,COMSAE PHASE 1 FORM 114 Actual EXAM – 176 QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
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VERIFIED | EXAM PREP | STUDY GUIDE | PRACTICE TEST
Original 176-Question COMLEX Level 1 / COMSAE-Style Practice Set
1. A group of lumbar vertebrae is neutral, sidebent left, rotated right. According to Fryette, this
is:
A) Type I
B) Type II
C) Type III
D) Normal
Answer: A. Type I. Neutral mechanics have sidebending and rotation in opposite directions.
2. Which sacral motion occurs with inhalation?
A) Counternutation
B) Nutation
C) Torsion
D) Shear
Answer: B. Nutation. Inhalation causes sacral flexion/nutation.
3. Chapman reflex for the stomach is located:
A) Anterior 5th ICS left
B) Anterior 6th ICS right
C) Posterior T10–T11 right
D) Posterior T5–T6 left
Answer: A. Stomach Chapman reflex is anterior left 5th ICS and posterior left T5–T6.
4. ST elevation in V1–V4 suggests occlusion of:
A) RCA
B) LCx
C) LAD
D) PDA
Answer: C. LAD. V1–V4 reflect anterior/septal wall.
5. Crescendo-decrescendo systolic murmur at right upper sternal border radiating to carotids:
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Answer: A. Aortic stenosis.
, 6. Which drug reduces mortality in HFrEF?
A) Verapamil
B) Carvedilol
C) Flecainide
D) Diltiazem
Answer: B. Carvedilol. Beta-blockers reduce mortality in HFrEF.
7. FEV1/FVC < 0.70 after bronchodilator suggests:
A) Asthma
B) COPD
C) Pulmonary fibrosis
D) PE
Answer: B. COPD.
8. Postoperative dyspnea, pleuritic chest pain, S1Q3T3:
A) MI
B) PE
C) Pneumothorax
D) Pericarditis
Answer: B. PE.
9. Reversible airflow obstruction is most consistent with:
A) COPD
B) Asthma
C) Fibrosis
D) Sarcoidosis
Answer: B. Asthma.
10. Burning epigastric pain that improves with food:
A) Gastric ulcer
B) Duodenal ulcer
C) GERD
D) Cholecystitis
Answer: B. Duodenal ulcer.
11. Most specific enzyme in acute pancreatitis:
A) ALT
B) Lipase
C) ALP
D) CK
Answer: B. Lipase.
12. Cirrhosis with confusion, asterixis, elevated ammonia:
A) Hepatic encephalopathy
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE | STUVIA
VERIFIED | EXAM PREP | STUDY GUIDE | PRACTICE TEST
Original 176-Question COMLEX Level 1 / COMSAE-Style Practice Set
1. A group of lumbar vertebrae is neutral, sidebent left, rotated right. According to Fryette, this
is:
A) Type I
B) Type II
C) Type III
D) Normal
Answer: A. Type I. Neutral mechanics have sidebending and rotation in opposite directions.
2. Which sacral motion occurs with inhalation?
A) Counternutation
B) Nutation
C) Torsion
D) Shear
Answer: B. Nutation. Inhalation causes sacral flexion/nutation.
3. Chapman reflex for the stomach is located:
A) Anterior 5th ICS left
B) Anterior 6th ICS right
C) Posterior T10–T11 right
D) Posterior T5–T6 left
Answer: A. Stomach Chapman reflex is anterior left 5th ICS and posterior left T5–T6.
4. ST elevation in V1–V4 suggests occlusion of:
A) RCA
B) LCx
C) LAD
D) PDA
Answer: C. LAD. V1–V4 reflect anterior/septal wall.
5. Crescendo-decrescendo systolic murmur at right upper sternal border radiating to carotids:
A) Aortic stenosis
B) Mitral regurgitation
C) Aortic regurgitation
D) Mitral stenosis
Answer: A. Aortic stenosis.
, 6. Which drug reduces mortality in HFrEF?
A) Verapamil
B) Carvedilol
C) Flecainide
D) Diltiazem
Answer: B. Carvedilol. Beta-blockers reduce mortality in HFrEF.
7. FEV1/FVC < 0.70 after bronchodilator suggests:
A) Asthma
B) COPD
C) Pulmonary fibrosis
D) PE
Answer: B. COPD.
8. Postoperative dyspnea, pleuritic chest pain, S1Q3T3:
A) MI
B) PE
C) Pneumothorax
D) Pericarditis
Answer: B. PE.
9. Reversible airflow obstruction is most consistent with:
A) COPD
B) Asthma
C) Fibrosis
D) Sarcoidosis
Answer: B. Asthma.
10. Burning epigastric pain that improves with food:
A) Gastric ulcer
B) Duodenal ulcer
C) GERD
D) Cholecystitis
Answer: B. Duodenal ulcer.
11. Most specific enzyme in acute pancreatitis:
A) ALT
B) Lipase
C) ALP
D) CK
Answer: B. Lipase.
12. Cirrhosis with confusion, asterixis, elevated ammonia:
A) Hepatic encephalopathy
