COMSAE 2 FINAL PAPER 2025/2026 QUESTIONS AND
ANSWERS RATED A+
✔✔asx child becomes puffy and edematous? - ✔✔miniimal change disease
fusion of podocyte foot processes
✔✔adult w proteinuria and thickened glomerular basement membrane? -
✔✔membranous nephropathy
spike and dome pattern
✔✔tram track appearance of the basement membraine - ✔✔membranoproliferative
nephropathy
✔✔normal BMI women gain how much during pregnancy? - ✔✔25-35 pounds
✔✔pt w peptic ulcer dz like presentation with no history of NSAID or h pylori? -
✔✔pancreatic gastrinoma
✔✔how to recognize LBBB? - ✔✔wide QRS
broad or slurred R waves in leads I, avL, V5, V6
✔✔anterior displacement of vertebral segment relative to segment above/below? -
✔✔spondylolisthesis
✔✔defect in pars interarticularis? - ✔✔spondylolysis
✔✔spondylosis? - ✔✔osteoarthritis of spine?
✔✔chapman point for gallbladder? - ✔✔6th intercostal space
✔✔middle ear chapman point? - ✔✔clavicle and first rib
✔✔sensorineural hearing loss and periventricular calcifications? - ✔✔CMV
✔✔saddle back fever?
febrile 2-3 days then afebrile 2-3 days then febrile 2-3 days? - ✔✔colorado tick fever
✔✔tick illness in southcentral, southeast, mid atlantic states causes malaise, body
ache, fever, chills - ✔✔ehrlichiosis
✔✔for comedonal acne vulgaris without inflammation what is the tx? - ✔✔topical
tretinoin
, ✔✔most common etiology for spontaneous bacterial peritonitis? - ✔✔e coli
✔✔tinea pedis looks how on KOH prep? - ✔✔segmented hyphae
✔✔pseudohyphae? - ✔✔candida albicans
✔✔central cord syndrome ? - ✔✔develops from cervical hyperextension injury
weakness in the upper extrem vs lower extrem
cape like distrib of decreased pain and temperature
due to involv of spinothalamic tract fibers in the anterior white commissure and
damange to ant horn neurons
✔✔posterior white column serves? - ✔✔position and vibtration of extremities
✔✔corticospinal tract? - ✔✔flaccid weakness and hyporeflexia
✔✔lateral spinothalamic tract? - ✔✔carries ascending pain and temp info
✔✔troponin remains elevatd how long? - ✔✔up to 10 days
✔✔rolling both ways, sitting w/o support, transferring objects from hand to hand, using
rake grasp, responding to own name, responding to no, babbling, stranger anxiety? -
✔✔7 month old
✔✔crawls well, pulls to stand
three finger pincer grasp
holds bottle
able to throw
say mama and dada wave by - ✔✔9 month old
✔✔sit w support, roll front to back, use palmar grasp, hold hands together, look for
rdropped object - ✔✔5mo old
✔✔hearing loss, speech delay, pica? - ✔✔lead poisoning
also assoc with iron defic anemia
✔✔fryette's third law? - ✔✔when motion is introduced into the spine in one direction,
motion in the other directions is reduced
✔✔measles sx? - ✔✔high fever, koplik spot (gray white papules w erythematous base)
on mouth, cough, coryza, conjunctivitis
✔✔wickham striae?
ANSWERS RATED A+
✔✔asx child becomes puffy and edematous? - ✔✔miniimal change disease
fusion of podocyte foot processes
✔✔adult w proteinuria and thickened glomerular basement membrane? -
✔✔membranous nephropathy
spike and dome pattern
✔✔tram track appearance of the basement membraine - ✔✔membranoproliferative
nephropathy
✔✔normal BMI women gain how much during pregnancy? - ✔✔25-35 pounds
✔✔pt w peptic ulcer dz like presentation with no history of NSAID or h pylori? -
✔✔pancreatic gastrinoma
✔✔how to recognize LBBB? - ✔✔wide QRS
broad or slurred R waves in leads I, avL, V5, V6
✔✔anterior displacement of vertebral segment relative to segment above/below? -
✔✔spondylolisthesis
✔✔defect in pars interarticularis? - ✔✔spondylolysis
✔✔spondylosis? - ✔✔osteoarthritis of spine?
✔✔chapman point for gallbladder? - ✔✔6th intercostal space
✔✔middle ear chapman point? - ✔✔clavicle and first rib
✔✔sensorineural hearing loss and periventricular calcifications? - ✔✔CMV
✔✔saddle back fever?
febrile 2-3 days then afebrile 2-3 days then febrile 2-3 days? - ✔✔colorado tick fever
✔✔tick illness in southcentral, southeast, mid atlantic states causes malaise, body
ache, fever, chills - ✔✔ehrlichiosis
✔✔for comedonal acne vulgaris without inflammation what is the tx? - ✔✔topical
tretinoin
, ✔✔most common etiology for spontaneous bacterial peritonitis? - ✔✔e coli
✔✔tinea pedis looks how on KOH prep? - ✔✔segmented hyphae
✔✔pseudohyphae? - ✔✔candida albicans
✔✔central cord syndrome ? - ✔✔develops from cervical hyperextension injury
weakness in the upper extrem vs lower extrem
cape like distrib of decreased pain and temperature
due to involv of spinothalamic tract fibers in the anterior white commissure and
damange to ant horn neurons
✔✔posterior white column serves? - ✔✔position and vibtration of extremities
✔✔corticospinal tract? - ✔✔flaccid weakness and hyporeflexia
✔✔lateral spinothalamic tract? - ✔✔carries ascending pain and temp info
✔✔troponin remains elevatd how long? - ✔✔up to 10 days
✔✔rolling both ways, sitting w/o support, transferring objects from hand to hand, using
rake grasp, responding to own name, responding to no, babbling, stranger anxiety? -
✔✔7 month old
✔✔crawls well, pulls to stand
three finger pincer grasp
holds bottle
able to throw
say mama and dada wave by - ✔✔9 month old
✔✔sit w support, roll front to back, use palmar grasp, hold hands together, look for
rdropped object - ✔✔5mo old
✔✔hearing loss, speech delay, pica? - ✔✔lead poisoning
also assoc with iron defic anemia
✔✔fryette's third law? - ✔✔when motion is introduced into the spine in one direction,
motion in the other directions is reduced
✔✔measles sx? - ✔✔high fever, koplik spot (gray white papules w erythematous base)
on mouth, cough, coryza, conjunctivitis
✔✔wickham striae?
