COMSAE PHASE 1 STYLE PRACTICE EXAM – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
CORE DOMAINS *
- Osteopathic Principles and Practice
- Internal Medicine
- Family Medicine
- Pediatrics
- Obstetrics and Gynecology
- Surgery
- Psychiatry and Behavioral Science
- Emergency Medicine
- Neurology
- Preventive Medicine and Ethics
INTRODUCTION *
This comprehensive practice assessment is designed to evaluate foundational medical
knowledge, clinical reasoning, and decision-making skills commonly tested in COMSAE-style
examinations. The exam incorporates multiple-choice questions and clinical scenarios that
,require application of biomedical sciences, patient care principles, diagnostic interpretation,
and evidence-based management. Questions assess the integration of basic science concepts
with real-world clinical practice across multiple specialties. Emphasis is placed on
professional judgment, ethics, preventive care, osteopathic principles, and appropriate
management strategies. Candidates should analyze each scenario carefully, identify key
findings, and select the most appropriate answer based on current clinical standards.
SECTION ONE (QUESTIONS 1–50)
Question 1
A 65-year-old man presents with crushing substernal chest pain radiating to his left arm
for 45 minutes. ECG demonstrates ST-segment elevation in leads II, III, and aVF.
A. Anterior wall myocardial infarction
B. Inferior wall myocardial infarction
C. Lateral wall myocardial infarction
D. Septal myocardial infarction
🟢 Correct Answer: B. Inferior wall myocardial infarction
🔴 Explanation: ST-segment elevation in leads II, III, and aVF indicates an inferior
myocardial infarction, usually involving the right coronary artery.
,Question 2
A child presents with barking cough, inspiratory stridor, and hoarseness that worsens at
night.
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Asthma
🟢 Correct Answer: C. Croup
🔴 Explanation: Croup commonly presents with a barking cough, inspiratory stridor, and
hoarseness due to subglottic inflammation.
Question 3
Which electrolyte abnormality is most commonly associated with peaked T waves on ECG?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hyponatremia
, 🟢 Correct Answer: A. Hyperkalemia
🔴 Explanation: Hyperkalemia characteristically causes peaked T waves and may progress
to life-threatening arrhythmias.
Question 4
A pregnant woman at 32 weeks gestation develops hypertension, proteinuria, and edema.
A. Chronic hypertension
B. Gestational diabetes
C. Eclampsia
D. Preeclampsia
🟢 Correct Answer: D. Preeclampsia
🔴 Explanation: Preeclampsia is defined by hypertension and proteinuria after 20 weeks of
gestation.
Question 5
WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
CORE DOMAINS *
- Osteopathic Principles and Practice
- Internal Medicine
- Family Medicine
- Pediatrics
- Obstetrics and Gynecology
- Surgery
- Psychiatry and Behavioral Science
- Emergency Medicine
- Neurology
- Preventive Medicine and Ethics
INTRODUCTION *
This comprehensive practice assessment is designed to evaluate foundational medical
knowledge, clinical reasoning, and decision-making skills commonly tested in COMSAE-style
examinations. The exam incorporates multiple-choice questions and clinical scenarios that
,require application of biomedical sciences, patient care principles, diagnostic interpretation,
and evidence-based management. Questions assess the integration of basic science concepts
with real-world clinical practice across multiple specialties. Emphasis is placed on
professional judgment, ethics, preventive care, osteopathic principles, and appropriate
management strategies. Candidates should analyze each scenario carefully, identify key
findings, and select the most appropriate answer based on current clinical standards.
SECTION ONE (QUESTIONS 1–50)
Question 1
A 65-year-old man presents with crushing substernal chest pain radiating to his left arm
for 45 minutes. ECG demonstrates ST-segment elevation in leads II, III, and aVF.
A. Anterior wall myocardial infarction
B. Inferior wall myocardial infarction
C. Lateral wall myocardial infarction
D. Septal myocardial infarction
🟢 Correct Answer: B. Inferior wall myocardial infarction
🔴 Explanation: ST-segment elevation in leads II, III, and aVF indicates an inferior
myocardial infarction, usually involving the right coronary artery.
,Question 2
A child presents with barking cough, inspiratory stridor, and hoarseness that worsens at
night.
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Asthma
🟢 Correct Answer: C. Croup
🔴 Explanation: Croup commonly presents with a barking cough, inspiratory stridor, and
hoarseness due to subglottic inflammation.
Question 3
Which electrolyte abnormality is most commonly associated with peaked T waves on ECG?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hyponatremia
, 🟢 Correct Answer: A. Hyperkalemia
🔴 Explanation: Hyperkalemia characteristically causes peaked T waves and may progress
to life-threatening arrhythmias.
Question 4
A pregnant woman at 32 weeks gestation develops hypertension, proteinuria, and edema.
A. Chronic hypertension
B. Gestational diabetes
C. Eclampsia
D. Preeclampsia
🟢 Correct Answer: D. Preeclampsia
🔴 Explanation: Preeclampsia is defined by hypertension and proteinuria after 20 weeks of
gestation.
Question 5
