Download COMSAE 2026 COMPREHENSIVE EXAM SCRIPT COMPLETE ANSWERS and more Exams Reasoning in PDF only on Docsity!
COMSAE 2026 COMPREHENSIVE EXAM
SCRIPT COMPLETE ANSWERS
◉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
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 ◉Sleep changes in depressed patients. Answer: decreased slow- wave sleep, decreased REM latency, REM early in sleep cycle, increased total REM sleep, repeated nighttime awakenings, early- morning awakenings ◉Cachexia mediated by. Answer: TNF-alpha, IFN-gamma, IL- 6 ◉Tx for Orotic aciduria. Answer: Uridine - inhibits carbamoyl phosphate synthetase
◉Hit in front or back of head. Answer: SBS compression ◉Hit under chin on same side. Answer: Torsion ◉Blow on side of head. Answer: Torsion strain ◉Hit on same side of head. Answer: Lateral strain ◉Hit on forehead at top of head. Answer: Superior strain ◉Hit at occiput. Answer: Inferior strain ◉Touch, pain, temp sensation from ipsilateral face. Answer: Spinal trigeminal nucleus ◉Ritodrine/Terbutaline. Answer: Beta 2 agonist that relzxes the uterus to reduce premature uterine cotnractions; tocolytic "Ritodrine allows the fetus to return to dreams" ◉Ergonovine. Answer: to facilitate delivery of the placenta and to prevent bleeding after childbirth by causing smooth muscle tissue in the blood vessel walls to narrow, thereby reducing blood flow; dx Prinzmental's angina
◉Metoclopramide. Answer: anti-emetic ◉Pyocyanin pigment. Answer: blue pigment - Pseudomonas ◉Sensorineural hearing loss, tinnitus, paralysis of facial muscles, loss of corneal reflex. Answer: Cerebellopontine angle - b/w cerebellum and lateral pons; CNS 5, 7, 8 ◉Hyperresonance. Answer: pneumothorax, ◉Large Q-waves. Answer: Old infarcts ◉Cachexia mediated by. Answer: TNF-alpha, IFN-gamma, IL- 6 ◉Tartrate resistant acid phosphatase positive in. Answer: Hairy Cell Leukemia ◉Low leukocyte ALP. Answer: CML ◉Cytosolic steroid receptor. Answer: VET CAP Vitamin D, Estrogen, Testosterone, Cortisol, Aldosterone, Progesterone
◉Cyclophosphamide. Answer: alkylates DNA ◉inferior vesical artery. Answer: goes to fundus of bladder ◉corticobulbar tract of internal capsule. Answer: composed of UMN of CNs, for muscles of face, head, and neck all CNs except III, IV, VI ◉inhaled anthrax. Answer: shows up as mediastinal widening on CXR ◉vaginosis and pH. Answer: pH of greater than 4.5 is likely bacterial ◉insultation installers. Answer: susceptible to asbestos ◉junctional rhythm. Answer: pacemaker is the AV node. it usually presents without a P wave or with an inverted P wave. Retrograde P waves refers to the depolarization from the AV node back towards the SA node ◉ova in stool. Answer: means one of the following: giardiasis amebiasis strongyloidosis
taeniasis ◉hyperhidrosis. Answer: abnormally increased sweating ◉trichophytum rubrum. Answer: most common cause of athlete's foot, jock itch, ringworm ◉impetigo. Answer: most common cause is staph aureus ◉kernig's sign. Answer: can indicate either subarachnoid hemorrhage or meningitis ◉enterovirus 71. Answer: can cause hand foot mouth dz and severe neurological sx in children. responsible for small epidemics in 1970s ◉porphyromonas gingivalis. Answer: is culprit in periodontal dz and is linked to rheumatic fever ◉ascaris lumbricoides. Answer: dxed by fecal smear, and is found in latin america ◉Balantidium coli. Answer: In trophozoites, the two nuclei are visible. The macronucleus is long and sausage-shaped, and the spherical micronucleus is nested next to it, often hidden by the
