COMSAE 111 [ACTUAL EXAM] LATEST VERSION [220
QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
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.
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.
52 yr old man is brought to the ED by his daughter after she witnessed him having an
apparent seizure while visiting home. He has 20 yr history of poorly managed T1DM.
The daughter says he has not eaten since yesterday. He drank 2 beers this evening. He
is stuporous and speech is slurred. BS is 42. Which of the following is the cellular
process most likely impaired in the mans liver - CORRECT ANSWER synthesis of
glucose from pyruvate via gluconeogenesis. Alcohol inhibits gluconeogenesis by
increasing NADH levels, making it harder for the liver to produce glucose in fasting.
52 yr old woman has 3 day history of wheezing. PMH is chronic asthma for the past 20
years. Auscultation of the lungs reveals mild expiratory wheeze without rhonchi or rales.
Structural exam reveals an area of tenderness between anterior ribs 3 + 4 that doesn't
radiate, subcutaneous ganglion with a slightly spongy feel to the tissue around it. The
most appropriate tx of the patient's ganglion is - CORRECT ANSWER gentle
rotary digital pressure. AKA tx the tender ganglion cyst with the aim to breakdown the
cyst or improve fluid movement.
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.
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)
QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
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.
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.
52 yr old man is brought to the ED by his daughter after she witnessed him having an
apparent seizure while visiting home. He has 20 yr history of poorly managed T1DM.
The daughter says he has not eaten since yesterday. He drank 2 beers this evening. He
is stuporous and speech is slurred. BS is 42. Which of the following is the cellular
process most likely impaired in the mans liver - CORRECT ANSWER synthesis of
glucose from pyruvate via gluconeogenesis. Alcohol inhibits gluconeogenesis by
increasing NADH levels, making it harder for the liver to produce glucose in fasting.
52 yr old woman has 3 day history of wheezing. PMH is chronic asthma for the past 20
years. Auscultation of the lungs reveals mild expiratory wheeze without rhonchi or rales.
Structural exam reveals an area of tenderness between anterior ribs 3 + 4 that doesn't
radiate, subcutaneous ganglion with a slightly spongy feel to the tissue around it. The
most appropriate tx of the patient's ganglion is - CORRECT ANSWER gentle
rotary digital pressure. AKA tx the tender ganglion cyst with the aim to breakdown the
cyst or improve fluid movement.
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.
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)
