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ALL THE COMSAE QUESTIONS AND ANSWERS
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ALL THE COMSAE QUESTIONS AND ANSWERS
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ALL THE COMSAE QUESTIONS AND ANSWERSdrug for UC/Crohns - Answers-sulfasalazine
pulmonary effects of CF - Answers-chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone? - Answers-(spongy and ) trabecular bone mass
loss
imipramine - Answers-TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
viscerosomatic - Answers-visceral disease --> somatic finding
loratidine vs ranitidine - Answers-loratidine: 2nd gen H1 blocker, doesnt cross BBB -->
less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - Answers-entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - Answers-
tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous
tortuous vessels - Answers-AVM arteriovenous malformation
cavernous hemangioma - Answers-benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - Answers-recovered or
immunized
not in chronic or
proctalgia fugax - Answers-levator ani syndrome
fasciculus is UMN or LMN lesion? - Answers-LMN
ectopic gastric tissue - Answers-meckels diverticulum
,can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks - Answers-thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - Answers-x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - Answers-TCA, SNRIs anticonvulsants
what blocks NE reuptake? - Answers-TCA or SNRIs
possible complication of pagets bone disease - Answers-osteocarcoma
what kind of teratogenic effects are seen w ACE/ARBs - Answers-fetal renal agenesis
stones bones groans moans psych overtones - Answers-high Ca or PTH
PTH is made by what cells? - Answers-chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
Answers-PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - Answers-extensor-
hamstrings
thoracic CS - Answers-E SaRa
most common cause of cellultis - Answers-staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - Answers-indirect- place them in position of
diagnosis
passive
cant treat kid w tetracycline so what do you give? - Answers-amoxicillin
which Heps are there currently vaccines for? - Answers-A and B (and so by virtue, also
D)
why does Hep D need Hep B? - Answers-Hep D utilizes the HBV surface antigen as its
envelope?
,most common hepatitis A/W IVDA in the US - Answers-hep c
roseola - Answers-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 - Answers-slapped cheek
parvovirus B19
what does Hct tell you? - Answers-ratio of volume of RBCs compared to total blood
volume
probenecid - Answers-inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - Answers-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 - Answers-inhibits vasopression/ADH --> increased urinary
frequency
infertility drug that can result in multiple fetuses - Answers-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 - Answers-low
GI malformation A/W down syndrome - Answers-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 - Answers-thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - Answers-azoles
beta blockers for asthma - Answers-none- even beta 1s can be nonselective at higher
doses
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 - Answers-chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - Answers-candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - Answers-innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - Answers-berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - Answers-T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - Answers-myco PNA
test for trichomonas - Answers-nucleic acid amplification
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