COMSAE level 2 111 Exam Questions And Correct Answers (Verified
Answers) 2026
2. odds ratio vs relative risk: odds ratio: for case control studies control for disease and examine exposure
odds dz+ in exposed group/odds dz+ in unexposed (a/b)/(c/d)
ratio is not a fraction! so the bottom number is not the total its the unattected
relative risk: for cohort studies that control for exposures and examine who got the disease prob getting dz
exposed/prob getting dz unexposed
a/(a+b) / c/(c+d)
3. When is an odds ratio used: case-control studies
4. When is a relative risk ratio used?: RCT or Cohort study
5. Delayed puberty in girls: Absence of secondary sexual characteristics by age 13 failure
of menarche by 16
6. delayed puberty in males: no testicular growth has occurred by age 14 or no skel has etal growth spurt
occurred by age 18
7. constitutional growth delay: MCC of growth delay. growth lags behind others in s remains ame age but
consistent. Often there is family history
Will have delayed bone age
8. Bence-Jones proteinuria: tubular casts with foreign body giant cell reaction light
chains are toxic to the renal tubular epithelium
occurs in MM
9. Multiple myeloma CRAB: C: hypercalcemia R:
renal involvement w/ proteinuria (amyloid)
1/9
, COMSAE level 2 111 Exam Questions And Correct Answers (Verified
Answers) 2026
A: anemia
B: bone lytic lesions/back pain
10. concave brittle nails: spoon nails caused by iron deficiency anemia
koilonychia
11. diplopia and muscle weakness, dry mouth, dysphonia, dyspha cranialgia. Ptosis,
nerve palsy, and loss of accommodation suddenly after ea fish: Clostridiumting smoked
botulinum
12. EMTALA (Emergency Medical Treatment and Active Labor Act): all in patientscoming
must receive a medical screening exam. ONLY after the screening has been done can a transfer and only if the other be done
facility is better equipped to meet their needs
13. muscles and their innervation that cause foot eversion: peroneus longu peroneuss
brevis
peroneus tertius
by the peroneal nerve L4-5
14. who's at risk for aspiration pneumonia: immune spuppressed: HIV, DM, alcoholism, malnu- trition
impaired airway protection: smoking, dysphagia, alcohol intoxication AMS
15. psoas syndrome findings: Backward sacral torsion
Nonneutral L5
Ipsilateral psoas spasm
Contralateral pelvic shift and piriformis spasm
2/9
Answers) 2026
2. odds ratio vs relative risk: odds ratio: for case control studies control for disease and examine exposure
odds dz+ in exposed group/odds dz+ in unexposed (a/b)/(c/d)
ratio is not a fraction! so the bottom number is not the total its the unattected
relative risk: for cohort studies that control for exposures and examine who got the disease prob getting dz
exposed/prob getting dz unexposed
a/(a+b) / c/(c+d)
3. When is an odds ratio used: case-control studies
4. When is a relative risk ratio used?: RCT or Cohort study
5. Delayed puberty in girls: Absence of secondary sexual characteristics by age 13 failure
of menarche by 16
6. delayed puberty in males: no testicular growth has occurred by age 14 or no skel has etal growth spurt
occurred by age 18
7. constitutional growth delay: MCC of growth delay. growth lags behind others in s remains ame age but
consistent. Often there is family history
Will have delayed bone age
8. Bence-Jones proteinuria: tubular casts with foreign body giant cell reaction light
chains are toxic to the renal tubular epithelium
occurs in MM
9. Multiple myeloma CRAB: C: hypercalcemia R:
renal involvement w/ proteinuria (amyloid)
1/9
, COMSAE level 2 111 Exam Questions And Correct Answers (Verified
Answers) 2026
A: anemia
B: bone lytic lesions/back pain
10. concave brittle nails: spoon nails caused by iron deficiency anemia
koilonychia
11. diplopia and muscle weakness, dry mouth, dysphonia, dyspha cranialgia. Ptosis,
nerve palsy, and loss of accommodation suddenly after ea fish: Clostridiumting smoked
botulinum
12. EMTALA (Emergency Medical Treatment and Active Labor Act): all in patientscoming
must receive a medical screening exam. ONLY after the screening has been done can a transfer and only if the other be done
facility is better equipped to meet their needs
13. muscles and their innervation that cause foot eversion: peroneus longu peroneuss
brevis
peroneus tertius
by the peroneal nerve L4-5
14. who's at risk for aspiration pneumonia: immune spuppressed: HIV, DM, alcoholism, malnu- trition
impaired airway protection: smoking, dysphagia, alcohol intoxication AMS
15. psoas syndrome findings: Backward sacral torsion
Nonneutral L5
Ipsilateral psoas spasm
Contralateral pelvic shift and piriformis spasm
2/9
