COMSAE 111Prep Material Newest
2025/2026 Complete Questions And
Correct Answers (Verified
Answers)|Brand New Version!
Mandibular fracture, nerve that carries the pain sensation is the -
✔✔ANSW✔✔,,,..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 - ✔✔ANSW✔✔,,,..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 -
✔✔ANSW✔✔,,,..Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
42 yr old presents w/ 1 day history of odynophagia, chest pain, fever,
nausea, vomiting. Bone marrow transplant occurred 1 week ago. Deep
ulcers in the distal ½ of the esophagus are present. Multinucleated giant
cells and prominent intranuclear Cowdry type A inclusion bodies are
,present. DX - ✔✔ANSW✔✔,,,..herpesvirus type1. HSV creates deep
discrete ulcers. VZV creates shallow ulcers and vesicular rash.
43 yr old man presents to the office with 2 week history of fever, dyspnea,
dry hacking couch. Farmer that has the same sx every year after he takes
in the hay. Sputum sample is positive for environmental mold. Which is
the following mechanism most likely occurring -
✔✔ANSW✔✔,,,..deposition of immune complexes in the lungs.
Thermophilic actinomyces. Type 3 HSN.
Man presents to the office with complaint of dizziness when he stands up.
PMH symptomatic BPH which he takes terazosin (alpha-1 adrenergic
antagonist that relaxes smooth muscles) for. Most common cause of
dizziness is - ✔✔ANSW✔✔,,,..impaired responsiveness of sympathetic
vasculature. Terazosin inhibits sympathetic vasoconstriction in the
periphery resulting in decreased vascular tone=dizzy.
70 yr old Man presents for an annual visit and reports 25 pack history for
smoking. He quit 15 years ago. What screening should you offer -
✔✔ANSW✔✔,,,..abdominal aortic aneurysm. Don't screen for
asymptomatic CAD, always screen for AAA if they are 65-75 who have ever
smoked.
2yr old has 2 week history of vomiting and contipatio. Appears pale and in
distress. Lab studies reveal hemoglobin low and serum lead level high. TX
is - ✔✔ANSW✔✔,,,..sodium edetate. Ferrous sulfate would be to correct
iron deficiency anemia in a small child.
53 yr old women presents with polyuria. PMH T2DM. Consumes 15 L of
water daily to cleanse toxins in her system. Labs show sodium
↓,creatinine ↑, BUN normal. Most likely cause - ✔✔ANSW✔✔,,,..osmotic
, suppression of vasopressin release. primary polydipsia (compulsive water
drinking), leading to osmotic suppression of vasopressin.
47 yr old man has 6 month history of anxiety. He is employed as a taxi
driver. Anxiety doesn't fluctuate through the day. Tx is -
✔✔ANSW✔✔,,,..buspirone (5-HT1A partial agonist) "bus drivers take
buspirone" , benzos are too sedating.
18 yr old women presents with 3 day history of yellow sclerae. She is
anxious about the appearance. Her hepatic bilirubin UDP
glucuronosyltransferase activity is 30% normal. Recommendation should
be - ✔✔ANSW✔✔,,,..avoid worrying because her condition is benign.
Gilbert Syndrome.
32 yr old man is brought to ED in a disoriented and extremely agitated
state. He is restrained after several attempt to bite first responders. He is
vomiting, hallucinations, not oriented to time or place. Physical exam
reveals several extremely painful bite marks which have been cleaned by
the patient. His companion reports that the injuries occurred when he was
attacked by a raccoon 3 weeks ago. Cytoplasmic inclusion bodies(Negri
bodies) associated with this patients disorder are most likely to be found
in - ✔✔ANSW✔✔,,,..the hippocampus. Rabies. Neurotopic RNA virus that
infects the hippocampal pyramidal neurons that lead to hallucinations
and cerebellum for motor ataxia.
13 yr old boy is brought to the office for visible breast growth. Breast size
is 3cm and symmetrical and a ridge of glandular tissue can be palpated
around the nipple areolar complex. The patient has -
✔✔ANSW✔✔,,,..normal pubertal development. transient imbalance of
estrogen > androgens, appears around Tanner stage 2-4. Palpable
subareolar tissue = true gynecomastia.
