COMSAE 111 EXAM 70 QUESTIONS & CORRECT
ANSWERS LATEST 2025
Mandibular fracture, nerve that carries the pain sensation is the - ANSWER-
inferior alveolar N. Lingual N. branches off earlier and provides sensation to
anterior 2/3 of tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall compromises -
ANSWER-vagal trunk (runs posterior to the esophagus). Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and
taking BP elicits carpal spasm. PT is short, stocky and shortened medial digits
(Albright Hereditary Osteodystrophy). Phosphate and cAMP don't respond to IV
PTH. The cause is decreased - ANSWER-Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via - ANSWER-inhalation if environmental aerosols (usually
HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting
or urinary incontinence. Most likely cause - ANSWER-idioventricular rhythm.
sudden drop in cerebral perfusion due pacemaker failure.
,50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks
alcohol. PMH hemorrhoids. Screening for him - ANSWER-colonoscopy. Should be
done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality - ANSWER-spina bifida occulta.
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -
2.1. Add calcium, vitamin D and what med - ANSWER-alendronate to prevent
osteoporosis (Inhibits osteoclast activity, reducing bone resorption -
bisphosphonate)
What is the Pearson correlation value for this data set? - ANSWER-correlation
close to 0.00.
78 yr old presents to office with 1 week history of lower abdominal pain and
urinary hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological agent - ANSWER-Enterococcus
faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - ANSWER-lichen
sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed
areas of the skin. Urine sample is reddish brown in appearance and pink under
fluorescent light. Elevated glucose, alanine aminotransferase, aspartate
, aminotransferase. What would be elevated - ANSWER-uroporphyrinogen III.
Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left.
Which additional muscle is diminished - ANSWER-abduction of the humerus.
Axillary n. C5-C6 (from the brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee
surgery 2 weeks ago w/ upper respiratory tract recently. PMH is on psych drug.
Mental status deteriorates and develops seizure. Low NA, Psych drug acts by -
ANSWER-inhibiting serotonin reuptake. Patient presents with serotonin syndrome
due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased
respiratory infections. DX - ANSWER-adenotonsilar hypertrophy. Enlarged tonsils
and adenoids more common in kids. Not cystic fibrosis b/c they would have lower
resp infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that
he is a cattle farmer who has recently been working in an enclosed hay storage
barn. His serum IgE level is normal. High serum precipitating antibody levels to
actinomycetes are present. Restrictive pattern and reducing diffusing capacity.
Multiple bilateral nodules sparing the apices and bases. DX - ANSWER-
hypersensitivity pneumonitis. (Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for -
ANSWER-conversion of dUMP to dTMP. (limits neural tube risk)
ANSWERS LATEST 2025
Mandibular fracture, nerve that carries the pain sensation is the - ANSWER-
inferior alveolar N. Lingual N. branches off earlier and provides sensation to
anterior 2/3 of tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD.
Nonpentrating mucosal tear of the posterior wall superior to the
gastroesophageal junction that continues to the esophageal wall compromises -
ANSWER-vagal trunk (runs posterior to the esophagus). Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and
taking BP elicits carpal spasm. PT is short, stocky and shortened medial digits
(Albright Hereditary Osteodystrophy). Phosphate and cAMP don't respond to IV
PTH. The cause is decreased - ANSWER-Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They
acquired the bacteria via - ANSWER-inhalation if environmental aerosols (usually
HVAC person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting
or urinary incontinence. Most likely cause - ANSWER-idioventricular rhythm.
sudden drop in cerebral perfusion due pacemaker failure.
,50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks
alcohol. PMH hemorrhoids. Screening for him - ANSWER-colonoscopy. Should be
done starting at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality - ANSWER-spina bifida occulta.
68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -
2.1. Add calcium, vitamin D and what med - ANSWER-alendronate to prevent
osteoporosis (Inhibits osteoclast activity, reducing bone resorption -
bisphosphonate)
What is the Pearson correlation value for this data set? - ANSWER-correlation
close to 0.00.
78 yr old presents to office with 1 week history of lower abdominal pain and
urinary hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological agent - ANSWER-Enterococcus
faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - ANSWER-lichen
sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed
areas of the skin. Urine sample is reddish brown in appearance and pink under
fluorescent light. Elevated glucose, alanine aminotransferase, aspartate
, aminotransferase. What would be elevated - ANSWER-uroporphyrinogen III.
Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left.
Which additional muscle is diminished - ANSWER-abduction of the humerus.
Axillary n. C5-C6 (from the brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee
surgery 2 weeks ago w/ upper respiratory tract recently. PMH is on psych drug.
Mental status deteriorates and develops seizure. Low NA, Psych drug acts by -
ANSWER-inhibiting serotonin reuptake. Patient presents with serotonin syndrome
due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased
respiratory infections. DX - ANSWER-adenotonsilar hypertrophy. Enlarged tonsils
and adenoids more common in kids. Not cystic fibrosis b/c they would have lower
resp infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that
he is a cattle farmer who has recently been working in an enclosed hay storage
barn. His serum IgE level is normal. High serum precipitating antibody levels to
actinomycetes are present. Restrictive pattern and reducing diffusing capacity.
Multiple bilateral nodules sparing the apices and bases. DX - ANSWER-
hypersensitivity pneumonitis. (Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for -
ANSWER-conversion of dUMP to dTMP. (limits neural tube risk)
