1
COMSAE 115 EXAM / ACTUAL COMSAE
115 EXAM LATEST 2026 COMPLETE
ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH
RATIONALES (DETAILED ANSWERS)
NEWEST UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+
(BRAND NEW!) STUDY GUIDE INCLUDED
1. OPP - Fryette's Laws
A patient has a T8 vertebral segment that rotates and side-bends to the left, and the
dysfunction worsens with flexion. How should this be diagnosed?
A) T8 Neutral RL SL
B) T8 Extended RR SR
C) T8 Flexed RL SL
D) T8 Flexed RR SR
Correct Answer: C) T8 Flexed RL SL
Rationale: Since the dysfunction worsens in flexion, it is a flexed dysfunction.
Fryette's Type II mechanics state rotation and side-bending occur to the same side
in non-neutral positions.
2. Cardiology - ECG Interpretation
A 62-year-old with chest pain has ST elevation in V1-V4. Which vessel is
,2
occluded?
A) Right Coronary Artery
B) Left Circumflex
C) Left Anterior Descending
D) Posterior Descending
Correct Answer: C) Left Anterior Descending
Rationale: V1-V4 correspond to the anterior wall, supplied by the LAD.
3. Microbiology - Meningitis
CSF shows Gram-negative diplococci. What is the most likely pathogen?
A) Streptococcus pneumoniae
B) Neisseria meningitidis
C) Haemophilus influenzae
D) Listeria monocytogenes
Correct Answer: B) Neisseria meningitidis
Rationale: Gram-negative diplococci in CSF with petechial rash is classic for N.
meningitidis.
4. OPP - Chapman's Reflex
Chapman's point at the 2nd intercostal space near the sternum corresponds to
which organ?
A) Heart
B) Lungs
C) Liver
D) Stomach
Correct Answer: B) Lungs
,3
Rationale: The 2nd intercostal space parasternal is the viscerosomatic reflex point
for the lungs.
5. Pharmacology - Beta-Blockers
Which beta-blocker is most cardioselective?
A) Propranolol
B) Metoprolol
C) Labetalol
D) Carvedilol
Correct Answer: B) Metoprolol
Rationale: Metoprolol is a β1-selective (cardioselective) blocker.
6. Neurology - Stroke Syndromes
A patient has left-sided weakness and neglect. Where is the lesion?
A) Left frontal lobe
B) Right parietal lobe
C) Left temporal lobe
D) Right occipital lobe
Correct Answer: B) Right parietal lobe
Rationale: Neglect syndrome is associated with right parietal (nondominant
hemisphere) lesions.
7. OPP - Muscle Energy (MET)
What is the correct position for treating a right sacral torsion on a left oblique axis?
, 4
A) Seated, flex right hip
B) Supine, flex left hip
C) Sitting, flex both hips
D) Prone, rotate to left
Correct Answer: A) Seated, flex right hip
Rationale: For right-on-left sacral torsion, the patient sits with the right hip flexed.
8. Endocrinology - Diabetes
A patient with DM2 has an A1c of 9.2% on metformin. What is the next best step?
A) Add insulin
B) Add a GLP-1 agonist
C) Add sulfonylurea
D) Add DPP-4 inhibitor
Correct Answer: B) Add GLP-1 agonist
Rationale: A1c >9% on metformin warrants adding a second agent; GLP-1
agonists have cardiovascular benefits.
9. OPP - Cranial Osteopathy
The sphenobasilar synchondrosis (SBS) is located between which bones?
A) Sphenoid and occiput
B) Sphenoid and temporal
C) Occiput and atlas
D) Temporal and parietal
Correct Answer: A) Sphenoid and occiput
Rationale: The SBS is the articulation between the sphenoid and occipital bones.
COMSAE 115 EXAM / ACTUAL COMSAE
115 EXAM LATEST 2026 COMPLETE
ACCURATE EXAM REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH
RATIONALES (DETAILED ANSWERS)
NEWEST UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+
(BRAND NEW!) STUDY GUIDE INCLUDED
1. OPP - Fryette's Laws
A patient has a T8 vertebral segment that rotates and side-bends to the left, and the
dysfunction worsens with flexion. How should this be diagnosed?
A) T8 Neutral RL SL
B) T8 Extended RR SR
C) T8 Flexed RL SL
D) T8 Flexed RR SR
Correct Answer: C) T8 Flexed RL SL
Rationale: Since the dysfunction worsens in flexion, it is a flexed dysfunction.
Fryette's Type II mechanics state rotation and side-bending occur to the same side
in non-neutral positions.
2. Cardiology - ECG Interpretation
A 62-year-old with chest pain has ST elevation in V1-V4. Which vessel is
,2
occluded?
A) Right Coronary Artery
B) Left Circumflex
C) Left Anterior Descending
D) Posterior Descending
Correct Answer: C) Left Anterior Descending
Rationale: V1-V4 correspond to the anterior wall, supplied by the LAD.
3. Microbiology - Meningitis
CSF shows Gram-negative diplococci. What is the most likely pathogen?
A) Streptococcus pneumoniae
B) Neisseria meningitidis
C) Haemophilus influenzae
D) Listeria monocytogenes
Correct Answer: B) Neisseria meningitidis
Rationale: Gram-negative diplococci in CSF with petechial rash is classic for N.
meningitidis.
4. OPP - Chapman's Reflex
Chapman's point at the 2nd intercostal space near the sternum corresponds to
which organ?
A) Heart
B) Lungs
C) Liver
D) Stomach
Correct Answer: B) Lungs
,3
Rationale: The 2nd intercostal space parasternal is the viscerosomatic reflex point
for the lungs.
5. Pharmacology - Beta-Blockers
Which beta-blocker is most cardioselective?
A) Propranolol
B) Metoprolol
C) Labetalol
D) Carvedilol
Correct Answer: B) Metoprolol
Rationale: Metoprolol is a β1-selective (cardioselective) blocker.
6. Neurology - Stroke Syndromes
A patient has left-sided weakness and neglect. Where is the lesion?
A) Left frontal lobe
B) Right parietal lobe
C) Left temporal lobe
D) Right occipital lobe
Correct Answer: B) Right parietal lobe
Rationale: Neglect syndrome is associated with right parietal (nondominant
hemisphere) lesions.
7. OPP - Muscle Energy (MET)
What is the correct position for treating a right sacral torsion on a left oblique axis?
, 4
A) Seated, flex right hip
B) Supine, flex left hip
C) Sitting, flex both hips
D) Prone, rotate to left
Correct Answer: A) Seated, flex right hip
Rationale: For right-on-left sacral torsion, the patient sits with the right hip flexed.
8. Endocrinology - Diabetes
A patient with DM2 has an A1c of 9.2% on metformin. What is the next best step?
A) Add insulin
B) Add a GLP-1 agonist
C) Add sulfonylurea
D) Add DPP-4 inhibitor
Correct Answer: B) Add GLP-1 agonist
Rationale: A1c >9% on metformin warrants adding a second agent; GLP-1
agonists have cardiovascular benefits.
9. OPP - Cranial Osteopathy
The sphenobasilar synchondrosis (SBS) is located between which bones?
A) Sphenoid and occiput
B) Sphenoid and temporal
C) Occiput and atlas
D) Temporal and parietal
Correct Answer: A) Sphenoid and occiput
Rationale: The SBS is the articulation between the sphenoid and occipital bones.
