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COMSAE Cramming Exam Questions and Answers
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COMSAE Cramming Exam Questions and Answers
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COMSAE Cramming Exam Questionsand Answers
drug for UC/Crohns - Answers -sulfasalazine
pulmonary effects of CF - Answers -chronic bronchitis and bronchiectasis
osteoporosis affects what parts of bone? - Answers -(spongy and ) trabecular bone
mass loss
Imipramine is what type of drug? - Answers -TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol effects- confusion in elderly; (acute glaucoma and orthostatic hypotension-
block alpha1)
loratidine vs ranitidine - Answers -loratidine: 2nd gen H1 blocker, doesnt cross BBB -->
less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
H1 think allergies
H2 think gastric
What organism presents as 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
What is a cavernous hemangioma - Answers -benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what population - Answers -recovered or
immunized
,not in chronic or acute
proctalgia fugax is a form of what? - Answers -levator ani syndrome
Proctalgia fugax is a form of levator syndrome (also called levator ani syndrome). Both
include spasms of muscles in the pelvic area. Proctalgia fugax is temporary, but other
types of levator syndrome can last for several days. Another major difference is the
location of the pain.
fasciculus is UMN or LMN lesion? - Answers -LMN
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 includes - Answers -TCA, SNRIs anticonvulsants
what drugs block NE reuptake? - Answers -TCA or SNRIs
possible complication of pagets bone disease - Answers -osteocarcoma
what does Hct tell you? - Answers -ratio of volume of RBCs compared to total blood
volume
Probenecid MOA ? Common risk factor? - Answers -inhibits reabsoprtion of uric acid in
PCT
- also inhibits secretion of PCN
- can cause uric acid calculi
2 causes of SCID include - Answers -1.) ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
2.) (most common) mutations in the gamma chain shared by a number of interleukin
receptors (X-SCID)
lithiums effects on urination - Answers -inhibits vasopression/ADH --> increased urinary
frequency —> diabetes insipidus
infertility drug that can result in multiple fetuses? MOA? Side effects? - 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 infertility and polycystic ovarian syndrome. may cause hot flashes, ovarian
enlargement, multiple simultaneous pregnancies and visual disturbances.
AFP levels in down syndrome? - Answers -low AFP
Which GI malformation is 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
Can you give beta blockers for asthma? - Answers -Nope- even beta 1s can be
nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - Answers -fetal renal agenesis
What does stones bones groans moans psych overtones indicate - 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
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 symptoms, population, and cause - 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 is aka? What causes it ? What are the symptoms? - Answers -
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 - 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
college student w nonspecific symptoms
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