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COMSAE EXAM 2026 | ALL EXAM QUESTIONS AND VERIFIED
ANSWERS | LATEST UPDATED 2026/2027 | GRADED A+ | 100%
GUARANTEED SIUCCESS.
Adson's Test - correct answer - a test for thoracic outlet syndrome; with the patient in a sitting
position, the hands resting on the thighs, the examiner palpates both radial pulses as the
patient rapidly fills the lungs by deep inhalation and, holding the breath, hyperextends the neck
and turns the head toward the affected side. If the radial pulse on that side is decidedly or
completely obliterated, the result is positive.
Spurling Test - correct answer - The Spurling test is a medical maneuver used to assess nerve
root pain (aka radicular pain). The examiner turns the patient's head to the affected side while
extending and applying downward pressure to the top of the patient's head. A positive
Spurling's sign (i.e. The Spurling's test is positive) is when the pain arising in the neck radiates in
the direction of the corresponding dermatome ipsilaterally. It is a variant of the foraminal
compression test (cervical compression test).
Patients with a cervical radiculopathy (compression of a nerve 'root' in the neck) can present
with a variety of symptoms, including pain, numbness and weakness. Many other disorders can
produce similar symptoms. In addition to the clinical history, the neurological examination may
show signs suggesting a cervical (neck) radiculopathy.
Kernig sign - correct answer - A sign indicating the presence of meningitis (inflammation of the
meninges covering the brain and spinal cord). The test for Kernig sign is done by having the
person lie flat on the back, flex the thigh so that it is at a right angle to the trunk, and
completely extend the leg at the knee joint. If the leg cannot be completely extended due to
pain, this is Kernig sign.
Flexor Digitorum Superficialis - correct answer - attaches to humeroulnar head, radial head
, Page | 2
3 attachments (think medial epicondyle and radius and ulna)
Prophyromonas gingivalis vs. Actinomyo - correct answer - prophyromonas gingivalis (associated
with pancreatic cancer!) But the culprit of the oral ulcers
Cushings vs exogenous weight gain - correct answer - In comparison to adult CS, growth failure
with associated weight gain is one of the most reliable indicators of hypercortisolaemia in
pediatric CS.
Patient was growing so ---> most likely exogenous weight gain
Methadone vs. Diazepam withdrawal - correct answer - methadone---> insomnia, runny nose,
sweating, yawning
Diazepam ---> irritability, anxiety, abdominal pain
Warfarin- Mechanism - correct answer - Interferes w/ vitamin K dependent clotting factors (II,
VII, IX, X, C, S)
Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) is
a Gram-negative, facultative anaerobe, non-motile bacterium that is often found in association
with localized aggressive periodontitis, a severe infection of the periodontium. (gnarlier and
looks like a star) PTSD - correct answer - short-term memory loss
Cuboid fracture - correct answer - peroneus longus tendon (fibularis)
, Page | 3
Warfarin- Pathway, effect on PT/INR - correct answer - Extrinsic factor, increased PT
Warfarin- Clinical Use - correct answer - Chronic anticoagulation
Digoxin- Clinical use - correct answer - Heart failure (increase contractility)
Atrial fibrillation (decrease conduction at AV node and depression of SA node)
Digoxin- AE - correct answer - Hyperkalemia, blurry yellow vision, arrhythmias, AV block
Digoxin Toxicity- Treatment - correct answer - Slowly normalize
K+, cardiac pacer, anti-digoxin Fab fragments, Mg+
Beta Blockers- Mechanism - correct answer - Decrease SA and
AV nodal activity by decreasing camp/Ca2+
Decrease slope of phase 4
Beta Blockers- Use - correct answer - SVT, ventricular rate control for a-fib and a-flutter
Beta Blockers- AE - correct answer - Exacerbation of
, Page | 4
COPD/asthma
CV effects: bradycardia, AV block, HF
Metronidazole- MOA - correct answer - Forms toxic free radical metabolites in bacteria.
Bacteriocidal
Metronidazole- Clinical Use - correct answer - GET GAP
Giardia, Entamoeba, Trichomonas, Gardnerella vaginalis,
Anaerobes (C. Diff), H. Pylori (penicillin injury)
(Anaerobic infection below the diaphragm)
Metronidazole- AE - correct answer - Disulfiram-like reaction (flushing, tachycardia,
hypotension) with alcohol.
Headache, metallic taste
Typical antipsychotics (-azine)- MOA - correct answer - Block dopamine D2 receptor --> increase
camp
Typical antipsychotics - Clinical Use - correct answer -
Schizophrenia, pyschosis, bipolar, Huntington, OCD
Typical antipsychotics - AE - correct answer - EPS (ADAPT)-
Acute dystonia, akathisia, parkinsonism, tardive dyskinesia
COMSAE EXAM 2026 | ALL EXAM QUESTIONS AND VERIFIED
ANSWERS | LATEST UPDATED 2026/2027 | GRADED A+ | 100%
GUARANTEED SIUCCESS.
