ALL THE COMSAE 2026 UPDATED EXAM
ACTUAL LATEST VERSIONS 700 QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT) A+ GRADED
ASSURED
12mo development - CORRECT ANSWER: Cruises, fills/empties containers, sits up on own,
holds up and drinks, imitates words, pincer grasp, stands a lone, turns pages, says 1-2 words,
walks alone
15mo development - CORRECT ANSWER: Climbs furniture, Dances, jargon, rides toys, stacks
2 object tower, stands alone, scoops and recovers, throws ball, uses cup, uses spoon, says 4
words, walks well
18mo development - CORRECT ANSWER: says 8 or more words, feeds self, follows simple
directions, imitates housework, knows 2 or more body parts, names pictures, rides toys, runs,
uses spoon/fork, walks backward, walks up & down stairs
1mo development - CORRECT ANSWER: focus on face, lifts head, moro reflex, turns to sound,
turns head to sound
1st line drug for osteoporosis, MOA, AE - CORRECT ANSWER: bisphosphonates, -dronates (ie
alendronate), bind to hydroxyapetite in bone, act by binding to osteoclasts and osteoclast
apoptosis, so the osteoclasts can't resorb bone (so bone calcium levels are maintained)
can cause hypocalcemia (work to reduce hypercalcemia)
2 causes of SCID - CORRECT ANSWER: ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
,- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
2 factors that influence starling curve - CORRECT ANSWER: x axis- preload (EDV)
y axis- stroke volume or CO
2 most common causes of pancreatitis - CORRECT ANSWER: alcohol and gallstones.
24mo development - CORRECT ANSWER: 2-word sentences, follows 2-step verbal command,
gets along well with fam members, acts worried if parent is sad, helps dress self, holds cup in
one hand, jumps with both feet, kicks a ball, removes clothes, runs, walks up/down stairs,
scribbles, throws overhand
2mo development - CORRECT ANSWER: Coos, fixe and follow, grasps, smiles responsively,
lifts head, turns head to sound
3-yr developmental milestones - CORRECT ANSWER: 3-5 word sentences, balances on one
foot, asks what? why? builds 10-block tower, copies circle and x, counts to 3, dresses self, knows
name/age/gender, pedals tricyle, plays with other kids, recognizes 3 colors, toilet trained, walks
upstairs alternating feet
3rd and 4th lumbricles - CORRECT ANSWER: Ulnar n
4-yr developmental milestones - CORRECT ANSWER: 4-5 word sentences, catches ball, cuts
and pastes, draws people, dresses and undresses themselves, enjoy jokes, jumps/hops, names 4-5
colors, pedals tricycle, plays well with others, walks on tiptoes
4mo development - CORRECT ANSWER: Coos/squeals/laughs, Bears weight, follow 180
degrees, Grasps, Holds head/chest up, holds small toy, no head lag, reaches, rolls front to back,
turns to sound
,5yr developmental milestones - CORRECT ANSWER: counts to 10, draws people with 2-5 body
parts, follows directions, knows address/phone number, knows on/off, over/under, plays
cooperatively, pretend play, prints name, rides bike, skips, speaks understandably, tells,
imaginary stories
6mo development - CORRECT ANSWER: Babbles, bears weight, laughs, pulls to sit, responds
to name, rolls both ways, sits alone, transfers objects
9 mo development - CORRECT ANSWER: Babbles, claps/waves/peek-a-boo, creepts/crawls,
cruises, sits up on own, says mama/dada, plays pat-a-cake, Pincer grasp, pulls to stand, stands
with support
Abduction of shoulder - CORRECT ANSWER: Supraspinatus and deltoid
Acetaminophen- AE - CORRECT ANSWER: Hepatic necrosis; decrease glutathione
(treatment: N-acetylcysteine)
Acetaminophen- MOA - CORRECT ANSWER: COX inhibitor (reversible)
Acetaminophen- Use - CORRECT ANSWER: Antipyrogenic, analgesic
NOT anti-inflammatory
Use instead of aspirin to avoid Reye syndrome in children
Acidity of stomach - CORRECT ANSWER: Left T5
Actinobacillus actinomycetemcomitans - CORRECT ANSWER: another periodontal bug
Actinobacillus actinomycetemcomitans - CORRECT ANSWER: another periodontal bug
, Acute bronchitis - CORRECT ANSWER: antitussives +/- inhaled beta-2 agonists
Acute Leukemia - CORRECT ANSWER: >20% Blasts in Bone Marrow
Addison's disease - CORRECT ANSWER: Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
Addison's disease - CORRECT ANSWER: Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
Adduction of shoulder - CORRECT ANSWER: Pect major, lat dorsi
Adenovirus (severe infection) - CORRECT ANSWER: cidofovir + probenecid
ADH (desmopressin) - CORRECT ANSWER: pituitary (central, not nephrogenic) DI
ADP receptor inhibitors
Ticlopidine
prasugrel,
ticagrelor
clopidogrel - CORRECT ANSWER: inhibit platelet aggregation by irreversibly blocking ADP
receptors. Inhibit fibrinogen binding by preventing glycoprotein IIb/IIIa from binding to
fibrinogen. Used clinically for acute coronary syndrome; coronary stending. decreases incidence
or reccurence of thrombotic stroke.
toxicity includes: for ticlopidine neutropenia, fever and mouth ulcers.
