COMSAE 111 Exam 2025 (Actual Exam) |
All Questions and Correct Answers |
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You review article result sin which 1,000 patient s with and without heart disease
had this test performed with 900 positive results (p value of 0.5). you conclude
that ---------CORRECT ANSWER-----------------the observed difference is due to
chance. No type 1 error present b/c you didn't incorrectly reject the null
hypothesis.
45 yr old man has L lower extremity edema. Surgical history reveals a L inguinal
hernia repair 2 weeks ago. Anterior innominate rotation present. Edema most
likely because ---------CORRECT ANSWER-----------------mechanical obstruction to
absorptive flow. Obstruction most likely due to PMH of recent surgery.
History of palpitations and dyspnea + PMH of coronary artery disease and HTN.
Lungs are clear to auscultation. Most appropriate pharm agent to control the HR -
--------CORRECT ANSWER-----------------diltiazem. Adenosine is a short-acting agent
that temporarily blocks AV nodal conduction. It's primarily used for paroxysmal
supraventricular tachycardia (PSVT), especially in cases of reentrant arrhythmias
involving the AV node (like AV nodal reentry tachycardia).
,6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA
reveals too numerous to count erythrocytes. Hematuria is due to ---------CORRECT
ANSWER-----------------inhibition of factor 7 synthesis. Rat poison is a vitamin k
analog like warfarin and results in lack of factor 7. Heparin is an antithrombin 3
analog - but that is not present in rat poison.
2 weeks history of severe pain across her face. Intense pain while chewing and
applying her makeup. Unilateral hypersensitivity across the region of the lower
face involving the upper lip. Which nerve is responsible ---------CORRECT ANSWER-
----------------mandibular. (v3) of trigeminal branch causing trigeminal neuralgia.
Facial nerve would be responsible for movement, not sensation.
42 yr old presents with 1 month history of erectile dysfunction. Able to achieve
erection but is not able to achieve orgasm and ejaculation. PMH T1DM.
mechanism for his sexual dysfunction is ---------CORRECT ANSWER-----------------
decreased sympathetic tone. "point and shoot"
28 yr old man presents with sudden onset of several headaches. He complains of
stick neck, vomits, loses consciousness. Bilateral abdominal masses are noted in
the flanks. A lumbar puncture reveals increases pressure and blood. Which is the
abnormal proteins most likely present ---------CORRECT ANSWER-----------------
polycystin 1. ADPKD is present
7 month old male in the early fall presents with fever, irritability, lethargy. Temp
is 103 w/ diffuse maculopapular rash. LP reveals ↑ leukocytes(with predominant
,lymphocytes), ↑ protein. No organism found on gram stain. Etiology ---------
CORRECT ANSWER-----------------coxsackievirus.
42 yr old presents w/ 1 day history of odynophagia, chest pain, fever, nausea,
vomiting. Bone marrow transplant occurred 1 week ago. Deep ulcers in the distal
½ of the esophagus are present. Multinucleated giant cells and prominent
intranuclear Cowdry type A inclusion bodies are present. DX ---------CORRECT
ANSWER-----------------herpesvirus type1. HSV creates deep discrete ulcers. VZV
creates shallow ulcers and vesicular rash.
43 yr old man presents to the office with 2 week history of fever, dyspnea, dry
hacking couch. Farmer that has the same sx every year after he takes in the hay.
Sputum sample is positive for environmental mold. Which is the following
mechanism most likely occurring ---------CORRECT ANSWER-----------------
deposition of immune complexes in the lungs. Thermophilic actinomyces. Type 3
HSN.
Man presents to the office with complaint of dizziness when he stands up. PMH
symptomatic BPH which he takes terazosin (alpha-1 adrenergic antagonist that
relaxes smooth muscles) for. Most common cause of dizziness is ---------CORRECT
ANSWER-----------------impaired responsiveness of sympathetic vasculature.
Terazosin inhibits sympathetic vasoconstriction in the periphery resulting in
decreased vascular tone=dizzy.
2 weeks history of productive cough, fatigue, intermittent mild fever. Sputum has
tinged discolored red streaks. Lung auscultation reveals bilateral wheezes as well
, as increased respiratory rate. No posterior nasal drainage. Diagnosis ---------
CORRECT ANSWER-----------------bronchitis. Shows lower respiratory sx unlike strep
pharyngitis which would present with upper respiratory sx and sore throat.
CC of left sided weakness. Muscle strength reduced on both left limbs. Plantar
reflex is extensor on the L and flexor on the R. Protrusion of her tongue deviates
to the R. Sensory deficit is most likely present ---------CORRECT ANSWER--------------
---loss of discriminative touch of L arm and leg. Medial medulla lesion. Pain and
temp spared b/c on the lateral medulla.
52 yr old found drinking wood alcohol. PMH is AUD. He is disoriented, cool
extremity and dilated pupils. Prominent retinal congestion and blurring of the
edges of the optic disk. Most likely cause of ocular toxicity is elevated retinal -------
--CORRECT ANSWER-----------------concentrations of formic acid. Wood alcohol is
methanol which leads to formic acid as the metabolite.
62 yr old man experiencing several falls as home. OMH is uncontrolled HTN with
step wise deterioration in memory. Hyperactive deep tendon reflexes present
with disorientation to time and place. MRI would show ---------CORRECT ANSWER-
----------------multiple cerebral cortical infarcts. Vascular dementia leads to UMN
and has a PMH of HTN.
PMH of 1 yr w/ worsening pain during and after sex. Laparoscopy reveals red,
punctate, weakly bleeding spots measuring 8-10 mm in diameter on the pelvic
peritoneum(gun-powder lesions). The pelvic lesions are caused by ---------
All Questions and Correct Answers |
Graded A+ | Verified Answers | Brand New
Version!