Adson's Test - correct answer - a test for thoracic outlet syndrome; with the patient in a sitting
position, the hands resting on the thighs, the examiner palpates both radial pulses as the
patient rapidly fills the lungs by deep inhalation and, holding the breath, hyperextends the neck
and turns the head toward the affected side. If the radial pulse on that side is decidedly or
completely obliterated, the result is positive.
Spurling Test - correct answer - The Spurling test is a medical maneuver used to assess nerve
root pain (aka radicular pain). The examiner turns the patient's head to the affected side while
extending and applying downward pressure to the top of the patient's head. A positive
Spurling's sign (i.e. The Spurling's test is positive) is when the pain arising in the neck radiates in
the direction of the corresponding dermatome ipsilaterally. It is a variant of the foraminal
compression test (cervical compression test).
Patients with a cervical radiculopathy (compression of a nerve 'root' in the neck) can present
with a variety of symptoms, including pain, numbness and weakness. Many other disorders can
produce similar symptoms. In addition to the clinical history, the neurological examination may
show signs suggesting a cervical (neck) radiculopathy.
Kernig sign - correct answer - A sign indicating the presence of meningitis (inflammation of the
meninges covering the brain and spinal cord). The test for Kernig sign is done by having the
person lie flat on the back, flex the thigh so that it is at a right angle to the trunk, and
completely extend the leg at the knee joint. If the leg cannot be completely extended due to
pain, this is Kernig sign.
Flexor Digitorum Superficialis - correct answer - attaches to humeroulnar head, radial head
, Page | 2
3 attachments (think medial epicondyle and radius and ulna)
Prophyromonas gingivalis vs. Actinomyo - correct answer - prophyromonas gingivalis (associated
with pancreatic cancer!) But the culprit of the oral ulcers
Cushings vs exogenous weight gain - correct answer - In comparison to adult CS, growth failure
with associated weight gain is one of the most reliable indicators of hypercortisolaemia in
pediatric CS.
Patient was growing so ---> most likely exogenous weight gain
Methadone vs. Diazepam withdrawal - correct answer - methadone---> insomnia, runny nose,
sweating, yawning
Diazepam ---> irritability, anxiety, abdominal pain
Warfarin- Mechanism - correct answer - Interferes w/ vitamin K dependent clotting factors (II,
VII, IX, X, C, S)
Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans) is
a Gram-negative, facultative anaerobe, non-motile bacterium that is often found in association
with localized aggressive periodontitis, a severe infection of the periodontium. (gnarlier and
looks like a star) PTSD - correct answer - short-term memory loss
Cuboid fracture - correct answer - peroneus longus tendon (fibularis)
, Page | 3
Warfarin- Pathway, effect on PT/INR - correct answer - Extrinsic factor, increased PT
Warfarin- Clinical Use - correct answer - Chronic anticoagulation
Digoxin- Clinical use - correct answer - Heart failure (increase contractility)
Atrial fibrillation (decrease conduction at AV node and depression of SA node)
Digoxin- AE - correct answer - Hyperkalemia, blurry yellow vision, arrhythmias, AV block
Digoxin Toxicity- Treatment - correct answer - Slowly normalize
K+, cardiac pacer, anti-digoxin Fab fragments, Mg+
Beta Blockers- Mechanism - correct answer - Decrease SA and
AV nodal activity by decreasing camp/Ca2+
Decrease slope of phase 4
Beta Blockers- Use - correct answer - SVT, ventricular rate control for a-fib and a-flutter
Beta Blockers- AE - correct answer - Exacerbation of
, Page | 4
COPD/asthma
CV effects: bradycardia, AV block, HF
Metronidazole- MOA - correct answer - Forms toxic free radical metabolites in bacteria.
Bacteriocidal
Metronidazole- Clinical Use - correct answer - GET GAP
Giardia, Entamoeba, Trichomonas, Gardnerella vaginalis,
Anaerobes (C. Diff), H. Pylori (penicillin injury)
(Anaerobic infection below the diaphragm)
Metronidazole- AE - correct answer - Disulfiram-like reaction (flushing, tachycardia,
hypotension) with alcohol.
Headache, metallic taste
Typical antipsychotics (-azine)- MOA - correct answer - Block dopamine D2 receptor --> increase
camp
Typical antipsychotics - Clinical Use - correct answer -
Schizophrenia, pyschosis, bipolar, Huntington, OCD
Typical antipsychotics - AE - correct answer - EPS (ADAPT)-
Acute dystonia, akathisia, parkinsonism, tardive dyskinesia
