COMSAE:COMBANK ,COMQUEST ACTUAL
QUESTIONS AND ANSWERS GRADED A+ LATEST
UPDATE 2025-2026
What drugs raise uric acid levels
hint: Painful Tophi and Feet Need Care
Pyrazinamide, Thiazide, Furosemide, Niacin, Cyclosporine
What two enzymes are inhibited when ingesting lead paint?
Heme synthesis path: ALA dehydratase (aladin hydra tazer) and Ferrochelatase
(chelates iron to protoporphyrin).
Aid to Families with Dependent Children (AFDC)
Federal funds for children in families that fall below state standards of need. In
1996, Congress abolished AFDC, the largest federal cash transfer program, and
replaced it with the Temporary Assistance for Needy Families (TANF) block grant
What is the torulopsis glabrata?
a type of candida fungus that can infect people with weakened immune systems.
,What parasympathetic ganglion do you treat for rhinitus?
The sphenopalatine ganglion goes to the lacrimal/nasal glands and the
submandibular/ sublingual glands.
What is methemoglobinemia?
- Iron in heme is oxidized to Fe3+ (cannot bind oxygen)
- "Fe2 binds O2"
- Seen with oxidant stress or in newborns
- Classic finding is cyanosis with chocolate-colored blood
- Tx: Methylene blue
(note different from CO poisoning which creates carboxyhemoglobin and holds
onto O2 tightly)
facilitation definition
the lowering of the threshold for reflex conduction along a particular neural
pathway especially from repeated use of that pathway
what does plasmodium falciparum look like?
causes most sever anemia of plasmodium spp. b/c affects young and old
erythrocytes
,what neurotransmitter is associated with headaches?
Serotonin is implicated in migraine headaches.
How do you detect estrogen receptors?
Biopsy of the tissue, prepared in paraffin sections, then use IHC to stain for ER is
positive or not.
Is it okay to ask a daughter who is a minor to translate for your patient?
no, ACA rules prohibit doctors from relying on minors when speaking to
LEP(limited english proficiency) patients. They can do so only in emergency
situations.
How does Neisseria Gonorrhea attach to cells?
Via the pillus. The pili express antigenic variation and are a main virulence factor
what are two common causes of pneumonia in neonates (<4weeks)?
Group B strep (strep agalactiae) and
E. coli
, Does disc herniation cause your muscle reflexes to change?
yes, signs and sx are weakness and decreased reflexes ass'd with the affected nerve
root. Sensory deficits over the corresponding dermatome. positive straight leg test.
what is one parasite that causes swollen legs and is seen in africa?
wucheria bancrofti and brugia malyi causing lymphatic filariasis. mosquitos
transmit the larvae into host and it reaches the lymphatics and causes elephantiasis
and lymphadenitis.
Bronchioles do not normally contain goblet cells. What cells are seen in the
bronchiole epithelium that are not seen in the bronchi?
Clara Cells (club cells) that fx in protecting the bronchiolar epithelium by
degrading toxins and secreting a surfactant-like fluid.
thromboangiitis obliterans
vascular inflammatory disease that usually affects the lower extremities; also
called Buerger's disease
-strongly ass'd with smoking