COMSAE 111 Exam 2026 Actual Exam Questions
And Correct Answers (Verified Answers) 2026
Mandibular fracture, nerve that carries the pain sensation is the - CORRECT ANSWER -
inferior alveolar N. Lingual N. branches off earlier and provides sensation to anterior 2/3 of
tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD. Nonpentrating mucosal tear
of the posterior wall superior to the gastroesophageal junction that continues to the esophageal
wall compromises - CORRECT ANSWER -vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and taking BP elicits
carpal spasm. PT is short, stocky and shortened medial digits (Albright Hereditary
Osteodystrophy). Phosphate and cAMP don't respond to IV PTH. The cause is decreased -
CORRECT ANSWER -Galphas mediated signaling. Pseudohypoparathyroidism type 1a
(PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They acquired the
bacteria via - CORRECT ANSWER -inhalation if environmental aerosols (usually HVAC
person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting or urinary
incontinence. Most likely cause - CORRECT ANSWER -idioventricular rhythm. sudden drop in
cerebral perfusion due pacemaker failure.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks alcohol. PMH
hemorrhoids. Screening for him - CORRECT ANSWER -colonoscopy. Should be done starting
at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency down the
middle of the L5 spinous process present. Patent sacroiliac joints. Congenital abnormality -
CORRECT ANSWER -spina bifida occulta.
, 68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1. Add
calcium, vitamin D and what med - CORRECT ANSWER -alendronate to prevent osteoporosis
(Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
What is the Pearson correlation value for this data set? - CORRECT ANSWER -correlation close
to 0.00.
78 yr old presents to office with 1 week history of lower abdominal pain and urinary hesitancy
with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram pos, catalase neg
coccus. Etiological agent - CORRECT ANSWER -Enterococcus faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly roughened
lesion with focal areas of ecchymoses from scratching. Thinning of the squamous epithelium.
Hypocellular collagenous tissue. Dx - CORRECT ANSWER -lichen sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas of the
skin. Urine sample is reddish brown in appearance and pink under fluorescent light. Elevated
glucose, alanine aminotransferase, aspartate aminotransferase. What would be elevated -
CORRECT ANSWER -uroporphyrinogen III. Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury. Reveals
anesthesia along the lateral aspect of the arm and forearm, including the thumb. Biceps ad
brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which additional muscle is
diminished - CORRECT ANSWER -abduction of the humerus. Axillary n. C5-C6 (from the
brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee surgery 2
weeks ago w/ upper respiratory tract recently. PMH is on psych drug. Mental status deteriorates
and develops seizure. Low NA, Psych drug acts by - CORRECT ANSWER -inhibiting serotonin
reuptake. Patient presents with serotonin syndrome due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory infections.
DX - CORRECT ANSWER -adenotonsilar hypertrophy. Enlarged tonsils and adenoids more
And Correct Answers (Verified Answers) 2026
Mandibular fracture, nerve that carries the pain sensation is the - CORRECT ANSWER -
inferior alveolar N. Lingual N. branches off earlier and provides sensation to anterior 2/3 of
tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD. Nonpentrating mucosal tear
of the posterior wall superior to the gastroesophageal junction that continues to the esophageal
wall compromises - CORRECT ANSWER -vagal trunk (runs posterior to the esophagus).
Mallory-Weiss syndrome.
PMH of calcium disorder which he ran out of supplements. BP is 110/70 and taking BP elicits
carpal spasm. PT is short, stocky and shortened medial digits (Albright Hereditary
Osteodystrophy). Phosphate and cAMP don't respond to IV PTH. The cause is decreased -
CORRECT ANSWER -Galphas mediated signaling. Pseudohypoparathyroidism type 1a
(PHP1A).
Fever, dry cough, GI upset with COPD. Patchy opacities. Gram neg bacilli. They acquired the
bacteria via - CORRECT ANSWER -inhalation if environmental aerosols (usually HVAC
person). Legionella pneumophila.
Sudden loss of consciousness that lasted for less than 1 minute. No tongue biting or urinary
incontinence. Most likely cause - CORRECT ANSWER -idioventricular rhythm. sudden drop in
cerebral perfusion due pacemaker failure.
50 yr old man presents for annual visit. FMH lung and bladder cancer. Drinks alcohol. PMH
hemorrhoids. Screening for him - CORRECT ANSWER -colonoscopy. Should be done starting
at 45yrs old for everyone.
Low grade lumbosacral achiness for as long as he can remember. Narrow lucency down the
middle of the L5 spinous process present. Patent sacroiliac joints. Congenital abnormality -
CORRECT ANSWER -spina bifida occulta.
, 68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1. Add
calcium, vitamin D and what med - CORRECT ANSWER -alendronate to prevent osteoporosis
(Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
What is the Pearson correlation value for this data set? - CORRECT ANSWER -correlation close
to 0.00.
78 yr old presents to office with 1 week history of lower abdominal pain and urinary hesitancy
with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram pos, catalase neg
coccus. Etiological agent - CORRECT ANSWER -Enterococcus faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly roughened
lesion with focal areas of ecchymoses from scratching. Thinning of the squamous epithelium.
Hypocellular collagenous tissue. Dx - CORRECT ANSWER -lichen sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas of the
skin. Urine sample is reddish brown in appearance and pink under fluorescent light. Elevated
glucose, alanine aminotransferase, aspartate aminotransferase. What would be elevated -
CORRECT ANSWER -uroporphyrinogen III. Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury. Reveals
anesthesia along the lateral aspect of the arm and forearm, including the thumb. Biceps ad
brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which additional muscle is
diminished - CORRECT ANSWER -abduction of the humerus. Axillary n. C5-C6 (from the
brachial plexus).
62 yr old is slurring words, talking a lot but not making sense. Arthroscopic knee surgery 2
weeks ago w/ upper respiratory tract recently. PMH is on psych drug. Mental status deteriorates
and develops seizure. Low NA, Psych drug acts by - CORRECT ANSWER -inhibiting serotonin
reuptake. Patient presents with serotonin syndrome due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory infections.
DX - CORRECT ANSWER -adenotonsilar hypertrophy. Enlarged tonsils and adenoids more
