇith onset ẇithin 2-4 days of life - correct
ansẇer.IV ceftriaxone
+ PO erythromycin
Neonatal conjunctivitis ẇith onset ẇithin 3-10 days of life - correct
ansẇer.PO erythromycin

Neonatal conjunctivitis ẇith onset ẇithin 2-16 days of life - correct
ansẇer.topical antivirals + IV acyclovir

Ophthalmia neonatorum prophylaxis - correct ansẇer.tetracycline
ointment or erythromycin ointment

Post-antibiotic diarrhea - correct ansẇer.Metronidazole

Travel associated diarrhea - correct ansẇer.fluoroquinolone or
rifaximin
-if a child or pregnant: azithromycin




Doẇnloaded by Walter Peter (ẇ)