ALL THE COMSAE EXAM QUESTIONS AND ANSWERS 100% PASS

1|Page




ALL THE COMSAE EXAM QUESTIONS AND
ANSWERS 100% PASS


Giardia lamblia - ANSWER ✔✔-tinidazole or nitazoxanide (alt: metronidazole)


Entamoeba histolytica - ANSWER ✔✔-metronidazole or tinidazole, then paromomycin or iodoquinol


Ascaris lumbricoides - ANSWER ✔✔-albendazole or mebendazole


Necator americanus - ANSWER ✔✔-albendazole (alt: mebendazole)


Trichinella spiralis - ANSWER ✔✔-albendazole + prednisone


Enterobius vermicularis - ANSWER ✔✔-mebendazole


Shistosoma spp. - ANSWER ✔✔-praziquantel


Diphyllobothrium latum - ANSWER ✔✔-praziquantel (alt: niclosamide)


Yersinia Pestis - ANSWER ✔✔-Streptomycin (alt: gentamicin


Adenovirus (severe infection) - ANSWER ✔✔-cidofovir + probenecid


Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - ANSWER ✔✔-zanamivir or oseltamivir


Measles - ANSWER ✔✔--Children: vitamin A


-Adults: ribavirin


Smallpox - ANSWER ✔✔-smallpox vaccine within 4 days of exposure + cidofovir + probenecid


Osteomyelitis (<4 months old) - ANSWER ✔✔-nafcillin or oxacillin + ceftazidime or cefepime




Created by Grace Amelia © 2025, All Rights Reserved.

,2|Page


Osteomyelitis (4 months - adult) - ANSWER ✔✔-nafcillin or oxacillin


Herpes Encephalitis - ANSWER ✔✔--acyclovir


-if HSV (+): acyclovir


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


Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or Mycoplasma - ANSWER ✔✔-

Doxycycline


Encephalitis due to Borrelia burgdorferi - ANSWER ✔✔-Ceftriaxone


Meningitis in neonate, child, or adult - ANSWER ✔✔-ampicillin + cefotaxime + gentamicin + ceftriaxone

or cefotaxime + dexamethasone + vacomycin


Meningitis in alcoholics, people >50, people with severe comorbid diseases, or anyone who is

immunocompromised - ANSWER ✔✔-ceftriaxone or cefotaxime + dexamethasone + vacomycin +

ampcillin


Meningitis prophylaxis if hemophilus influenzae - ANSWER ✔✔-rifampin


Meningitis prophylaxis if neisseria meningitidis - ANSWER ✔✔-rifampin or ceftriaxone or ciprofloxacin


Otitis externa - ANSWER ✔✔-acetic acid + propylene glycol + hydrocortisone drops


or


Cirpofloxacin + hydrocortisone drops


Otitis media - ANSWER ✔✔--amoxicillin if <2 y/o


-analgesics if >2 with no pain or fever


Viral conjunctivitis - ANSWER ✔✔-nothing or chilled artificial tears




Created by Grace Amelia © 2025, All Rights Reserved.

, 3|Page


Bacterial conjunctivitis - ANSWER ✔✔-fluoroquinolone drops


Neonatal conjunctivitis with onset within 1st day of life - ANSWER ✔✔-nothing


Neonatal conjunctivitis with onset within 2-4 days of life - ANSWER ✔✔-IV ceftriaxone + PO

erythromycin


Neonatal conjunctivitis with onset within 3-10 days of life - ANSWER ✔✔-PO erythromycin


Neonatal conjunctivitis with onset within 2-16 days of life - ANSWER ✔✔-topical antivirals + IV acyclovir


Ophthalmia neonatorum prophylaxis - ANSWER ✔✔-tetracycline ointment or erythromycin ointment


Post-antibiotic diarrhea - ANSWER ✔✔-Metronidazole


Travel associated diarrhea - ANSWER ✔✔-fluoroquinolone or rifaximin


-if a child or pregnant: azithromycin


Diarrhea prophylaxis during travel - ANSWER ✔✔-fluoroquinolone + loperamide with first loose stool


Mild-moderate diarrhea - ANSWER ✔✔-fluids + lactose and caffeine free diet


-may add anti-diarrheal agents if >4 loose stools/day


Severe diarrhea - ANSWER ✔✔-ciprofloxacin or levofloxacin + metronidazole + lactose and caffeine free

diet


-Children: trimethoprim-sulfamethoxazole


Acute bronchitis - ANSWER ✔✔-antitussives +/- inhaled beta-2 agonists


Anthrax prophylaxis post-exposure - ANSWER ✔✔-ciprofloxacin or doxycycline + biothrax vaccine


Pneumonia <1 months old - ANSWER ✔✔-ampicillin + gentamicin +/- cefotaxime (+ vancomycin if

MRSA)



Created by Grace Amelia © 2025, All Rights Reserved.