2025/2026 Complete Questions And
Correct Answers (Verified
Answers)|Brand New Version!
Mandibular fracture, nerve that carries the pain sensation is the -
✔✔ANSW✔✔,,,..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 - ✔✔ANSW✔✔,,,..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 -
✔✔ANSW✔✔,,,..Galphas mediated signaling.
Pseudohypoparathyroidism type 1a (PHP1A).
42 yr old presents w/ 1 day history of odynophagia, chest pain, fever,
nausea, vomiting. Bone marrow transplant occurred 1 week ago. Deep
ulcers in the distal ½ of the esophagus are present. Multinucleated giant
cells and prominent intranuclear Cowdry type A inclusion bodies are
,present. DX - ✔✔ANSW✔✔,,,..herpesvirus type1. HSV creates deep
discrete ulcers. VZV creates shallow ulcers and vesicular rash.
43 yr old man presents to the office with 2 week history of fever, dyspnea,
dry hacking couch. Farmer that has the same sx every year after he takes
in the hay. Sputum sample is positive for environmental mold. Which is
the following mechanism most likely occurring -
✔✔ANSW✔✔,,,..deposition of immune complexes in the lungs.
Thermophilic actinomyces. Type 3 HSN.
Man presents to the office with complaint of dizziness when he stands up.
PMH symptomatic BPH which he takes terazosin (alpha-1 adrenergic
antagonist that relaxes smooth muscles) for. Most common cause of
dizziness is - ✔✔ANSW✔✔,,,..impaired responsiveness of sympathetic
vasculature. Terazosin inhibits sympathetic vasoconstriction in the
periphery resulting in decreased vascular tone=dizzy.
70 yr old Man presents for an annual visit and reports 25 pack history for
smoking. He quit 15 years ago. What screening should you offer -
✔✔ANSW✔✔,,,..abdominal aortic aneurysm. Don't screen for
asymptomatic CAD, always screen for AAA if they are 65-75 who have ever
smoked.
2yr old has 2 week history of vomiting and contipatio. Appears pale and in
distress. Lab studies reveal hemoglobin low and serum lead level high. TX
is - ✔✔ANSW✔✔,,,..sodium edetate. Ferrous sulfate would be to correct
iron deficiency anemia in a small child.
53 yr old women presents with polyuria. PMH T2DM. Consumes 15 L of
water daily to cleanse toxins in her system. Labs show sodium
↓,creatinine ↑, BUN normal. Most likely cause - ✔✔ANSW✔✔,,,..osmotic
, suppression of vasopressin release. primary polydipsia (compulsive water
drinking), leading to osmotic suppression of vasopressin.
47 yr old man has 6 month history of anxiety. He is employed as a taxi
driver. Anxiety doesn't fluctuate through the day. Tx is -
✔✔ANSW✔✔,,,..buspirone (5-HT1A partial agonist) "bus drivers take
buspirone" , benzos are too sedating.
18 yr old women presents with 3 day history of yellow sclerae. She is
anxious about the appearance. Her hepatic bilirubin UDP
glucuronosyltransferase activity is 30% normal. Recommendation should
be - ✔✔ANSW✔✔,,,..avoid worrying because her condition is benign.
Gilbert Syndrome.
32 yr old man is brought to ED in a disoriented and extremely agitated
state. He is restrained after several attempt to bite first responders. He is
vomiting, hallucinations, not oriented to time or place. Physical exam
reveals several extremely painful bite marks which have been cleaned by
the patient. His companion reports that the injuries occurred when he was
attacked by a raccoon 3 weeks ago. Cytoplasmic inclusion bodies(Negri
bodies) associated with this patients disorder are most likely to be found
in - ✔✔ANSW✔✔,,,..the hippocampus. Rabies. Neurotopic RNA virus that
infects the hippocampal pyramidal neurons that lead to hallucinations
and cerebellum for motor ataxia.
13 yr old boy is brought to the office for visible breast growth. Breast size
is 3cm and symmetrical and a ridge of glandular tissue can be palpated
around the nipple areolar complex. The patient has -
✔✔ANSW✔✔,,,..normal pubertal development. transient imbalance of
estrogen > androgens, appears around Tanner stage 2-4. Palpable
subareolar tissue = true gynecomastia.
