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ALL THE COMSAE(Already Graded 100% Correct)2023

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ALL THE COMSAE(Already Graded 100% Correct)2023

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  • December 30, 2022
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  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
  • COMSAE
  • COMSAE
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EvaTee
ALL THE COMSAE (Already Graded 100% Correct)2023
drug for UC/Crohns - Answer sulfasalazine
pulmonary effects of CF - Answer chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone? - Answer (spongy and ) trabecular bone mass loss
imipramine - Answer TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block alpha1)
viscerosomatic - Answer visceral disease --> somatic finding
loratidine vs ranitidine - Answer loratidine: 2nd gen H1 blocker, doesnt cross BBB -->
less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - Answer entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - Answer tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels - Answer AVM arteriovenous malformation
cavernous hemangioma - Answer benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - Answer recovered or immunized
not in chronic or
proctalgia fugax - Answer levator ani syndrome
fasciculus is UMN or LMN lesion? - Answer LMN
ectopic gastric tissue - Answer meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct ALL THE COMSAE (Already Graded 100% Correct)2023
antibodies in hashimotos attacks - Answer thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - Answer x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - Answer TCA, SNRIs anticonvulsants
what blocks NE reuptake? - Answer TCA or SNRIs
possible complication of pagets bone disease - Answer osteocarcoma
what does Hct tell you? - Answer ratio of volume of RBCs compared to total blood volume
probenecid - Answer inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - Answer ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
lithiums effects on urination - Answer inhibits vasopression/ADH --> increased urinary frequency
infertility drug that can result in multiple fetuses - Answer clomiphene (clones- multiple babies)
antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback)
upregulates LH and FSH release from pituitary --> ovulation
used to treat PCOS but can cause ovarian enlargement, multiple fetuses
AFP levels in down syndrome - Answer low
GI malformation A/W down syndrome - Answer Hirschprungs- congenital aganglionic
megacolon
defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon ALL THE COMSAE (Already Graded 100% Correct)2023
myasthenia gravis associations - Answer thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - Answer azoles
beta blockers for asthma - Answer none- even beta 1s can be nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - Answer fetal renal agenesis
stones bones groans moans psych overtones - Answer high Ca or PTH
PTH is made by what cells? - Answer chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where?
- Answer PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - Answer extensor-
hamstrings
thoracic CS - Answer E SaRa
most common cause of cellultis - Answer staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - Answer indirect- place them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give? - Answer amoxicillin
which Heps are there currently vaccines for? - Answer A and B (and so by virtue, also D)
why does Hep D need Hep B? - Answer Hep D utilizes the HBV surface antigen as its envelope?
most common hepatitis A/W IVDA in the US - Answer hep c
roseola - Answer 4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
HHV6- affects CD4 helper cells and kills them off
erythema infectiosum - Answer slapped cheek ALL THE COMSAE (Already Graded 100% Correct)2023
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on
arms and spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD - Answer chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - Answer candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - Answer innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - Answer berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - Answer T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - Answer myco PNA
test for trichomonas - Answer nucleic acid amplification
painless enlarging tumor in left testis 75 yo - Answer diffuse large B cell lymphoma
most common in 70-80s
choriocarcinoma affecst what age group - Answer 15-35
yolk sac tumor affects what population - Answer infants and children 1-2 years

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