COMSAE Phase 1 Form 450 Practice Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026|2027 Q&A |
Instant Download Pdf
What symptoms did the 22-year-old woman present with during her office visit? - correct answer -
Abdominal pain and bloating relieved by defecation.
What physical examination finding would support the diagnosis for the woman with abdominal pain?
- correct answer -Tender points on the anterior intercostal spaces of ribs 4-7.
What were the vital signs of the 26-year-old man presenting with respiratory symptoms? - correct
answer -Temperature of 37.0°C (98.6°F) and heart rate of 74/min.
What physical examination findings were noted in the 26-year-old man? - correct answer -Normal
tympanic membranes, nasal congestion, clear lung sounds.
What is the thoracic dysfunction noted in the 26-year-old man? - correct answer -Inhalation
dysfunction at rib 1 on the left.
What is the position of the thoracic spine (TS) in the patient with thoracic dysfunction? - correct
answer -Extended, rotated left, sidebent left.
What technique is used to treat the thoracic dysfunction in the 26-year-old man? - correct answer -
Muscle energy using postisometric relaxation.
In treating the thoracic dysfunction, what should the activating force move TS into? - correct answer -
Neutral with left rotation and right sidebending.
,What symptoms did the 25-year-old man present with regarding his back pain? - correct answer -Sharp
right low back pain and anterior thigh pain.
What posture was noted in the 25-year-old man during examination? - correct answer -Leaning
forward and to the right with pelvic sideshift left.
What hip motion was restricted in the 25-year-old man, reproducing his pain? - correct answer -Hip
extension.
Which vertebral level is most likely to have somatic dysfunction in the 25-year-old man? - correct
answer -L4.
What symptoms did the 56-year-old woman present with in her left hand? - correct answer -
Numbness, tingling, and pain.
What surgical history is relevant for the 56-year-old woman? - correct answer -Surgical repair for a left
shoulder dislocation sustained 3 years ago.
What is the significance of the patient's history of falling from a horse? - correct answer -It may relate
to her current symptoms of numbness and pain in the left hand.
What physical examination finding indicates decreased sensation in the left hand? - correct answer -
Decreased sensation on the palmar aspect and first 3 digits of the left hand.
What was the muscle strength in the upper extremities during the examination? - correct answer -5/5
on the right and 4/5 on the left.
What were the deep tendon reflexes like in this patient? - correct answer -Intact deep tendon reflexes
bilaterally.
What restriction was noted in the left elbow? - correct answer -Restricted supination of the left elbow.
,What osteopathic restriction improved with flexion? - correct answer -OA restriction in translation to
the right.
Where was the tender point located in the cervical spine? - correct answer -At the anterolateral aspect
of the anterior tubercle of the left C2 transverse process.
What is the primary outcome measure in the Alzheimer's disease study? - correct answer -The
classification of a patient as showing progression or no progression of disease as measured by a
standard neuropsychological test of memory.
How many patients showed progression with the experimental drug in the Alzheimer's study? - correct
answer -50 patients.
What is the total number of patients in the Alzheimer's study? - correct answer -240 patients.
What calculation would best determine how many patients need to be treated for one successful
outcome in the Alzheimer's study? - correct answer -[50/(50 + 70)] / [75/(75 + 45)]
What was the reduction in systolic blood pressure with combination therapy compared to
hydrochlorothiazide alone? - correct answer -25 mmHg (95% CI = 15-35 mmHg, p = 0.049).
What conclusion can be drawn from the study comparing combination therapy to hydrochlorothiazide
alone? - correct answer -There is an approximate 5% probability that the decrease in systolic blood
pressure was due to chance.
Which study design is most appropriate to evaluate the relationship between nasopharyngeal cancer
and exposure to wood products? - correct answer -Case control study.
What is the strongest study design to evaluate the efficacy of yoga for patients with ADHD? - correct
answer -Randomized clinical trial.
, What was the smoking history of the 56-year-old man with a lesion on his tongue? - correct answer -A
60 pack-year history.
What did the 56-year-old man refuse after counseling regarding his tongue lesion? - correct answer -
Further evaluation of the lesion.
What is the main concern of the 56-year-old man regarding his treatment options? - correct answer -
He does not want 'a bunch of doctors messing' with him.
What is the significance of a p-value of 0.049 in the hypertension study? - correct answer -It indicates
that the results are statistically significant, with a less than 5% probability that the results are due to
chance.
In the study evaluating combination therapy for hypertension, what was the control treatment? -
correct answer -Hydrochlorothiazide alone.
What type of study design is a randomized clinical trial? - correct answer -A study design that randomly
assigns participants to treatment or control groups to evaluate the efficacy of interventions.
What is the purpose of a case control study? - correct answer -To compare individuals with a specific
condition to those without the condition to identify potential risk factors.
What does the term 'cross-sectional study' refer to? - correct answer -A study design that analyzes
data from a population at a specific point in time.
What is the role of a cohort study in medical research? - correct answer -To follow a group of
individuals over time to assess the effects of certain exposures on outcomes.
What is the primary focus of an ecological study? - correct answer -To examine the relationships
between environmental factors and health outcomes at a population level.
