Page 1 of 235
COMSAE Phase 1 Form 114 exam ACTUAL QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR-
JUST RELEASED
CONTENTS
COMSAE Phase 1 Form 114-THE ONLY POSTED EXAM THAT COVERS
EVERTHING
1. Osteopathic Principles & OMM
2. Anatomy (Clinically Applied)
3. Physiology
4. Pathology
5. Microbiology
6. Immunology
7. Pharmacology
8. Biochemistry & Genetics
9. Neurology & Psychiatry
10. Cardiology
11. Pulmonary
12. Renal & Electrolytes / Acid-Base
13. Endocrine & Reproductive
14. Gastrointestinal & Hepatobiliary
15. Hematology & Oncology
16. Musculoskeletal & Rheumatology
17. Biostatistics & Epidemiology
18. Systems Integration & Clinical Reasoning
COMSAE Phase 1 Form 114 —
1.
A medical student is reviewing autonomic nervous system pathways and identifies that
sympathetic outflow originates from specific spinal cord segments. Which segments are
responsible for sympathetic nervous system preganglionic neurons?
, Page 2 of 235
A. C1–C5
B. T1–L2
C. S1–S5
D. C5–T1
Answer: B. T1–L2
Rationale: Sympathetic preganglionic neurons originate from thoracolumbar spinal cord levels.
2.
A patient presents with ptosis, miosis, and anhidrosis on one side of the face after a lung apex
tumor. Which condition best explains these findings?
A. Bell palsy
B. Horner syndrome
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C. Myasthenia gravis
D. Multiple sclerosis
Answer: B. Horner syndrome
Rationale: Sympathetic chain disruption causes ptosis, miosis, and anhidrosis.
3.
A patient is diagnosed with facial nerve palsy after a viral infection and cannot close the eye or
smile symmetrically. Which cranial nerve is affected?
A. CN V
B. CN VII
C. CN IX
D. CN X
, Page 4 of 235
Answer: B. CN VII
Rationale: Facial nerve controls muscles of facial expression.
4.
A trauma patient presents with loss of pain and temperature sensation on the right side of the
body and motor weakness on the same side below lesion level. What syndrome is most likely?
A. Anterior cord syndrome
B. Brown-Sequard syndrome
C. Posterior cord syndrome
D. Central cord syndrome
Answer: B. Brown-Sequard syndrome
Rationale: Hemisection causes ipsilateral motor loss and contralateral pain loss.
COMSAE Phase 1 Form 114 exam ACTUAL QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR-
JUST RELEASED
CONTENTS
COMSAE Phase 1 Form 114-THE ONLY POSTED EXAM THAT COVERS
EVERTHING
1. Osteopathic Principles & OMM
2. Anatomy (Clinically Applied)
3. Physiology
4. Pathology
5. Microbiology
6. Immunology
7. Pharmacology
8. Biochemistry & Genetics
9. Neurology & Psychiatry
10. Cardiology
11. Pulmonary
12. Renal & Electrolytes / Acid-Base
13. Endocrine & Reproductive
14. Gastrointestinal & Hepatobiliary
15. Hematology & Oncology
16. Musculoskeletal & Rheumatology
17. Biostatistics & Epidemiology
18. Systems Integration & Clinical Reasoning
COMSAE Phase 1 Form 114 —
1.
A medical student is reviewing autonomic nervous system pathways and identifies that
sympathetic outflow originates from specific spinal cord segments. Which segments are
responsible for sympathetic nervous system preganglionic neurons?
, Page 2 of 235
A. C1–C5
B. T1–L2
C. S1–S5
D. C5–T1
Answer: B. T1–L2
Rationale: Sympathetic preganglionic neurons originate from thoracolumbar spinal cord levels.
2.
A patient presents with ptosis, miosis, and anhidrosis on one side of the face after a lung apex
tumor. Which condition best explains these findings?
A. Bell palsy
B. Horner syndrome
, Page 3 of 235
C. Myasthenia gravis
D. Multiple sclerosis
Answer: B. Horner syndrome
Rationale: Sympathetic chain disruption causes ptosis, miosis, and anhidrosis.
3.
A patient is diagnosed with facial nerve palsy after a viral infection and cannot close the eye or
smile symmetrically. Which cranial nerve is affected?
A. CN V
B. CN VII
C. CN IX
D. CN X
, Page 4 of 235
Answer: B. CN VII
Rationale: Facial nerve controls muscles of facial expression.
4.
A trauma patient presents with loss of pain and temperature sensation on the right side of the
body and motor weakness on the same side below lesion level. What syndrome is most likely?
A. Anterior cord syndrome
B. Brown-Sequard syndrome
C. Posterior cord syndrome
D. Central cord syndrome
Answer: B. Brown-Sequard syndrome
Rationale: Hemisection causes ipsilateral motor loss and contralateral pain loss.