Adrenals - CORRECT ANSWER: T11
ACTUAL LATEST VERSIONS 700 QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT) A+ GRADED
ASSURED
12mo development - CORRECT ANSWER: Cruises, fills/empties containers, sits up on own,
holds up and drinks, imitates words, pincer grasp, stands a lone, turns pages, says 1-2 words,
walks alone
15mo development - CORRECT ANSWER: Climbs furniture, Dances, jargon, rides toys, stacks
2 object tower, stands alone, scoops and recovers, throws ball, uses cup, uses spoon, says 4
words, walks well
18mo development - CORRECT ANSWER: says 8 or more words, feeds self, follows simple
directions, imitates housework, knows 2 or more body parts, names pictures, rides toys, runs,
uses spoon/fork, walks backward, walks up & down stairs
1mo development - CORRECT ANSWER: focus on face, lifts head, moro reflex, turns to sound,
turns head to sound
1st line drug for osteoporosis, MOA, AE - CORRECT ANSWER: bisphosphonates, -dronates (ie
alendronate), bind to hydroxyapetite in bone, act by binding to osteoclasts and osteoclast
apoptosis, so the osteoclasts can't resorb bone (so bone calcium levels are maintained)
can cause hypocalcemia (work to reduce hypercalcemia)
2 causes of SCID - CORRECT ANSWER: ADA deficiency
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
,- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
2 factors that influence starling curve - CORRECT ANSWER: x axis- preload (EDV)
y axis- stroke volume or CO
2 most common causes of pancreatitis - CORRECT ANSWER: alcohol and gallstones.
24mo development - CORRECT ANSWER: 2-word sentences, follows 2-step verbal command,
gets along well with fam members, acts worried if parent is sad, helps dress self, holds cup in
one hand, jumps with both feet, kicks a ball, removes clothes, runs, walks up/down stairs,
scribbles, throws overhand
2mo development - CORRECT ANSWER: Coos, fixe and follow, grasps, smiles responsively,
lifts head, turns head to sound
3-yr developmental milestones - CORRECT ANSWER: 3-5 word sentences, balances on one
foot, asks what? why? builds 10-block tower, copies circle and x, counts to 3, dresses self, knows
name/age/gender, pedals tricyle, plays with other kids, recognizes 3 colors, toilet trained, walks
upstairs alternating feet
3rd and 4th lumbricles - CORRECT ANSWER: Ulnar n
4-yr developmental milestones - CORRECT ANSWER: 4-5 word sentences, catches ball, cuts
and pastes, draws people, dresses and undresses themselves, enjoy jokes, jumps/hops, names 4-5
colors, pedals tricycle, plays well with others, walks on tiptoes
4mo development - CORRECT ANSWER: Coos/squeals/laughs, Bears weight, follow 180
degrees, Grasps, Holds head/chest up, holds small toy, no head lag, reaches, rolls front to back,
turns to sound
,5yr developmental milestones - CORRECT ANSWER: counts to 10, draws people with 2-5 body
parts, follows directions, knows address/phone number, knows on/off, over/under, plays
cooperatively, pretend play, prints name, rides bike, skips, speaks understandably, tells,
imaginary stories
6mo development - CORRECT ANSWER: Babbles, bears weight, laughs, pulls to sit, responds
to name, rolls both ways, sits alone, transfers objects
9 mo development - CORRECT ANSWER: Babbles, claps/waves/peek-a-boo, creepts/crawls,
cruises, sits up on own, says mama/dada, plays pat-a-cake, Pincer grasp, pulls to stand, stands
with support
Abduction of shoulder - CORRECT ANSWER: Supraspinatus and deltoid
Acetaminophen- AE - CORRECT ANSWER: Hepatic necrosis; decrease glutathione
(treatment: N-acetylcysteine)
Acetaminophen- MOA - CORRECT ANSWER: COX inhibitor (reversible)
Acetaminophen- Use - CORRECT ANSWER: Antipyrogenic, analgesic
NOT anti-inflammatory
Use instead of aspirin to avoid Reye syndrome in children
Acidity of stomach - CORRECT ANSWER: Left T5
Actinobacillus actinomycetemcomitans - CORRECT ANSWER: another periodontal bug
Actinobacillus actinomycetemcomitans - CORRECT ANSWER: another periodontal bug
, Acute bronchitis - CORRECT ANSWER: antitussives +/- inhaled beta-2 agonists
Acute Leukemia - CORRECT ANSWER: >20% Blasts in Bone Marrow
Addison's disease - CORRECT ANSWER: Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
Addison's disease - CORRECT ANSWER: Primary adrenal insufficiency d/t adrenal atrophy or
destruction by disease
Adduction of shoulder - CORRECT ANSWER: Pect major, lat dorsi
Adenovirus (severe infection) - CORRECT ANSWER: cidofovir + probenecid
ADH (desmopressin) - CORRECT ANSWER: pituitary (central, not nephrogenic) DI
ADP receptor inhibitors
Ticlopidine
prasugrel,
ticagrelor
clopidogrel - CORRECT ANSWER: inhibit platelet aggregation by irreversibly blocking ADP
receptors. Inhibit fibrinogen binding by preventing glycoprotein IIb/IIIa from binding to
fibrinogen. Used clinically for acute coronary syndrome; coronary stending. decreases incidence
or reccurence of thrombotic stroke.
toxicity includes: for ticlopidine neutropenia, fever and mouth ulcers.
Adrenals - CORRECT ANSWER: T11