You review article result sin which 1,000 patient s with and without heart disease
had this test performed with 900 positive results (p value of 0.5). you conclude
that ---------CORRECT ANSWER-----------------the observed difference is due to
chance. No type 1 error present b/c you didn't incorrectly reject the null
hypothesis.
45 yr old man has L lower extremity edema. Surgical history reveals a L inguinal
hernia repair 2 weeks ago. Anterior innominate rotation present. Edema most
likely because ---------CORRECT ANSWER-----------------mechanical obstruction to
absorptive flow. Obstruction most likely due to PMH of recent surgery.
History of palpitations and dyspnea + PMH of coronary artery disease and HTN.
Lungs are clear to auscultation. Most appropriate pharm agent to control the HR -
--------CORRECT ANSWER-----------------diltiazem. Adenosine is a short-acting agent
that temporarily blocks AV nodal conduction. It's primarily used for paroxysmal
supraventricular tachycardia (PSVT), especially in cases of reentrant arrhythmias
involving the AV node (like AV nodal reentry tachycardia).
,6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA
reveals too numerous to count erythrocytes. Hematuria is due to ---------CORRECT
ANSWER-----------------inhibition of factor 7 synthesis. Rat poison is a vitamin k
analog like warfarin and results in lack of factor 7. Heparin is an antithrombin 3
analog - but that is not present in rat poison.
2 weeks history of severe pain across her face. Intense pain while chewing and
applying her makeup. Unilateral hypersensitivity across the region of the lower
face involving the upper lip. Which nerve is responsible ---------CORRECT ANSWER-
----------------mandibular. (v3) of trigeminal branch causing trigeminal neuralgia.
Facial nerve would be responsible for movement, not sensation.
42 yr old presents with 1 month history of erectile dysfunction. Able to achieve
erection but is not able to achieve orgasm and ejaculation. PMH T1DM.
mechanism for his sexual dysfunction is ---------CORRECT ANSWER-----------------
decreased sympathetic tone. "point and shoot"
28 yr old man presents with sudden onset of several headaches. He complains of
stick neck, vomits, loses consciousness. Bilateral abdominal masses are noted in
the flanks. A lumbar puncture reveals increases pressure and blood. Which is the
abnormal proteins most likely present ---------CORRECT ANSWER-----------------
polycystin 1. ADPKD is present
7 month old male in the early fall presents with fever, irritability, lethargy. Temp
is 103 w/ diffuse maculopapular rash. LP reveals ↑ leukocytes(with predominant
,lymphocytes), ↑ protein. No organism found on gram stain. Etiology ---------
CORRECT ANSWER-----------------coxsackievirus.
42 yr old presents w/ 1 day history of odynophagia, chest pain, fever, nausea,
vomiting. Bone marrow transplant occurred 1 week ago. Deep ulcers in the distal
½ of the esophagus are present. Multinucleated giant cells and prominent
intranuclear Cowdry type A inclusion bodies are present. DX ---------CORRECT
ANSWER-----------------herpesvirus type1. HSV creates deep discrete ulcers. VZV
creates shallow ulcers and vesicular rash.
43 yr old man presents to the office with 2 week history of fever, dyspnea, dry
hacking couch. Farmer that has the same sx every year after he takes in the hay.
Sputum sample is positive for environmental mold. Which is the following
mechanism most likely occurring ---------CORRECT ANSWER-----------------
deposition of immune complexes in the lungs. Thermophilic actinomyces. Type 3
HSN.
Man presents to the office with complaint of dizziness when he stands up. PMH
symptomatic BPH which he takes terazosin (alpha-1 adrenergic antagonist that
relaxes smooth muscles) for. Most common cause of dizziness is ---------CORRECT
ANSWER-----------------impaired responsiveness of sympathetic vasculature.
Terazosin inhibits sympathetic vasoconstriction in the periphery resulting in
decreased vascular tone=dizzy.
2 weeks history of productive cough, fatigue, intermittent mild fever. Sputum has
tinged discolored red streaks. Lung auscultation reveals bilateral wheezes as well
, as increased respiratory rate. No posterior nasal drainage. Diagnosis ---------
CORRECT ANSWER-----------------bronchitis. Shows lower respiratory sx unlike strep
pharyngitis which would present with upper respiratory sx and sore throat.
CC of left sided weakness. Muscle strength reduced on both left limbs. Plantar
reflex is extensor on the L and flexor on the R. Protrusion of her tongue deviates
to the R. Sensory deficit is most likely present ---------CORRECT ANSWER--------------
---loss of discriminative touch of L arm and leg. Medial medulla lesion. Pain and
temp spared b/c on the lateral medulla.
52 yr old found drinking wood alcohol. PMH is AUD. He is disoriented, cool
extremity and dilated pupils. Prominent retinal congestion and blurring of the
edges of the optic disk. Most likely cause of ocular toxicity is elevated retinal -------
--CORRECT ANSWER-----------------concentrations of formic acid. Wood alcohol is
methanol which leads to formic acid as the metabolite.
62 yr old man experiencing several falls as home. OMH is uncontrolled HTN with
step wise deterioration in memory. Hyperactive deep tendon reflexes present
with disorientation to time and place. MRI would show ---------CORRECT ANSWER-
----------------multiple cerebral cortical infarcts. Vascular dementia leads to UMN
and has a PMH of HTN.
PMH of 1 yr w/ worsening pain during and after sex. Laparoscopy reveals red,
punctate, weakly bleeding spots measuring 8-10 mm in diameter on the pelvic
peritoneum(gun-powder lesions). The pelvic lesions are caused by ---------
