COMSAE 111 ACTUAL EXAM] LATEST VERSION [99
QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via - CORRECT ANSWER inhalation if environmental
aerosols (usually HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting or
urinary incontinence. Most likely cause - CORRECT ANSWER idioventricular
rhythm. sudden drop in cerebral perfusion due pacemaker failure.
Patient is retching, vomiting small amount of blood, history of AUD. Nonpentrating
mucosal tear of the posterior wall superior to the gastroesophageal junction that
continues to the esophageal wall compromises - CORRECT ANSWER vagal trunk
(runs posterior to the esophagus). Mallory-Weiss syndrome.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks alcohol.
PMH hemorrhoids. Screening for him - CORRECT ANSWER colonoscopy. Should
be done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints. Congenital
abnormality - CORRECT ANSWER spina bifida occulta.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and taking BP
elicits carpal spasm. PT is short, stocky and shortened medial digits (Albright Hereditary
Osteodystrophy). Phosphate and cAMP don't respond to IV PTH. The cause is
decreased - CORRECT ANSWER Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1.
Add calcium, vitamin D and what med - CORRECT ANSWER alendronate to
prevent osteoporosis (Inhibits osteoclast activity, reducing bone resorption -
bisphosphonate)
What is the Pearson correlation value for this data set? - CORRECT ANSWER
correlation close to 0.00.
, 78 yr old presents to office with 1 week history of lower abdominal pain and urinary
hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram
pos, catalase neg coccus. Etiological agent - CORRECT ANSWER Enterococcus
faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - CORRECT ANSWER
lichen sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas
of the skin. Urine sample is reddish brown in appearance and pink under fluorescent
light. Elevated glucose, alanine aminotransferase, aspartate aminotransferase. What
would be elevated - CORRECT ANSWER uroporphyrinogen III. Porphyria cutanea
tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which
additional muscle is diminished - CORRECT ANSWER abduction of the humerus.
Axillary n. C5-C6 (from the brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee surgery
2 weeks ago w/ upper respiratory tract recently. PMH is on psych drug. Mental status
deteriorates and develops seizure. Low NA, Psych drug acts by - CORRECT
ANSWER inhibiting serotonin reuptake. Patient presents with serotonin syndrome
due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory
infections. DX - CORRECT ANSWER adenotonsilar hypertrophy. Enlarged tonsils
and adenoids more common in kids. Not cystic fibrosis b/c they would have lower resp
infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is
a cattle farmer who has recently been working in an enclosed hay storage barn. His
serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are
present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules
sparing the apices and bases. DX - CORRECT ANSWER hypersensitivity
pneumonitis. (Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for - CORRECT
ANSWER conversion of dUMP to dTMP. (limits neural tube risk)
QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via - CORRECT ANSWER inhalation if environmental
aerosols (usually HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting or
urinary incontinence. Most likely cause - CORRECT ANSWER idioventricular
rhythm. sudden drop in cerebral perfusion due pacemaker failure.
Patient is retching, vomiting small amount of blood, history of AUD. Nonpentrating
mucosal tear of the posterior wall superior to the gastroesophageal junction that
continues to the esophageal wall compromises - CORRECT ANSWER vagal trunk
(runs posterior to the esophagus). Mallory-Weiss syndrome.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks alcohol.
PMH hemorrhoids. Screening for him - CORRECT ANSWER colonoscopy. Should
be done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints. Congenital
abnormality - CORRECT ANSWER spina bifida occulta.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and taking BP
elicits carpal spasm. PT is short, stocky and shortened medial digits (Albright Hereditary
Osteodystrophy). Phosphate and cAMP don't respond to IV PTH. The cause is
decreased - CORRECT ANSWER Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1.
Add calcium, vitamin D and what med - CORRECT ANSWER alendronate to
prevent osteoporosis (Inhibits osteoclast activity, reducing bone resorption -
bisphosphonate)
What is the Pearson correlation value for this data set? - CORRECT ANSWER
correlation close to 0.00.
, 78 yr old presents to office with 1 week history of lower abdominal pain and urinary
hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram
pos, catalase neg coccus. Etiological agent - CORRECT ANSWER Enterococcus
faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - CORRECT ANSWER
lichen sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas
of the skin. Urine sample is reddish brown in appearance and pink under fluorescent
light. Elevated glucose, alanine aminotransferase, aspartate aminotransferase. What
would be elevated - CORRECT ANSWER uroporphyrinogen III. Porphyria cutanea
tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which
additional muscle is diminished - CORRECT ANSWER abduction of the humerus.
Axillary n. C5-C6 (from the brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee surgery
2 weeks ago w/ upper respiratory tract recently. PMH is on psych drug. Mental status
deteriorates and develops seizure. Low NA, Psych drug acts by - CORRECT
ANSWER inhibiting serotonin reuptake. Patient presents with serotonin syndrome
due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory
infections. DX - CORRECT ANSWER adenotonsilar hypertrophy. Enlarged tonsils
and adenoids more common in kids. Not cystic fibrosis b/c they would have lower resp
infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is
a cattle farmer who has recently been working in an enclosed hay storage barn. His
serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are
present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules
sparing the apices and bases. DX - CORRECT ANSWER hypersensitivity
pneumonitis. (Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for - CORRECT
ANSWER conversion of dUMP to dTMP. (limits neural tube risk)
