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COMSAE 110 EXAM LEVEL 1–2 QUESTION SET
UPDATED 2025–2026 WITH ALL NEW
QUESTIONS AND EXACTLY RIGHT ANSWERS |
A+ QUALITY GUARANTEE
COMSAE 110-style block:
Mixed disciplines
Clinical vignettes
OMM-integration
systems-based
clinical
1.
A 23-year-old woman presents with fever, right flank pain, and dysuria. CVA
tenderness is present. UA shows WBC casts. The most likely diagnosis is:
A. Cystitis
B. Pyelonephritis
C. Interstitial nephritis
D. Urethritis
Answer: B
2.
A newborn has a continuous “machinery-like” heart murmur. Which fetal structure
failed to close?
A. Foramen ovale
B. Ductus arteriosus
C. Ductus venosus
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D. Umbilical vein
Answer: B
3.
A patient with COPD is started on high-flow oxygen. Shortly after, he becomes
drowsy. What mechanism explains this?
A. Cerebral hypoxia
B. Hypoxic drive suppression
C. Increased hemoglobin affinity
D. Metabolic acidosis
Answer: B
4.
A 17-year-old sprinter presents with lateral knee pain. Ober test is positive. Most
likely structure involved?
A. ACL
B. PCL
C. IT band
D. Medial meniscus
Answer: C
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5.
A 51-year-old diabetic has burning foot pain. Decreased vibration sense is noted.
What fibers are affected?
A. A-alpha
B. A-delta
C. C fibers
D. Ia fibers
Answer: C
6.
A fracture of the surgical neck of the humerus injures which nerve?
A. Radial
B. Axillary
C. Ulnar
D. Musculocutaneous
Answer: B
7.
A 45-year-old has RUQ pain after fatty meals. US shows gallstones. What is the
most likely cause?
A. Increased bile acids
B. Increased cholesterol
C. Decreased bilirubin
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D. Increased phospholipids
Answer: B
8.
A patient has chapman reflex at the right 5th intercostal space. This is associated
with dysfunction of which organ?
A. Stomach
B. Liver
C. Pancreas
D. Gallbladder
Answer: D
9.
A 33-year-old presents with heat intolerance and weight loss. TSH is decreased, T4
elevated. Diagnosis?
A. Primary hypothyroidism
B. Secondary hypothyroidism
C. Primary hyperthyroidism
D. Sick euthyroid
Answer: C
COMSAE 110 EXAM LEVEL 1–2 QUESTION SET
UPDATED 2025–2026 WITH ALL NEW
QUESTIONS AND EXACTLY RIGHT ANSWERS |
A+ QUALITY GUARANTEE
COMSAE 110-style block:
Mixed disciplines
Clinical vignettes
OMM-integration
systems-based
clinical
1.
A 23-year-old woman presents with fever, right flank pain, and dysuria. CVA
tenderness is present. UA shows WBC casts. The most likely diagnosis is:
A. Cystitis
B. Pyelonephritis
C. Interstitial nephritis
D. Urethritis
Answer: B
2.
A newborn has a continuous “machinery-like” heart murmur. Which fetal structure
failed to close?
A. Foramen ovale
B. Ductus arteriosus
C. Ductus venosus
,2|Page
D. Umbilical vein
Answer: B
3.
A patient with COPD is started on high-flow oxygen. Shortly after, he becomes
drowsy. What mechanism explains this?
A. Cerebral hypoxia
B. Hypoxic drive suppression
C. Increased hemoglobin affinity
D. Metabolic acidosis
Answer: B
4.
A 17-year-old sprinter presents with lateral knee pain. Ober test is positive. Most
likely structure involved?
A. ACL
B. PCL
C. IT band
D. Medial meniscus
Answer: C
,3|Page
5.
A 51-year-old diabetic has burning foot pain. Decreased vibration sense is noted.
What fibers are affected?
A. A-alpha
B. A-delta
C. C fibers
D. Ia fibers
Answer: C
6.
A fracture of the surgical neck of the humerus injures which nerve?
A. Radial
B. Axillary
C. Ulnar
D. Musculocutaneous
Answer: B
7.
A 45-year-old has RUQ pain after fatty meals. US shows gallstones. What is the
most likely cause?
A. Increased bile acids
B. Increased cholesterol
C. Decreased bilirubin
, 4|Page
D. Increased phospholipids
Answer: B
8.
A patient has chapman reflex at the right 5th intercostal space. This is associated
with dysfunction of which organ?
A. Stomach
B. Liver
C. Pancreas
D. Gallbladder
Answer: D
9.
A 33-year-old presents with heat intolerance and weight loss. TSH is decreased, T4
elevated. Diagnosis?
A. Primary hypothyroidism
B. Secondary hypothyroidism
C. Primary hyperthyroidism
D. Sick euthyroid
Answer: C
