COMSAE Phase 1 Form 114
Exam QUESTIONS AND
VERIFIED ACCURATE
SOLUTION (DETAILED &
ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1.
A 19-year-old college student presents with fever, headache,
photophobia, and neck stiffness. Lumbar puncture demonstrates
increased opening pressure, neutrophilic predominance, decreased
glucose, and elevated protein.
Which organism is the most likely cause?
A. Listeria monocytogenes
B. Streptococcus pneumoniae
C. Neisseria meningitidis
D. Haemophilus influenzae
E. Escherichia coli
Answer: C. Neisseria meningitidis
Rationale: Young adults living in close quarters are at highest risk for
meningococcal meningitis. CSF findings are consistent with bacterial
meningitis.
,2.
A patient has elevated PTH, elevated calcium, decreased phosphate,
and nephrolithiasis.
Which diagnosis is most likely?
A. Secondary hyperparathyroidism
B. Primary hyperparathyroidism
C. Vitamin D deficiency
D. Renal failure
E. Pseudohypoparathyroidism
Answer: B. Primary hyperparathyroidism
Rationale: Primary hyperparathyroidism produces hypercalcemia,
hypophosphatemia, kidney stones, and elevated PTH.
3.
A child has recurrent catalase-positive bacterial infections and absent
NADPH oxidase activity.
Which disorder is present?
A. Leukocyte adhesion deficiency
B. Chronic granulomatous disease
C. Chediak-Higashi syndrome
D. SCID
E. Bruton agammaglobulinemia
Answer: B. Chronic granulomatous disease
, Rationale: CGD results from NADPH oxidase deficiency leading to
impaired respiratory burst.
4.
A woman develops tremor, weight loss, heat intolerance, and
exophthalmos.
Which antibody is responsible?
A. Anti-thyroglobulin
B. Anti-TPO
C. Thyroid-stimulating immunoglobulin
D. Anti-insulin receptor
E. Anti-centromere
Answer: C. Thyroid-stimulating immunoglobulin
Rationale: Graves disease is mediated by IgG antibodies stimulating
the TSH receptor.
5.
A patient experiences crushing substernal chest pain. Troponin I
begins rising several hours later.
Which biomarker rises first after myocardial injury?
A. Troponin I
B. CK-MB
C. Myoglobin
D. LDH
E. AST
Exam QUESTIONS AND
VERIFIED ACCURATE
SOLUTION (DETAILED &
ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1.
A 19-year-old college student presents with fever, headache,
photophobia, and neck stiffness. Lumbar puncture demonstrates
increased opening pressure, neutrophilic predominance, decreased
glucose, and elevated protein.
Which organism is the most likely cause?
A. Listeria monocytogenes
B. Streptococcus pneumoniae
C. Neisseria meningitidis
D. Haemophilus influenzae
E. Escherichia coli
Answer: C. Neisseria meningitidis
Rationale: Young adults living in close quarters are at highest risk for
meningococcal meningitis. CSF findings are consistent with bacterial
meningitis.
,2.
A patient has elevated PTH, elevated calcium, decreased phosphate,
and nephrolithiasis.
Which diagnosis is most likely?
A. Secondary hyperparathyroidism
B. Primary hyperparathyroidism
C. Vitamin D deficiency
D. Renal failure
E. Pseudohypoparathyroidism
Answer: B. Primary hyperparathyroidism
Rationale: Primary hyperparathyroidism produces hypercalcemia,
hypophosphatemia, kidney stones, and elevated PTH.
3.
A child has recurrent catalase-positive bacterial infections and absent
NADPH oxidase activity.
Which disorder is present?
A. Leukocyte adhesion deficiency
B. Chronic granulomatous disease
C. Chediak-Higashi syndrome
D. SCID
E. Bruton agammaglobulinemia
Answer: B. Chronic granulomatous disease
, Rationale: CGD results from NADPH oxidase deficiency leading to
impaired respiratory burst.
4.
A woman develops tremor, weight loss, heat intolerance, and
exophthalmos.
Which antibody is responsible?
A. Anti-thyroglobulin
B. Anti-TPO
C. Thyroid-stimulating immunoglobulin
D. Anti-insulin receptor
E. Anti-centromere
Answer: C. Thyroid-stimulating immunoglobulin
Rationale: Graves disease is mediated by IgG antibodies stimulating
the TSH receptor.
5.
A patient experiences crushing substernal chest pain. Troponin I
begins rising several hours later.
Which biomarker rises first after myocardial injury?
A. Troponin I
B. CK-MB
C. Myoglobin
D. LDH
E. AST
