COMSAE PHASE 1 (ASA 116) LEVEL 1 EXAM LATEST 2026/2027
COMPLETE ACCURATE TEST APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |ACTUAL COMSAE PHASE 1 (ASA 116)
LEVEL 1 EXAM |JUST RELEASED
1. A 45-year-old male presents with sudden-onset severe tearing chest pain
radiating to the back. Blood pressure is 150/90 in the right arm and 100/60 in
the left arm. Which of the following is the most likely diagnosis?
A. Myocardial infarction
B. Pulmonary embolism
C. Acute pericarditis
D. Aortic dissection CORRECT ANSWER
2. Which cranial nerve is responsible for the afferent limb of the gag reflex?
A. CN V
B. CN IX CORRECT ANSWER
C. CN X
D. CN VII
3. A patient has a positive McBurney’s point tenderness. Which condition is
most likely?
A. Cholecystitis
B. Pancreatitis
C. Appendicitis CORRECT ANSWER
D. Diverticulitis
4. Which of the following is the primary mechanism of action of amoxicillin?
A. Inhibition of bacterial cell wall synthesis CORRECT ANSWER
B. Inhibition of protein synthesis
C. Inhibition of folic acid synthesis
D. Disruption of cell membrane function
,5. A 28-year-old woman presents with weight loss, heat intolerance, and
palpitations. Labs show low TSH, high free T4. Which antibody is most likely
positive?
A. Anti-dsDNA
B. Anti-Jo-1
C. Thyroid-stimulating immunoglobulin (TSI) CORRECT ANSWER
D. Anti-centromere
6. Which of the following best describes the ribosome binding site in
prokaryotes?
A. Kozak sequence
B. Shine-Dalgarno sequence CORRECT ANSWER
C. TATA box
D. Poly-A tail
7. A 60-year-old male has a positive Romberg sign. This indicates dysfunction
of which pathway?
A. Dorsal column-medial lemniscus CORRECT ANSWER
B. Spinothalamic tract
C. Corticospinal tract
D. Spinocerebellar tract
8. Which of the following is the most common cause of community-acquired
pneumonia in young adults?
A. Haemophilus influenzae
B. Staphylococcus aureus
C. Mycoplasma pneumoniae CORRECT ANSWER
D. Klebsiella pneumoniae
, 9. A patient with chronic alcoholism presents with confusion, nystagmus, and
ataxia. Which vitamin deficiency is most likely?
A. Vitamin B12
B. Thiamine (B1) CORRECT ANSWER
C. Vitamin C
D. Niacin (B3)
10. Which layer of the epidermis contains cells with keratohyalin granules?
A. Stratum spinosum
B. Stratum granulosum CORRECT ANSWER
C. Stratum lucidum
D. Stratum basale
11. In a patient with an acute exacerbation of asthma, which of the following
is an early finding on pulmonary function tests?
A. Decreased FEV1/FVC ratio CORRECT ANSWER
B. Increased FEV1/FVC ratio
C. Increased total lung capacity
D. Normal FEV1/FVC ratio
12. A 55-year-old smoker presents with hemoptysis and weight loss. Chest X-
ray shows a hilar mass. Which finding on physical exam is most associated
with this condition?
A. Horner syndrome CORRECT ANSWER
B. Flapping tremor
C. Clubbing
D. Crackles in both lung bases
COMPLETE ACCURATE TEST APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |ACTUAL COMSAE PHASE 1 (ASA 116)
LEVEL 1 EXAM |JUST RELEASED
1. A 45-year-old male presents with sudden-onset severe tearing chest pain
radiating to the back. Blood pressure is 150/90 in the right arm and 100/60 in
the left arm. Which of the following is the most likely diagnosis?
A. Myocardial infarction
B. Pulmonary embolism
C. Acute pericarditis
D. Aortic dissection CORRECT ANSWER
2. Which cranial nerve is responsible for the afferent limb of the gag reflex?
A. CN V
B. CN IX CORRECT ANSWER
C. CN X
D. CN VII
3. A patient has a positive McBurney’s point tenderness. Which condition is
most likely?
A. Cholecystitis
B. Pancreatitis
C. Appendicitis CORRECT ANSWER
D. Diverticulitis
4. Which of the following is the primary mechanism of action of amoxicillin?
A. Inhibition of bacterial cell wall synthesis CORRECT ANSWER
B. Inhibition of protein synthesis
C. Inhibition of folic acid synthesis
D. Disruption of cell membrane function
,5. A 28-year-old woman presents with weight loss, heat intolerance, and
palpitations. Labs show low TSH, high free T4. Which antibody is most likely
positive?
A. Anti-dsDNA
B. Anti-Jo-1
C. Thyroid-stimulating immunoglobulin (TSI) CORRECT ANSWER
D. Anti-centromere
6. Which of the following best describes the ribosome binding site in
prokaryotes?
A. Kozak sequence
B. Shine-Dalgarno sequence CORRECT ANSWER
C. TATA box
D. Poly-A tail
7. A 60-year-old male has a positive Romberg sign. This indicates dysfunction
of which pathway?
A. Dorsal column-medial lemniscus CORRECT ANSWER
B. Spinothalamic tract
C. Corticospinal tract
D. Spinocerebellar tract
8. Which of the following is the most common cause of community-acquired
pneumonia in young adults?
A. Haemophilus influenzae
B. Staphylococcus aureus
C. Mycoplasma pneumoniae CORRECT ANSWER
D. Klebsiella pneumoniae
, 9. A patient with chronic alcoholism presents with confusion, nystagmus, and
ataxia. Which vitamin deficiency is most likely?
A. Vitamin B12
B. Thiamine (B1) CORRECT ANSWER
C. Vitamin C
D. Niacin (B3)
10. Which layer of the epidermis contains cells with keratohyalin granules?
A. Stratum spinosum
B. Stratum granulosum CORRECT ANSWER
C. Stratum lucidum
D. Stratum basale
11. In a patient with an acute exacerbation of asthma, which of the following
is an early finding on pulmonary function tests?
A. Decreased FEV1/FVC ratio CORRECT ANSWER
B. Increased FEV1/FVC ratio
C. Increased total lung capacity
D. Normal FEV1/FVC ratio
12. A 55-year-old smoker presents with hemoptysis and weight loss. Chest X-
ray shows a hilar mass. Which finding on physical exam is most associated
with this condition?
A. Horner syndrome CORRECT ANSWER
B. Flapping tremor
C. Clubbing
D. Crackles in both lung bases
