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COMSA Phase 1 Form 114 Practice Exam 
 
176 Questions and Answers | Detailed Rationales | Study Guide
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---34July 20262025/2026A+
- COMSA Phase 1 Form 114 Practice Exam 
 
176 Questions and Answers | Detailed Rationales | Study Guide 
 
 
 
Question 1 – Microbiology / Infectious Disease 
 
A 72-year-old male with a history of poorly controlled diabetes mellitus presents with a 2-day history of fever, chills, and productive cough. Sputum culture grows a gram-negative coccobacillus that produces a greenish pigment on blood agar. The organism is oxidase-positive and grows on MacConkey agar. Which virulence factor is most dire...
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