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ALL THE COMSAE .QUESTIONS AND SOLUTIONS

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ALL THE COMSAE .QUESTIONS AND SOLUTIONS 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 trach...

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  • September 3, 2024
  • 52
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ALL THE COMSAE
  • ALL THE COMSAE
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TheExamMaestro
ALL THE COMSAE .QUESTIONS AND
SOLUTIONS

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

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

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

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

Sensourineural hearing loss, tinnitus, paralysis of facial muslces, loss of corneal reflex -
Answer Cerebellopontine angle tumor - between cerebellum and lateral pons -- CNs 5,
7, 9

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