COMSAE 115 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
●● Basilar skull fracture
Answer: Characterized by 'Raccoon eyes' (periorbital ecchymosis), CSF
otorrhea, and Battle's sign.
●● G6PD deficiency
Answer: Identified by bite cells and Heinz bodies on blood smear,
hemolytic anemia after fava bean ingestion.
●● Thyroid storm
Answer: Occurs in a patient with hyperthyroidism who develops fever,
tachycardia, confusion, and vomiting after surgery.
●● Neural tube defect
Answer: Main concern with elevated AFP in a pregnant woman's
amniotic fluid (e.g., spina bifida).
●● Hereditary spherocytosis
Answer: Diagnosed with spherocytes, increased osmotic fragility, and
negative Coombs test.
, ●● Ankylosing spondylitis
Answer: Associated with HLA-B27 positivity, low back pain, and
uveitis.
●● Ulnar nerve
Answer: Affected in a patient with 'claw hand' deformity and loss of
sensation in the medial hand.
●● Left middle cerebral artery stroke
Answer: Causes sudden onset unilateral weakness, face droop, and
expressive aphasia affecting Broca's area.
●● Pyruvate kinase deficiency
Answer: Leads to impaired glycolysis and nonspherocytic hemolytic
anemia.
●● Granulosa cell tumor
Answer: Identified by 'soap bubble' appearance on ovarian tumor
histology.
●● Streptococcus pneumoniae
Answer: Most likely pathogen in a patient with fever, cough with rusty
sputum, and lobar consolidation on CXR.
AND CORRECT ANSWERS
●● Basilar skull fracture
Answer: Characterized by 'Raccoon eyes' (periorbital ecchymosis), CSF
otorrhea, and Battle's sign.
●● G6PD deficiency
Answer: Identified by bite cells and Heinz bodies on blood smear,
hemolytic anemia after fava bean ingestion.
●● Thyroid storm
Answer: Occurs in a patient with hyperthyroidism who develops fever,
tachycardia, confusion, and vomiting after surgery.
●● Neural tube defect
Answer: Main concern with elevated AFP in a pregnant woman's
amniotic fluid (e.g., spina bifida).
●● Hereditary spherocytosis
Answer: Diagnosed with spherocytes, increased osmotic fragility, and
negative Coombs test.
, ●● Ankylosing spondylitis
Answer: Associated with HLA-B27 positivity, low back pain, and
uveitis.
●● Ulnar nerve
Answer: Affected in a patient with 'claw hand' deformity and loss of
sensation in the medial hand.
●● Left middle cerebral artery stroke
Answer: Causes sudden onset unilateral weakness, face droop, and
expressive aphasia affecting Broca's area.
●● Pyruvate kinase deficiency
Answer: Leads to impaired glycolysis and nonspherocytic hemolytic
anemia.
●● Granulosa cell tumor
Answer: Identified by 'soap bubble' appearance on ovarian tumor
histology.
●● Streptococcus pneumoniae
Answer: Most likely pathogen in a patient with fever, cough with rusty
sputum, and lobar consolidation on CXR.
