COMSAE PHASE 1 FORM 115
EXAM
1.
A 22-year-old woman presents with fatigue and pallor. Labs show Hb
9 g/dL, MCV 70 fL, ferritin low. What is the diagnosis?
A. Thalassemia
B. Iron deficiency anemia
C. Anemia of chronic disease
D. B12 deficiency
Answer: B
Rationale: Microcytic anemia with low ferritin is classic for iron
deficiency.
2.
A patient with sudden severe headache described as “worst of life”
likely has:
A. Migraine
B. Subarachnoid hemorrhage
,C. Tension headache
D. Cluster headache
Answer: B
Rationale: Thunderclap headache strongly suggests subarachnoid
hemorrhage.
3.
A diabetic patient presents with fruity breath and Kussmaul
respirations. Diagnosis?
A. Hypoglycemia
B. DKA
C. HHS
D. Lactic acidosis
Answer: B
Rationale: DKA causes metabolic acidosis with compensatory deep
breathing.
4.
Which electrolyte abnormality is most dangerous in DKA?
, A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hypocalcemia
Answer: B
Rationale: Insulin therapy shifts potassium into cells, risking
dangerous hypokalemia.
5.
A child with fever, drooling, and tripod positioning likely has:
A. Croup
B. Epiglottitis
C. Asthma
D. Bronchiolitis
Answer: B
Rationale: Epiglottitis is a medical emergency with airway obstruction
risk.
Cardiology
6.
EXAM
1.
A 22-year-old woman presents with fatigue and pallor. Labs show Hb
9 g/dL, MCV 70 fL, ferritin low. What is the diagnosis?
A. Thalassemia
B. Iron deficiency anemia
C. Anemia of chronic disease
D. B12 deficiency
Answer: B
Rationale: Microcytic anemia with low ferritin is classic for iron
deficiency.
2.
A patient with sudden severe headache described as “worst of life”
likely has:
A. Migraine
B. Subarachnoid hemorrhage
,C. Tension headache
D. Cluster headache
Answer: B
Rationale: Thunderclap headache strongly suggests subarachnoid
hemorrhage.
3.
A diabetic patient presents with fruity breath and Kussmaul
respirations. Diagnosis?
A. Hypoglycemia
B. DKA
C. HHS
D. Lactic acidosis
Answer: B
Rationale: DKA causes metabolic acidosis with compensatory deep
breathing.
4.
Which electrolyte abnormality is most dangerous in DKA?
, A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hypocalcemia
Answer: B
Rationale: Insulin therapy shifts potassium into cells, risking
dangerous hypokalemia.
5.
A child with fever, drooling, and tripod positioning likely has:
A. Croup
B. Epiglottitis
C. Asthma
D. Bronchiolitis
Answer: B
Rationale: Epiglottitis is a medical emergency with airway obstruction
risk.
Cardiology
6.