brainstem, (midbrain and pons). They are secondary to raised intracranial pressure with formation of a transtentorial pressure cone involving the cerebral peduncles (crus cerebri) and other midbrain structures caused by raised pressure above the tentorium. Kernohan's notch is a groove in the cerebral peduncle that may be caused by this displacement of the brainstem against the incisura of the tentorium. The resulting ipsilateral hemiparesis is a false localising sign,[3] known as the Kernohan-Woltman syndrome.[4] This may succeed or accompany temporal lobe (uncal) herniation and subfalcian herniation secondary to a supratentorial mass ◉1mo development. Answer: focus on face, lifts head, moro reflex, turns to sound, turns head to sound ◉2mo development. Answer: Coos, fixe and follow, grasps, smiles responsively, lifts head, turns head to sound ◉4mo development. Answer: Coos/squeals/laughs, Bears weight, follow 180 degrees, Grasps, Holds head/chest up, holds small toy, no head lag, reaches, rolls front to back, turns to sound ◉6mo development. Answer: Babbles, bears weight, laughs, pulls to sit, responds to name, rolls both ways, sits alone, transfers objects
◉9 mo development. Answer: Babbles, claps/waves/peek-a-boo, creepts/crawls, cruises, sits up on own, says mama/dada, plays pat- a-cake, Pincer grasp, pulls to stand, stands with support ◉12mo development. Answer: Cruises, fills/empties containers, sits up on own, holds up and drinks, imitates words, pincer grasp, stands a lone, turns pages, says 1-2 words, walks alone ◉15mo development. Answer: Climbs furniture, Dances, jargon, rides toys, stacks 2 object tower, stands alone, scoops and recovers, throws ball, uses cup, uses spoon, says 4 words, walks well ◉18mo development. Answer: says 8 or more words, feeds self, follows simple directions, imitates housework, knows 2 or more body parts, names pictures, rides toys, runs, uses spoon/fork, walks backward, walks up & down stairs ◉24mo development. Answer: 2-word sentences, follows 2-step verbal command, gets along well with fam members, acts worried if parent is sad, helps dress self, holds cup in one hand, jumps with both feet, kicks a ball, removes clothes, runs, walks up/down stairs, scribbles, throws overhand ◉ 3 - yr developmental milestones. Answer: 3-5 word sentences, balances on one foot, asks what? why? builds 10-block tower, copies circle and x, counts to 3, dresses self, knows name/age/gender,
◉Isospora belli. Answer: diarrhea, steatorrhea, malabsorption, non- bloody diarrhea ◉Ballottement test. Answer: palpating surface of an organ at the surface of the body **i.e. during pregnancy, palpating the uterus ◉Tibial nerve. Answer: can be compressed in the tarsal tunnel, roof of which is flexor retinaculum ◉Pentoxifylline. Answer: used for intermittent claudication and vascular dementia it changes the shape of RBCs ◉Prevotella intermedia. Answer: acute necrotizing ulcerative gingivitis periodontal infections ◉Prophyromonas gingivalis. Answer: gingivitis, periodontal disease ◉Actinobacillus actinomycetemcomitans. Answer: another periodontal bug
◉enterovirus 17. Answer: notable cause of hand, foot and mouth disease ◉Menkes syndrome. Answer: inborn error where body cannot absorb copper brittle hair, metaphyseal widening ◉Head and neck. Answer: T1-T ◉Heart. Answer: T1-T ◉Resp. Answer: T1-T ◉Esophagus. Answer: T2-T ◉Upper GI. Answer: T5-T ◉What composes the upper GI?. Answer: Stomach, liver, gallbladder, spleen, part of pancreas and duodenum ◉Middle GI. Answer: T9-T
◉Erectile penis or clit. Answer: T11-L ◉Arms. Answer: T5-T ◉Legs. Answer: T10-T ◉Parasympathetics to everything above lower GI tract, and Kidneys and upper ureters. Answer: Vagus nerve ◉Parasympathetics to the Lower GI tract, Lower ureters, bladder, urethra, gonads, uterus, cervix, and penis/clit. Answer: S2-S ◉Common compensatory pattern rotation. Answer: OA- Left Cervicothoracic- Right Thoracolumbar- Left Lumbosacral- Right ◉Ankle ligament sprains. Answer: 1. ATF
- ATF and CF
- ATF, CF, and PTF ◉C5 sensation. Answer: Lateral arm and lateral elbow
◉C5 motor. Answer: Deltoid and biceps (also biceps reflex) ◉C6 sensation. Answer: Lateral forearm and thumb ◉C6 motor. Answer: Biceps and wrist extensors ◉C7 sensation. Answer: Middle finger ◉C7 motor. Answer: Triceps and wrist flexors ◉C8 sensation. Answer: Little finger and middle forearm ◉C8 motor. Answer: Wrist flexors and interossi ◉T1 sensation. Answer: Medial elbow and medial arm ◉T1 motor. Answer: Interossi ◉Abduction of shoulder. Answer: Supraspinatus and deltoid ◉Adduction of shoulder. Answer: Pect major, lat dorsi
