COMSAE 2 EXAM SCRIPT 2025/2026 QUESTIONS AND
ANSWERS RATED A+
✔✔severe vomiting does what to potassium and chloride? - ✔✔LOW potassium
LOW chloride
metab alkalosis
✔✔middle meningeal artery is a branch of which artery? - ✔✔maxillary artery
which arises from external carotid artery
✔✔how to dx BPPV? - ✔✔dix-hallpike maneuver
pt seated facing one side legs fully extended
hold pts head to one side quickly lie flat on table hanging head off and observe for
nystagmus
✔✔first step in treating and dx normal pressure hydrocephalus? - ✔✔removal of high
voolume of CSF via lumbar puncture
THEN doing ventriculoperitoneal shunt
✔✔urine coproporphyrin I is _____ in rotor syndrome? - ✔✔less than 70%
✔✔>80% coproporphyrin I ? - ✔✔dubin johnson syndrone
✔✔ability of a test to rule out cancer for a patient? - ✔✔sensitivity
sn-n-out
neg test on high sensitivty rules a disease OUT
✔✔elevated pH is seen in what vaginal disease? - ✔✔trichomoniasis and bacterial
vaginosis
✔✔neonate less than 34 weeks gestation with respiratoryr condition? - ✔✔respiratory
distress syndrome
low lung compliance (no surfactant)
right to left shunt
✔✔nephrotoxic drugs to remember? - ✔✔aminoglycosides
amphotericin B
cisplatin
ACEI
NSAID
loop diuretics
, cyclosporine
tacrolimus
acyclovir
✔✔decreased compliance means what? - ✔✔restrictive cardiomyopathy
decrease in relaxation of ventricle
unable to fill
✔✔shiny skin on the nipple with peeling at the areola? - ✔✔candidiasis
✔✔pheochromocytoma 10% rules - ✔✔10% recurr after surg
10% familial
10% bilateral
10% extra adrenal
10% malignant
10% occur in children
✔✔dental procedures ppx for prosthetic heart? - ✔✔amoxicillin oral
✔✔how to dx primary hyperaldosterone? - ✔✔measure the plasma aldosterone to
plasma renin
if greater than 20 -> sodium loading test
if the plasma aldosterone level is NOT suppressed, pt has primary hyperaldosteronism
✔✔most common side effect of newborns going through withdrawal?
tx? - ✔✔high pitched cry, irritability, tachypnea, diarrhea, and vomiting
supportive care
✔✔randomized clinical controlled trials should be ___________ - ✔✔reproducible!!
✔✔first line tx for persistent allergic rhinitis? - ✔✔intranasal corticosteroids
✔✔renal biopsy w granular deposits of C3 complement protein at the basement
membrane and IgG immunofluoresence - ✔✔membranous nephropathy
✔✔felty syndrome? - ✔✔SANTA
splenomegaly
anemia
neutropenia
thrombocytopenai
arthritis
ANSWERS RATED A+
✔✔severe vomiting does what to potassium and chloride? - ✔✔LOW potassium
LOW chloride
metab alkalosis
✔✔middle meningeal artery is a branch of which artery? - ✔✔maxillary artery
which arises from external carotid artery
✔✔how to dx BPPV? - ✔✔dix-hallpike maneuver
pt seated facing one side legs fully extended
hold pts head to one side quickly lie flat on table hanging head off and observe for
nystagmus
✔✔first step in treating and dx normal pressure hydrocephalus? - ✔✔removal of high
voolume of CSF via lumbar puncture
THEN doing ventriculoperitoneal shunt
✔✔urine coproporphyrin I is _____ in rotor syndrome? - ✔✔less than 70%
✔✔>80% coproporphyrin I ? - ✔✔dubin johnson syndrone
✔✔ability of a test to rule out cancer for a patient? - ✔✔sensitivity
sn-n-out
neg test on high sensitivty rules a disease OUT
✔✔elevated pH is seen in what vaginal disease? - ✔✔trichomoniasis and bacterial
vaginosis
✔✔neonate less than 34 weeks gestation with respiratoryr condition? - ✔✔respiratory
distress syndrome
low lung compliance (no surfactant)
right to left shunt
✔✔nephrotoxic drugs to remember? - ✔✔aminoglycosides
amphotericin B
cisplatin
ACEI
NSAID
loop diuretics
, cyclosporine
tacrolimus
acyclovir
✔✔decreased compliance means what? - ✔✔restrictive cardiomyopathy
decrease in relaxation of ventricle
unable to fill
✔✔shiny skin on the nipple with peeling at the areola? - ✔✔candidiasis
✔✔pheochromocytoma 10% rules - ✔✔10% recurr after surg
10% familial
10% bilateral
10% extra adrenal
10% malignant
10% occur in children
✔✔dental procedures ppx for prosthetic heart? - ✔✔amoxicillin oral
✔✔how to dx primary hyperaldosterone? - ✔✔measure the plasma aldosterone to
plasma renin
if greater than 20 -> sodium loading test
if the plasma aldosterone level is NOT suppressed, pt has primary hyperaldosteronism
✔✔most common side effect of newborns going through withdrawal?
tx? - ✔✔high pitched cry, irritability, tachypnea, diarrhea, and vomiting
supportive care
✔✔randomized clinical controlled trials should be ___________ - ✔✔reproducible!!
✔✔first line tx for persistent allergic rhinitis? - ✔✔intranasal corticosteroids
✔✔renal biopsy w granular deposits of C3 complement protein at the basement
membrane and IgG immunofluoresence - ✔✔membranous nephropathy
✔✔felty syndrome? - ✔✔SANTA
splenomegaly
anemia
neutropenia
thrombocytopenai
arthritis
