COMSAE PHASE 1 (ASA 115) 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 115)
LEVEL 1 EXAM |JUST RELEASED
COMSAE Phase 1 (ASA 115) – Level 1 Actual Exam
Total Questions: 100
Time Allowed: 3 hours
1. A 45-year-old male presents with acute onset of severe, tearing chest pain
radiating to the back. Blood pressure is 160/90 mm Hg in the right arm and 100/60
mm Hg in the left arm. Which of the following is the most appropriate next step?
A. Aspirin and clopidogrel
B. Immediate thrombolytics
C. Emergent surgical consultation – CORRECT ANSWER
D. Nitroglycerin and morphine
2. A 30-year-old woman complains of progressive proximal muscle weakness, rash
over the knuckles, and dysphagia. Which laboratory finding is most specific for
this condition?
A. Anti-Jo-1 antibodies – CORRECT ANSWER
B. Anti-dsDNA antibodies
C. Rheumatoid factor
D. Anticentromere antibodies
,3. During an osteopathic structural exam, a patient has a right posterior innominate
rotation. Which of the following physical findings is expected?
A. Right anterior superior iliac spine (ASIS) is superior relative to left
B. Right posterior superior iliac spine (PSIS) is inferior relative to left –
CORRECT ANSWER
C. Left ASIS is posterior
D. Right PSIS is superior
4. A 55-year-old smoker presents with hemoptysis, weight loss, and clubbing.
Chest X-ray shows a hilar mass. Which paraneoplastic syndrome is most likely to
cause hyponatremia in this patient?
A. Hypercalcemia
B. Cushing syndrome
C. Syndrome of inappropriate antidiuretic hormone (SIADH) – CORRECT
ANSWER
D. Lambert-Eaton syndrome
5. A 25-year-old man has sudden onset of scrotal pain and nausea. On exam, the
left testis is tender and horizontally oriented. Cremasteric reflex is absent. What is
the most appropriate management?
A. Antibiotics and scrotal elevation
B. Emergency surgical detorsion – CORRECT ANSWER
C. Doppler ultrasound first
D. Ice and NSAIDs
6. A patient with hypertension is started on hydrochlorothiazide. One week later,
she presents with weakness and confusion. ECG shows U waves. What is the most
likely electrolyte abnormality?
, A. Hyperkalemia
B. Hypokalemia – CORRECT ANSWER
C. Hypermagnesemia
D. Hypernatremia
7. A 65-year-old woman with osteoporosis takes alendronate weekly. She reports
new onset of severe heartburn and odynophagia. What is the most likely diagnosis?
A. Peptic ulcer disease
B. Esophagitis – CORRECT ANSWER
C. Gastric cancer
D. Achalasia
8. A 22-year-old medical student develops fever, sore throat, and
lymphadenopathy. Monospot test is positive. Which drug should be avoided in this
patient due to risk of rash?
A. Ampicillin – CORRECT ANSWER
B. Azithromycin
C. Doxycycline
D. Oseltamivir
9. A 60-year-old diabetic man presents with painless swelling of the right leg.
Ultrasound shows acute deep vein thrombosis. Which medication is
contraindicated in this patient due to history of heparin-induced thrombocytopenia?
A. Warfarin
B. Apixaban
C. Lepirudin – CORRECT ANSWER
D. Enoxaparin
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 115)
LEVEL 1 EXAM |JUST RELEASED
COMSAE Phase 1 (ASA 115) – Level 1 Actual Exam
Total Questions: 100
Time Allowed: 3 hours
1. A 45-year-old male presents with acute onset of severe, tearing chest pain
radiating to the back. Blood pressure is 160/90 mm Hg in the right arm and 100/60
mm Hg in the left arm. Which of the following is the most appropriate next step?
A. Aspirin and clopidogrel
B. Immediate thrombolytics
C. Emergent surgical consultation – CORRECT ANSWER
D. Nitroglycerin and morphine
2. A 30-year-old woman complains of progressive proximal muscle weakness, rash
over the knuckles, and dysphagia. Which laboratory finding is most specific for
this condition?
A. Anti-Jo-1 antibodies – CORRECT ANSWER
B. Anti-dsDNA antibodies
C. Rheumatoid factor
D. Anticentromere antibodies
,3. During an osteopathic structural exam, a patient has a right posterior innominate
rotation. Which of the following physical findings is expected?
A. Right anterior superior iliac spine (ASIS) is superior relative to left
B. Right posterior superior iliac spine (PSIS) is inferior relative to left –
CORRECT ANSWER
C. Left ASIS is posterior
D. Right PSIS is superior
4. A 55-year-old smoker presents with hemoptysis, weight loss, and clubbing.
Chest X-ray shows a hilar mass. Which paraneoplastic syndrome is most likely to
cause hyponatremia in this patient?
A. Hypercalcemia
B. Cushing syndrome
C. Syndrome of inappropriate antidiuretic hormone (SIADH) – CORRECT
ANSWER
D. Lambert-Eaton syndrome
5. A 25-year-old man has sudden onset of scrotal pain and nausea. On exam, the
left testis is tender and horizontally oriented. Cremasteric reflex is absent. What is
the most appropriate management?
A. Antibiotics and scrotal elevation
B. Emergency surgical detorsion – CORRECT ANSWER
C. Doppler ultrasound first
D. Ice and NSAIDs
6. A patient with hypertension is started on hydrochlorothiazide. One week later,
she presents with weakness and confusion. ECG shows U waves. What is the most
likely electrolyte abnormality?
, A. Hyperkalemia
B. Hypokalemia – CORRECT ANSWER
C. Hypermagnesemia
D. Hypernatremia
7. A 65-year-old woman with osteoporosis takes alendronate weekly. She reports
new onset of severe heartburn and odynophagia. What is the most likely diagnosis?
A. Peptic ulcer disease
B. Esophagitis – CORRECT ANSWER
C. Gastric cancer
D. Achalasia
8. A 22-year-old medical student develops fever, sore throat, and
lymphadenopathy. Monospot test is positive. Which drug should be avoided in this
patient due to risk of rash?
A. Ampicillin – CORRECT ANSWER
B. Azithromycin
C. Doxycycline
D. Oseltamivir
9. A 60-year-old diabetic man presents with painless swelling of the right leg.
Ultrasound shows acute deep vein thrombosis. Which medication is
contraindicated in this patient due to history of heparin-induced thrombocytopenia?
A. Warfarin
B. Apixaban
C. Lepirudin – CORRECT ANSWER
D. Enoxaparin
