July 2025 COMSAE 114 LATEST VERSION QUESTIONS AND ANSWERS WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
ANSWER KEY
inferior alveolar N. Lingual
1. Mandibular fracture, nerve that carries the pain sen- N. branches ott earlier and
sation is the provides sensation to ante-
rior 2/3 of tongue and floor
of mouth.
vagal trunk (runs posterior
2. Patient is retching, vomiting small amount of blood, to the esophagus). Mallo-
history of AUD. Nonpentrating mucosal tear of the
posterior wall superior to the gastroesophageal junc- ry-Weiss syndrome.
tion that continues to the esophageal wall compro-
mises
3. PMH of calcium disorder which he ran out of sup- Galphas mediated signal-
plements. BP is 110/70 and taking BP elicits carpal ing. Pseudohypoparathy-
spasm. PT is short, stocky and shortened medial digits roidism type 1a (PHP1A).
(Albright Hereditary Osteodystrophy). Phosphate and
cAMP don't respond to IV PTH. The cause is decreased
4. Fever, dry cough, GI upset with COPD. Patchy opaci- inhalation if environmen-
ties. Gram neg bacilli. They acquired the bacteria via tal aerosols (usually HVAC
person). Legionella pneu-
mophila.
5. Sudden loss of consciousness that lasted for less than idioventricular rhythm. sud-
1 minute. No tongue biting or urinary incontinence. den drop in cerebral perfu-
Most likely cause sion due pacemaker failure.
6. 50 yr old man presents for annual visit. FMH lung and colonoscopy. Should be
bladder cancer. Drinks alcohol. PMH hemorrhoids. done starting at 45yrs old
Screening for him for everyone.
, July 2025 COMSAE 114 LATEST VERSION QUESTIONS AND ANSWERS WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
7. Low grade lumbosacral achiness for as long as he can spina bifida occulta.
remember. Narrow lucency down the middle of the
, July 2025 COMSAE 114 LATEST VERSION QUESTIONS AND ANSWERS WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality
8. 68 yr old woman with T2DM, HTN, hyperlipidemia. alendronate to prevent os-
Menopause at 52. DXA scan -2.1. Add calcium, vitamin teoporosis (Inhibits os-
D and what med teoclast activity, reducing
bone resorption - bisphos-
phonate)
9. What is the Pearson correlation value for this data set? correlation close to 0.00.
10. 78 yr old presents to office with 1 week history of Enterococcus faecalis .
lower abdominal pain and urinary hesitancy with in-
terrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological
agent
11. 75 yr old pruritic vulvar lesion which she first noticed 1 lichen sclerosus et atrophi-
week. White, flaky, slightly roughened lesion with fo- cus.
cal areas of ecchymoses from scratching. Thinning of
the squamous epithelium. Hypocellular collagenous
tissue. Dx
12. 37 yr old man presents with pruritus and bullae uroporphyrinogen III. Por-
that are localized to sun exposed areas of the skin. phyria cutanea tarda (PCT).
Urine sample is reddish brown in appearance and
pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What
would be elevated
13. Weakness and numbness in his right upper extremity abduction of the humerus.
following a shoulder injury. Reveals anesthesia along Axillary n. C5-C6 (from the
the lateral aspect of the arm and forearm, including brachial plexus).
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
ANSWER KEY
inferior alveolar N. Lingual
1. Mandibular fracture, nerve that carries the pain sen- N. branches ott earlier and
sation is the provides sensation to ante-
rior 2/3 of tongue and floor
of mouth.
vagal trunk (runs posterior
2. Patient is retching, vomiting small amount of blood, to the esophagus). Mallo-
history of AUD. Nonpentrating mucosal tear of the
posterior wall superior to the gastroesophageal junc- ry-Weiss syndrome.
tion that continues to the esophageal wall compro-
mises
3. PMH of calcium disorder which he ran out of sup- Galphas mediated signal-
plements. BP is 110/70 and taking BP elicits carpal ing. Pseudohypoparathy-
spasm. PT is short, stocky and shortened medial digits roidism type 1a (PHP1A).
(Albright Hereditary Osteodystrophy). Phosphate and
cAMP don't respond to IV PTH. The cause is decreased
4. Fever, dry cough, GI upset with COPD. Patchy opaci- inhalation if environmen-
ties. Gram neg bacilli. They acquired the bacteria via tal aerosols (usually HVAC
person). Legionella pneu-
mophila.
5. Sudden loss of consciousness that lasted for less than idioventricular rhythm. sud-
1 minute. No tongue biting or urinary incontinence. den drop in cerebral perfu-
Most likely cause sion due pacemaker failure.
6. 50 yr old man presents for annual visit. FMH lung and colonoscopy. Should be
bladder cancer. Drinks alcohol. PMH hemorrhoids. done starting at 45yrs old
Screening for him for everyone.
, July 2025 COMSAE 114 LATEST VERSION QUESTIONS AND ANSWERS WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
7. Low grade lumbosacral achiness for as long as he can spina bifida occulta.
remember. Narrow lucency down the middle of the
, July 2025 COMSAE 114 LATEST VERSION QUESTIONS AND ANSWERS WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS, LATEST
L5 spinous process present. Patent sacroiliac joints.
Congenital abnormality
8. 68 yr old woman with T2DM, HTN, hyperlipidemia. alendronate to prevent os-
Menopause at 52. DXA scan -2.1. Add calcium, vitamin teoporosis (Inhibits os-
D and what med teoclast activity, reducing
bone resorption - bisphos-
phonate)
9. What is the Pearson correlation value for this data set? correlation close to 0.00.
10. 78 yr old presents to office with 1 week history of Enterococcus faecalis .
lower abdominal pain and urinary hesitancy with in-
terrupted flow. Enlarge, firm, tender prostate. PSA is
normal. Gram pos, catalase neg coccus. Etiological
agent
11. 75 yr old pruritic vulvar lesion which she first noticed 1 lichen sclerosus et atrophi-
week. White, flaky, slightly roughened lesion with fo- cus.
cal areas of ecchymoses from scratching. Thinning of
the squamous epithelium. Hypocellular collagenous
tissue. Dx
12. 37 yr old man presents with pruritus and bullae uroporphyrinogen III. Por-
that are localized to sun exposed areas of the skin. phyria cutanea tarda (PCT).
Urine sample is reddish brown in appearance and
pink under fluorescent light. Elevated glucose, alanine
aminotransferase, aspartate aminotransferase. What
would be elevated
13. Weakness and numbness in his right upper extremity abduction of the humerus.
following a shoulder injury. Reveals anesthesia along Axillary n. C5-C6 (from the
the lateral aspect of the arm and forearm, including brachial plexus).
