COMSAE Phase 2 Form 114i Exam
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A 62-year-old man presents with crushing substernal chest pain
radiating to his left arm for 45 minutes. ECG demonstrates ST-segment
elevation in leads II, III, and aVF. Which coronary artery is most likely
occluded?
A. Left anterior descending artery
B. Left circumflex artery
C. Right coronary artery
D. Obtuse marginal artery
Inferior wall myocardial infarctions classically produce ST elevations in
leads II, III, and aVF and are most commonly caused by occlusion of the
right coronary artery.
, 2. A 24-year-old woman develops heat intolerance, weight loss, tremor,
and palpitations. Laboratory studies reveal decreased TSH and
elevated free T4. What is the most likely diagnosis?
A. Hashimoto thyroiditis
B. Subacute thyroiditis
C. Toxic multinodular goiter
D. Graves disease
Graves disease is the most common cause of hyperthyroidism and results
from thyroid-stimulating immunoglobulins activating TSH receptors.
3. A child develops hematuria, edema, and hypertension two weeks after
streptococcal pharyngitis. Which finding is most likely present?
A. Anti-GBM antibodies
B. Subepithelial humps on electron microscopy
C. Linear immunofluorescence pattern
D. Absence of complement consumption
Poststreptococcal glomerulonephritis demonstrates subepithelial immune
complex deposits known as humps and is associated with low complement
levels.
4. A 68-year-old smoker presents with painless hematuria. Which
diagnosis should be considered first?
,A. Renal cell carcinoma
B. Benign prostatic hyperplasia
C. Nephrolithiasis
D. Urothelial carcinoma
Painless gross hematuria in an older smoker is highly suggestive of
urothelial carcinoma of the bladder.
5. A patient develops sudden unilateral facial paralysis involving the
forehead after a viral illness. What is the most likely diagnosis?
A. Stroke
B. Trigeminal neuralgia
C. Myasthenia gravis
D. Bell palsy
Bell palsy is a peripheral facial nerve palsy affecting the entire side of the
face, including the forehead.
6. A patient with chronic alcohol use develops confusion,
ophthalmoplegia, and ataxia. Which vitamin deficiency is responsible?
A. Vitamin B12
B. Niacin
C. Pyridoxine
D. Thiamine
, Wernicke encephalopathy results from thiamine deficiency and presents
with confusion, ophthalmoplegia, and ataxia.
7. A newborn develops respiratory distress shortly after birth. Chest
radiograph reveals diffuse ground-glass opacities. What is the
underlying cause?
A. Surfactant excess
B. Pulmonary hypoplasia
C. Airway obstruction
D. Surfactant deficiency
Neonatal respiratory distress syndrome results from inadequate surfactant
production, causing alveolar collapse.
8. A patient has severe epigastric pain radiating to the back with
elevated lipase levels. What is the most common cause of acute
pancreatitis in adults?
A. Hypercalcemia
B. Trauma
C. Gallstones
D. Scorpion sting
Gallstones and alcohol are the leading causes of acute pancreatitis, with
gallstones being the most common overall.
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A 62-year-old man presents with crushing substernal chest pain
radiating to his left arm for 45 minutes. ECG demonstrates ST-segment
elevation in leads II, III, and aVF. Which coronary artery is most likely
occluded?
A. Left anterior descending artery
B. Left circumflex artery
C. Right coronary artery
D. Obtuse marginal artery
Inferior wall myocardial infarctions classically produce ST elevations in
leads II, III, and aVF and are most commonly caused by occlusion of the
right coronary artery.
, 2. A 24-year-old woman develops heat intolerance, weight loss, tremor,
and palpitations. Laboratory studies reveal decreased TSH and
elevated free T4. What is the most likely diagnosis?
A. Hashimoto thyroiditis
B. Subacute thyroiditis
C. Toxic multinodular goiter
D. Graves disease
Graves disease is the most common cause of hyperthyroidism and results
from thyroid-stimulating immunoglobulins activating TSH receptors.
3. A child develops hematuria, edema, and hypertension two weeks after
streptococcal pharyngitis. Which finding is most likely present?
A. Anti-GBM antibodies
B. Subepithelial humps on electron microscopy
C. Linear immunofluorescence pattern
D. Absence of complement consumption
Poststreptococcal glomerulonephritis demonstrates subepithelial immune
complex deposits known as humps and is associated with low complement
levels.
4. A 68-year-old smoker presents with painless hematuria. Which
diagnosis should be considered first?
,A. Renal cell carcinoma
B. Benign prostatic hyperplasia
C. Nephrolithiasis
D. Urothelial carcinoma
Painless gross hematuria in an older smoker is highly suggestive of
urothelial carcinoma of the bladder.
5. A patient develops sudden unilateral facial paralysis involving the
forehead after a viral illness. What is the most likely diagnosis?
A. Stroke
B. Trigeminal neuralgia
C. Myasthenia gravis
D. Bell palsy
Bell palsy is a peripheral facial nerve palsy affecting the entire side of the
face, including the forehead.
6. A patient with chronic alcohol use develops confusion,
ophthalmoplegia, and ataxia. Which vitamin deficiency is responsible?
A. Vitamin B12
B. Niacin
C. Pyridoxine
D. Thiamine
, Wernicke encephalopathy results from thiamine deficiency and presents
with confusion, ophthalmoplegia, and ataxia.
7. A newborn develops respiratory distress shortly after birth. Chest
radiograph reveals diffuse ground-glass opacities. What is the
underlying cause?
A. Surfactant excess
B. Pulmonary hypoplasia
C. Airway obstruction
D. Surfactant deficiency
Neonatal respiratory distress syndrome results from inadequate surfactant
production, causing alveolar collapse.
8. A patient has severe epigastric pain radiating to the back with
elevated lipase levels. What is the most common cause of acute
pancreatitis in adults?
A. Hypercalcemia
B. Trauma
C. Gallstones
D. Scorpion sting
Gallstones and alcohol are the leading causes of acute pancreatitis, with
gallstones being the most common overall.
