COMSAE PHASE 1 FORM 115 EXAMINATION QUESTIONS
AND CORRECT ANSWER WITH EXPLANATION GRADED
A+ STUDY GUIDE FOR OSTEOPATHIC MEDICAL STUDENT
.
1.
A 65-year-old smoker with hematuria is at highest risk for:
A. Bladder cancer
B. Asthma
C. Appendicitis
D. Migraine
Answer: A
Rationale: Smoking is a major risk factor for bladder carcinoma.
2.
The most common cause of bacterial pneumonia is:
A. Mycoplasma pneumoniae
B. Streptococcus pneumoniae
C. E. coli
D. Klebsiella pneumoniae
Answer: B
Rationale: S. pneumoniae is the leading cause of community-acquired pneumonia.
3.
A deficiency of vitamin D may lead to:
A. Scurvy
B. Rickets
C. Pellagra
D. Beriberi
Answer: B
Rationale: Vitamin D deficiency impairs bone mineralization.
,4.
The primary hormone involved in lowering blood glucose is:
A. Cortisol
B. Glucagon
C. Insulin
D. Epinephrine
Answer: C
Rationale: Insulin promotes glucose uptake into cells.
5.
The classic ECG finding in atrial fibrillation is:
A. Delta waves
B. Irregularly irregular rhythm
C. Peaked T waves
D. ST elevation
Answer: B
Rationale: AFib causes chaotic atrial activity and irregular rhythm.
6.
Which organism causes Lyme disease?
A. Treponema pallidum
B. Borrelia burgdorferi
C. Clostridium difficile
D. Staphylococcus aureus
Answer: B
Rationale: Lyme disease is caused by a tick-borne spirochete.
7.
The most common symptom of hyperthyroidism is:
A. Weight gain
B. Cold intolerance
C. Weight loss
, D. Bradycardia
Answer: C
Rationale: Increased metabolism causes weight loss.
8.
The first-line treatment for status epilepticus is:
A. Antibiotics
B. Benzodiazepines
C. Beta-blockers
D. Anticoagulants
Answer: B
Rationale: Benzodiazepines rapidly terminate seizures.
9.
Cushing syndrome is associated with excess:
A. Thyroxine
B. Cortisol
C. Insulin
D. Growth hormone
Answer: B
Rationale: Hypercortisolism defines Cushing syndrome.
10.
The hallmark symptom of appendicitis is:
A. RLQ pain
B. Chest pain
C. LUQ pain
D. Flank pain
Answer: A
Rationale: Pain localizes to the right lower quadrant.
11.
AND CORRECT ANSWER WITH EXPLANATION GRADED
A+ STUDY GUIDE FOR OSTEOPATHIC MEDICAL STUDENT
.
1.
A 65-year-old smoker with hematuria is at highest risk for:
A. Bladder cancer
B. Asthma
C. Appendicitis
D. Migraine
Answer: A
Rationale: Smoking is a major risk factor for bladder carcinoma.
2.
The most common cause of bacterial pneumonia is:
A. Mycoplasma pneumoniae
B. Streptococcus pneumoniae
C. E. coli
D. Klebsiella pneumoniae
Answer: B
Rationale: S. pneumoniae is the leading cause of community-acquired pneumonia.
3.
A deficiency of vitamin D may lead to:
A. Scurvy
B. Rickets
C. Pellagra
D. Beriberi
Answer: B
Rationale: Vitamin D deficiency impairs bone mineralization.
,4.
The primary hormone involved in lowering blood glucose is:
A. Cortisol
B. Glucagon
C. Insulin
D. Epinephrine
Answer: C
Rationale: Insulin promotes glucose uptake into cells.
5.
The classic ECG finding in atrial fibrillation is:
A. Delta waves
B. Irregularly irregular rhythm
C. Peaked T waves
D. ST elevation
Answer: B
Rationale: AFib causes chaotic atrial activity and irregular rhythm.
6.
Which organism causes Lyme disease?
A. Treponema pallidum
B. Borrelia burgdorferi
C. Clostridium difficile
D. Staphylococcus aureus
Answer: B
Rationale: Lyme disease is caused by a tick-borne spirochete.
7.
The most common symptom of hyperthyroidism is:
A. Weight gain
B. Cold intolerance
C. Weight loss
, D. Bradycardia
Answer: C
Rationale: Increased metabolism causes weight loss.
8.
The first-line treatment for status epilepticus is:
A. Antibiotics
B. Benzodiazepines
C. Beta-blockers
D. Anticoagulants
Answer: B
Rationale: Benzodiazepines rapidly terminate seizures.
9.
Cushing syndrome is associated with excess:
A. Thyroxine
B. Cortisol
C. Insulin
D. Growth hormone
Answer: B
Rationale: Hypercortisolism defines Cushing syndrome.
10.
The hallmark symptom of appendicitis is:
A. RLQ pain
B. Chest pain
C. LUQ pain
D. Flank pain
Answer: A
Rationale: Pain localizes to the right lower quadrant.
11.
