COMSAE PHASE 3 FORM 003 EXAM QUESTIONS AND CORRECT ANSWER WITH DETAILED EXPLANATION STUDY GUIDE FOR OSTEOPATHIC MEDICAL STUDENT

COMSAE PHASE 3 FORM 003 EXAM QUESTIONS AND
CORRECT ANSWER WITH DETAILED EXPLANATION
STUDY GUIDE FOR OSTEOPATHIC MEDICAL STUDENT
1.

A 60-year-old with crushing chest pain and ST elevation should receive:
A. Immediate PCI
B. Antibiotics
C. Observation
D. Antacids
Answer: A
Rationale: STEMI requires urgent reperfusion therapy.



2.

Sudden right-sided weakness and aphasia suggests:
A. Ischemic stroke
B. Migraine
C. Seizure
D. Hypoglycemia
Answer: A
Rationale: Focal neurologic deficits indicate stroke.



3.

Best initial imaging for suspected stroke:
A. Non-contrast CT head
B. MRI spine
C. Chest X-ray
D. EEG
Answer: A
Rationale: Rules out hemorrhage first.



4.

,A patient with hypotension, fever, and organ dysfunction has:
A. Septic shock
B. Migraine
C. GERD
D. Asthma
Answer: A
Rationale: Infection with end-organ hypoperfusion.



5.

Most common cause of myocardial infarction:
A. Atherosclerosis
B. Infection
C. Trauma
D. Vasospasm only
Answer: A
Rationale: Plaque rupture causes thrombosis.



6.

“Worst headache of life” suggests:
A. Subarachnoid hemorrhage
B. Tension headache
C. Migraine
D. Sinusitis
Answer: A
Rationale: Aneurysmal rupture.



7.

First step in cardiac arrest:
A. CPR
B. CT scan
C. ECG
D. IV antibiotics
Answer: A
Rationale: Immediate chest compressions.

, 8.

Peaked T waves indicate:
A. Hyperkalemia
B. Hypokalemia
C. Hyponatremia
D. Hypocalcemia
Answer: A
Rationale: Early ECG change.



9.

DKA treatment:
A. IV insulin + fluids
B. Oral antibiotics
C. Steroids
D. Diuretics
Answer: A
Rationale: Corrects ketosis and dehydration.



10.

Most common cause of peptic ulcer disease:
A. H. pylori
B. Stress
C. Virus
D. Trauma
Answer: A
Rationale: Bacterial mucosal damage.



11.

Bell palsy affects:
A. Entire half of face
B. Only limbs
C. Vision only