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026|2027 Q&A |
Instant Download Pdf
What symptoms did the 22-year-old woman present with during her office visit? - correct answer -
Abdominal pain and bloating relieved by defecation.
What physical examination finding would support the diagnosis for the woman with abdominal pain?
- correct answer -Tender points on the anterior intercostal spaces of ribs 4-7.
What were the vital signs of the 26-year-old man presenting with respiratory symptoms? - correct
answer -Temperature of 37.0°C (98.6°F) and heart rate of 74/min.
What physical examination findings were noted in the 26-year-old man? - correct answer -Normal
tympanic membranes, nasal congestion, clear lung sounds.
What is the thoracic dysfunction noted in the 26-year-old man? - correct answer -Inhalation
dysfunction at rib 1 on the left.
What is the position of the thoracic spine (TS) in the patient with thoracic dysfunction? - correct
answer -Extended, rotated left, sidebent left.
What technique is used to treat the thoracic dysfunction in the 26-year-old man? - correct answer -
Muscle energy using postisometric relaxation.
In treating the thoracic dysfunction, what should the activating force move TS into? - correct answer -
Neutral with left rotation and right sidebending.
,What symptoms did the 25-year-old man present with regarding his back pain? - correct answer -Sharp
right low back pain and anterior thigh pain.
What posture was noted in the 25-year-old man during examination? - correct answer -Leaning
forward and to the right with pelvic sideshift left.
What hip motion was restricted in the 25-year-old man, reproducing his pain? - correct answer -Hip
extension.
Which vertebral level is most likely to have somatic dysfunction in the 25-year-old man? - correct
answer -L4.
What symptoms did the 56-year-old woman present with in her left hand? - correct answer -
Numbness, tingling, and pain.
What surgical history is relevant for the 56-year-old woman? - correct answer -Surgical repair for a left
shoulder dislocation sustained 3 years ago.
What is the significance of the patient's history of falling from a horse? - correct answer -It may relate
to her current symptoms of numbness and pain in the left hand.
What physical examination finding indicates decreased sensation in the left hand? - correct answer -
Decreased sensation on the palmar aspect and first 3 digits of the left hand.
What was the muscle strength in the upper extremities during the examination? - correct answer -5/5
on the right and 4/5 on the left.
What were the deep tendon reflexes like in this patient? - correct answer -Intact deep tendon reflexes
bilaterally.
What restriction was noted in the left elbow? - correct answer -Restricted supination of the left elbow.
,What osteopathic restriction improved with flexion? - correct answer -OA restriction in translation to
the right.
Where was the tender point located in the cervical spine? - correct answer -At the anterolateral aspect
of the anterior tubercle of the left C2 transverse process.
What is the primary outcome measure in the Alzheimer's disease study? - correct answer -The
classification of a patient as showing progression or no progression of disease as measured by a
standard neuropsychological test of memory.
How many patients showed progression with the experimental drug in the Alzheimer's study? - correct
answer -50 patients.
What is the total number of patients in the Alzheimer's study? - correct answer -240 patients.
What calculation would best determine how many patients need to be treated for one successful
outcome in the Alzheimer's study? - correct answer -[50/(50 + 70)] / [75/(75 + 45)]
What was the reduction in systolic blood pressure with combination therapy compared to
hydrochlorothiazide alone? - correct answer -25 mmHg (95% CI = 15-35 mmHg, p = 0.049).
What conclusion can be drawn from the study comparing combination therapy to hydrochlorothiazide
alone? - correct answer -There is an approximate 5% probability that the decrease in systolic blood
pressure was due to chance.
Which study design is most appropriate to evaluate the relationship between nasopharyngeal cancer
and exposure to wood products? - correct answer -Case control study.
What is the strongest study design to evaluate the efficacy of yoga for patients with ADHD? - correct
answer -Randomized clinical trial.
, What was the smoking history of the 56-year-old man with a lesion on his tongue? - correct answer -A
60 pack-year history.
What did the 56-year-old man refuse after counseling regarding his tongue lesion? - correct answer -
Further evaluation of the lesion.
What is the main concern of the 56-year-old man regarding his treatment options? - correct answer -
He does not want 'a bunch of doctors messing' with him.
What is the significance of a p-value of 0.049 in the hypertension study? - correct answer -It indicates
that the results are statistically significant, with a less than 5% probability that the results are due to
chance.
In the study evaluating combination therapy for hypertension, what was the control treatment? -
correct answer -Hydrochlorothiazide alone.
What type of study design is a randomized clinical trial? - correct answer -A study design that randomly
assigns participants to treatment or control groups to evaluate the efficacy of interventions.
What is the purpose of a case control study? - correct answer -To compare individuals with a specific
condition to those without the condition to identify potential risk factors.
What does the term 'cross-sectional study' refer to? - correct answer -A study design that analyzes
data from a population at a specific point in time.
What is the role of a cohort study in medical research? - correct answer -To follow a group of
individuals over time to assess the effects of certain exposures on outcomes.
What is the primary focus of an ecological study? - correct answer -To examine the relationships
between environmental factors and health outcomes at a population level.
