1|Page
COMSAE PHASE 1 FORM 113 EXAMINATION
COMPLETE VERIFIED QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR-JUST
RELEASED
a tracheostomy is performed. which of the following major
structures should be retracted before incising the trachea?
a. epiglottis b. esophagus c.larynx d.parathyroid gland e.
thyroid gland - Answer-Before incising the trachea during a
tracheostomy, it is important to retract the major structure
that lies anteriorly to the trachea. In this case, the structure
that needs to be retracted is the thyroid gland. Therefore,
the correct answer is option E: thyroid gland.
During a tracheostomy, the surgeon will make an incision
in the midline of the neck, and the thyroid gland, which is
located in the anterior neck, needs to be carefully
retracted to expose the trachea for the procedure. The
epiglottis (option A) is part of the larynx and is not directly
involved in the tracheostomy procedure. The esophagus
(option B) is located posteriorly to the trachea and does
not require retraction during the tracheostomy. The
parathyroid glands (option D) are small structures located
near the thyroid gland, but they do not need to be
retracted during a tracheostomy. The larynx (option C) is
the structure being accessed through the tracheostomy, so
it does not need to be retracted.
,2|Page
It is important to note that tracheostomy procedures
should be performed by trained healthcare professionals
with expertise in the technique to ensure patient safety
and proper execution of the procedure.
imaging studies reveal hematosalpinx. the patient's
examination findings most likely involve the. - Answer-
paramesonephric ducts
Paramesonephric (Mullerian) duct - Answer-develops into
female internal structures (fallopian tubes, uterus, upper
portion of vagina)
Mesonephric (Woffian) duct - Answer-develops into male
internal structures (except prostate)
Seminal Vesicle
Epididymis
Ejaculatory duct
ductus deferens
(SEED)
female remnant is gartner duct
, 3|Page
what are side effects of alpha blockers - Answer-
orthostatic hypotension
a 17 year old male presents to the office with a 3-week
history of progressive right elbow pain. questioning reveals
that the pain is much worse when he plays tennis, which
he does frequently as a member of the high school team.
examination reveals that the right radial head is posterior
and exquisitely tender. the patient also has pain with
resisted extension of the wrist. the mechanism of this
patient's conditon is a. capsulitis of the elbow b. capsulitis
of the glenohumeral joint c.inflammation of the biceps
d.inflammation of the origin of the wrist extensors e.
inflammation of the origin of the wrist flexors - Answer-
Based on the information provided, the most likely
mechanism of this patient's condition is option E:
inflammation of the origin of the wrist flexors. The history
of progressive right elbow pain exacerbated by playing
tennis, specifically with pain during resisted extension of
the wrist, suggests a condition known as "tennis elbow" or
lateral epicondylitis.
Lateral epicondylitis is an overuse injury that involves
inflammation of the common extensor tendon, which
originates from the lateral epicondyle of the humerus. The
COMSAE PHASE 1 FORM 113 EXAMINATION
COMPLETE VERIFIED QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR-JUST
RELEASED
a tracheostomy is performed. which of the following major
structures should be retracted before incising the trachea?
a. epiglottis b. esophagus c.larynx d.parathyroid gland e.
thyroid gland - Answer-Before incising the trachea during a
tracheostomy, it is important to retract the major structure
that lies anteriorly to the trachea. In this case, the structure
that needs to be retracted is the thyroid gland. Therefore,
the correct answer is option E: thyroid gland.
During a tracheostomy, the surgeon will make an incision
in the midline of the neck, and the thyroid gland, which is
located in the anterior neck, needs to be carefully
retracted to expose the trachea for the procedure. The
epiglottis (option A) is part of the larynx and is not directly
involved in the tracheostomy procedure. The esophagus
(option B) is located posteriorly to the trachea and does
not require retraction during the tracheostomy. The
parathyroid glands (option D) are small structures located
near the thyroid gland, but they do not need to be
retracted during a tracheostomy. The larynx (option C) is
the structure being accessed through the tracheostomy, so
it does not need to be retracted.
,2|Page
It is important to note that tracheostomy procedures
should be performed by trained healthcare professionals
with expertise in the technique to ensure patient safety
and proper execution of the procedure.
imaging studies reveal hematosalpinx. the patient's
examination findings most likely involve the. - Answer-
paramesonephric ducts
Paramesonephric (Mullerian) duct - Answer-develops into
female internal structures (fallopian tubes, uterus, upper
portion of vagina)
Mesonephric (Woffian) duct - Answer-develops into male
internal structures (except prostate)
Seminal Vesicle
Epididymis
Ejaculatory duct
ductus deferens
(SEED)
female remnant is gartner duct
, 3|Page
what are side effects of alpha blockers - Answer-
orthostatic hypotension
a 17 year old male presents to the office with a 3-week
history of progressive right elbow pain. questioning reveals
that the pain is much worse when he plays tennis, which
he does frequently as a member of the high school team.
examination reveals that the right radial head is posterior
and exquisitely tender. the patient also has pain with
resisted extension of the wrist. the mechanism of this
patient's conditon is a. capsulitis of the elbow b. capsulitis
of the glenohumeral joint c.inflammation of the biceps
d.inflammation of the origin of the wrist extensors e.
inflammation of the origin of the wrist flexors - Answer-
Based on the information provided, the most likely
mechanism of this patient's condition is option E:
inflammation of the origin of the wrist flexors. The history
of progressive right elbow pain exacerbated by playing
tennis, specifically with pain during resisted extension of
the wrist, suggests a condition known as "tennis elbow" or
lateral epicondylitis.
Lateral epicondylitis is an overuse injury that involves
inflammation of the common extensor tendon, which
originates from the lateral epicondyle of the humerus. The
