Family Medicine COMAT 2026
Expert Verified | Ace the Test
NYHA classification - 🧠 ANSWER ✔✔Class I - No sx
Class II - symptoms with vigorous physical activity
Class III - symptoms with ADLs
Class IV - symptoms at rest
what is a rare symptom that can occur with primary hyperparathyroidism ? -
🧠 ANSWER ✔✔brown tumors - osteitis fibrosa cystica - cystic bone spaces
filled with brown fibrous tissue
,main symptoms is hypercalcemia - bones, stones, abdominal groans, and
psychiatric overtones
-see inc PTH and Ca and low phosphate
tidbit - secondary hyperPTH will result from chronic renal disease. Causes
hypovitaminosis D and hyperphosphatemia in chronical renal dz leading to
*HYPOCALCEMIA* - trousseaus and chovstek
ABI for PAD - 🧠 ANSWER ✔✔0.9 or less
BMI classifications - 🧠 ANSWER ✔✔normal - <18.5-24.9
overweight - 25-29.9
Obese - >30
obese class 1 - 30-34.9
class II - 35-35.9
morbid obese - >40
Walking pneumonia symptoms - 🧠 ANSWER ✔✔Gradual onset
,Fever, headache, myalgia and fatigue
After a few days, develop a dry cough that may or may not produce sputum
later on
-pleuritic chest pain
Can persist for two weeks or more
usually will see peribronchial pneumonia with reticulonodular infiltrates
Treatment of atypical pneumonia and why - 🧠 ANSWER ✔✔usually its due
to mycoplasma pneumonia or chlamydophila
-mycoplasma lacks a cell wall so it is useless to treat with beta lactams that
target a cell wall
-better to treat with macrolides such azithromycin
when should you screen for AAA? - 🧠 ANSWER ✔✔With an U/S at the age
of 65 in all men with a smoking Hx
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, -No repeat if U/S is normal
any man with a smoking history from 65-75 should receive an abdominal
US
what drugs can lead to overflow incontinence - 🧠 ANSWER ✔✔calcium
channel blockers
what exams and labs should you get with incontinence - 🧠 ANSWER
✔✔pelvic and rectal exam in males
important to get a UA to rule out UTI and PSA in males as well
what is first line pharm tx for urge incontinence? what is a common side
effect with this medication? what can you switch to? - 🧠 ANSWER ✔✔1.
first line is behavioral modifications and exercises
2. if fails, use oxybutynin (muscarinic antagonist)
3. dry mouth is a common side effect, if it occurs too much, can use
*tolterodine*
Expert Verified | Ace the Test
NYHA classification - 🧠 ANSWER ✔✔Class I - No sx
Class II - symptoms with vigorous physical activity
Class III - symptoms with ADLs
Class IV - symptoms at rest
what is a rare symptom that can occur with primary hyperparathyroidism ? -
🧠 ANSWER ✔✔brown tumors - osteitis fibrosa cystica - cystic bone spaces
filled with brown fibrous tissue
,main symptoms is hypercalcemia - bones, stones, abdominal groans, and
psychiatric overtones
-see inc PTH and Ca and low phosphate
tidbit - secondary hyperPTH will result from chronic renal disease. Causes
hypovitaminosis D and hyperphosphatemia in chronical renal dz leading to
*HYPOCALCEMIA* - trousseaus and chovstek
ABI for PAD - 🧠 ANSWER ✔✔0.9 or less
BMI classifications - 🧠 ANSWER ✔✔normal - <18.5-24.9
overweight - 25-29.9
Obese - >30
obese class 1 - 30-34.9
class II - 35-35.9
morbid obese - >40
Walking pneumonia symptoms - 🧠 ANSWER ✔✔Gradual onset
,Fever, headache, myalgia and fatigue
After a few days, develop a dry cough that may or may not produce sputum
later on
-pleuritic chest pain
Can persist for two weeks or more
usually will see peribronchial pneumonia with reticulonodular infiltrates
Treatment of atypical pneumonia and why - 🧠 ANSWER ✔✔usually its due
to mycoplasma pneumonia or chlamydophila
-mycoplasma lacks a cell wall so it is useless to treat with beta lactams that
target a cell wall
-better to treat with macrolides such azithromycin
when should you screen for AAA? - 🧠 ANSWER ✔✔With an U/S at the age
of 65 in all men with a smoking Hx
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, -No repeat if U/S is normal
any man with a smoking history from 65-75 should receive an abdominal
US
what drugs can lead to overflow incontinence - 🧠 ANSWER ✔✔calcium
channel blockers
what exams and labs should you get with incontinence - 🧠 ANSWER
✔✔pelvic and rectal exam in males
important to get a UA to rule out UTI and PSA in males as well
what is first line pharm tx for urge incontinence? what is a common side
effect with this medication? what can you switch to? - 🧠 ANSWER ✔✔1.
first line is behavioral modifications and exercises
2. if fails, use oxybutynin (muscarinic antagonist)
3. dry mouth is a common side effect, if it occurs too much, can use
*tolterodine*
