COMSAE PHASE 1 EXAM QUESTIONS AND
ANSWERS|REVISION|
chlamydia - ✔✔vaginal discharge in a pregnant woman that is clear or blood-tinged; boyfriend
has it too. Mucopurulent cervical discharge, nothing on gram stain
developmental delay on dominant hand side (functional scoliosis) - ✔✔hump on back resolves
with sidebending
compress through elbow to rib 1 - ✔✔inhalation rib dysfunction at rib on left
scald burns caused by hot steam - ✔✔most common burns in children presenting to emergency
endovascular repair - ✔✔abdominal mass, severe COPD, pulsatile mass
needle decompression - tension pneumothorax - ✔✔distended neck veins, midline trachea,
bruising on left chest wall, hyperresonance on left on percussion
MRI of brain - ✔✔elderly man with delirium, fluent speech, no comprehension, decreased visual
threat in right visual field
doxycycline - ✔✔high temp, vet with rash on ankles and wrists (macular petechiae), decreased
lung resonance
obtain immediate surgical consultation and prepare for surgery - ✔✔sharp achy pain on deep
breath, peptic ulcer disease, diffuse tenderness, hypoactive bowel sounds
giardia lamblia - ✔✔daycare, watery diarrhea and abdominal pain
, ITP - ✔✔after viral infection, low platelets
NTT - ✔✔1 / (a / (a + b) - c / (c + d)); number needed to treat
T12 flexed, rotated left, sidebent left - ✔✔swinging face shorter on left, slight forward bending,
right pelvic shift
cytomegalovirus - ✔✔mild exudate on tonsils, fever, macular rash on trunk
OA - ✔✔superior innominate muscle energy, supine, right hip abducted and extended; renal
parasympathetics originate here
C6, thumb and index finger - ✔✔wrist extension equivalent dermatome
CMV retinitis - ✔✔opaque patches, hemorrhagic necrosis of retina
bronchiolitis - ✔✔child with runny nose, noisy breathing, no nasal flaring, no grunting
candida - ✔✔white exudate on tongue that scrapes off, petechial hemorrhage
congenital syphilis - ✔✔neonate with hearing issues, interstitial keratitis, decreased nasal bridge,
cylindrical upper dentures
case control - ✔✔retrospective evaluation
measles - ✔✔rash, Koplik spots, fever, coryza, conjunctivitis in child
bronchoscopy - ✔✔hilar mass 5 cm, suspecting cancer
ANSWERS|REVISION|
chlamydia - ✔✔vaginal discharge in a pregnant woman that is clear or blood-tinged; boyfriend
has it too. Mucopurulent cervical discharge, nothing on gram stain
developmental delay on dominant hand side (functional scoliosis) - ✔✔hump on back resolves
with sidebending
compress through elbow to rib 1 - ✔✔inhalation rib dysfunction at rib on left
scald burns caused by hot steam - ✔✔most common burns in children presenting to emergency
endovascular repair - ✔✔abdominal mass, severe COPD, pulsatile mass
needle decompression - tension pneumothorax - ✔✔distended neck veins, midline trachea,
bruising on left chest wall, hyperresonance on left on percussion
MRI of brain - ✔✔elderly man with delirium, fluent speech, no comprehension, decreased visual
threat in right visual field
doxycycline - ✔✔high temp, vet with rash on ankles and wrists (macular petechiae), decreased
lung resonance
obtain immediate surgical consultation and prepare for surgery - ✔✔sharp achy pain on deep
breath, peptic ulcer disease, diffuse tenderness, hypoactive bowel sounds
giardia lamblia - ✔✔daycare, watery diarrhea and abdominal pain
, ITP - ✔✔after viral infection, low platelets
NTT - ✔✔1 / (a / (a + b) - c / (c + d)); number needed to treat
T12 flexed, rotated left, sidebent left - ✔✔swinging face shorter on left, slight forward bending,
right pelvic shift
cytomegalovirus - ✔✔mild exudate on tonsils, fever, macular rash on trunk
OA - ✔✔superior innominate muscle energy, supine, right hip abducted and extended; renal
parasympathetics originate here
C6, thumb and index finger - ✔✔wrist extension equivalent dermatome
CMV retinitis - ✔✔opaque patches, hemorrhagic necrosis of retina
bronchiolitis - ✔✔child with runny nose, noisy breathing, no nasal flaring, no grunting
candida - ✔✔white exudate on tongue that scrapes off, petechial hemorrhage
congenital syphilis - ✔✔neonate with hearing issues, interstitial keratitis, decreased nasal bridge,
cylindrical upper dentures
case control - ✔✔retrospective evaluation
measles - ✔✔rash, Koplik spots, fever, coryza, conjunctivitis in child
bronchoscopy - ✔✔hilar mass 5 cm, suspecting cancer
