COMSAE Phase 2 Form 103 Practice Exam Test
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A 24-year-old man presents with acute onset right lower quadrant pain, fever,
and nausea. Physical exam shows rebound tenderness at McBurney’s point.
Which of the following is the most likely diagnosis?
A. Diverticulitis
B. Gastroenteritis
C. Acute appendicitis
D. Crohn’s disease
Correct Answer: C. Acute appendicitis
Rationale: Classic presentation of appendicitis is periumbilical pain migrating to
RLQ with fever and rebound tenderness.
2.
A 68-year-old woman with hypertension presents with sudden severe headache
and neck stiffness. CT shows subarachnoid hemorrhage. Which is the most
common underlying cause?
A. Hypertensive intracerebral bleed
B. Ruptured berry aneurysm
C. Arteriovenous malformation
D. Cavernous angioma
,Correct Answer: B. Ruptured berry aneurysm
Rationale: The most common cause of spontaneous subarachnoid hemorrhage is
rupture of a saccular (berry) aneurysm, often in the circle of Willis.
3.
A 30-year-old woman presents with low back pain radiating down the posterior
thigh. Straight-leg raise test is positive. Which nerve root is most likely
compressed?
A. L3
B. L4
C. L5/S1
D. S2
Correct Answer: C. L5/S1
Rationale: Sciatica with pain radiating down posterior thigh and calf is typically
due to herniation at L5-S1.
4.
A 45-year-old man presents with jaundice, pruritus, and dark urine. Labs show
conjugated hyperbilirubinemia and elevated alkaline phosphatase. Which is the
most likely diagnosis?
A. Gilbert syndrome
B. Hemolytic anemia
C. Obstructive cholestasis
D. Viral hepatitis
Correct Answer: C. Obstructive cholestasis
Rationale: Conjugated hyperbilirubinemia with pruritus and dark urine indicates
biliary obstruction.
5.
,A 6-year-old boy presents with sore throat, fever, and difficulty swallowing. Exam
reveals a muffled "hot potato" voice and deviation of the uvula. What is the
diagnosis?
A. Viral pharyngitis
B. Peritonsillar abscess
C. Retropharyngeal abscess
D. Epiglottitis
Correct Answer: B. Peritonsillar abscess
Rationale: Uvular deviation and muffled voice are classic for peritonsillar abscess.
6.
A 55-year-old man presents with chest pain relieved by leaning forward. ECG
shows diffuse ST-segment elevation. What is the most likely diagnosis?
A. STEMI
B. Acute pericarditis
C. Stable angina
D. Pulmonary embolism
Correct Answer: B. Acute pericarditis
Rationale: Chest pain improved by leaning forward and diffuse ST elevation is
classic for pericarditis.
7.
A 22-year-old woman presents with dysuria and frequency. Urinalysis shows
positive leukocyte esterase and nitrites. Which is the most likely pathogen?
A. Staphylococcus saprophyticus
B. Escherichia coli
C. Proteus mirabilis
D. Klebsiella pneumoniae
Correct Answer: B. Escherichia coli
Rationale: E. coli is the most common cause of urinary tract infection in young
women.
, 8.
A 70-year-old man with COPD presents with increased sputum production,
purulence, and worsening dyspnea. What is the best next step in management?
A. High-dose steroids
B. Antibiotics
C. Intubation immediately
D. Bronchodilators only
Correct Answer: B. Antibiotics
Rationale: Acute COPD exacerbation with increased purulent sputum requires
antibiotics in addition to bronchodilators and steroids.
9.
A 30-year-old pregnant woman presents with hypertension and proteinuria at 34
weeks gestation. Which complication is most concerning?
A. Gestational diabetes
B. Placenta previa
C. Eclampsia
D. Placental abruption
Correct Answer: C. Eclampsia
Rationale: Preeclampsia (HTN + proteinuria) can progress to eclampsia with
seizures, which is life-threatening.
10.
A 25-year-old man is diagnosed with infectious mononucleosis. Which physical
exam finding is most characteristic?
A. Hepatomegaly only
B. Posterior cervical lymphadenopathy
C. Splenomegaly without lymphadenopathy
D. Axillary lymphadenopathy only
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A 24-year-old man presents with acute onset right lower quadrant pain, fever,
and nausea. Physical exam shows rebound tenderness at McBurney’s point.
Which of the following is the most likely diagnosis?
A. Diverticulitis
B. Gastroenteritis
C. Acute appendicitis
D. Crohn’s disease
Correct Answer: C. Acute appendicitis
Rationale: Classic presentation of appendicitis is periumbilical pain migrating to
RLQ with fever and rebound tenderness.
2.
A 68-year-old woman with hypertension presents with sudden severe headache
and neck stiffness. CT shows subarachnoid hemorrhage. Which is the most
common underlying cause?
A. Hypertensive intracerebral bleed
B. Ruptured berry aneurysm
C. Arteriovenous malformation
D. Cavernous angioma
,Correct Answer: B. Ruptured berry aneurysm
Rationale: The most common cause of spontaneous subarachnoid hemorrhage is
rupture of a saccular (berry) aneurysm, often in the circle of Willis.
3.
A 30-year-old woman presents with low back pain radiating down the posterior
thigh. Straight-leg raise test is positive. Which nerve root is most likely
compressed?
A. L3
B. L4
C. L5/S1
D. S2
Correct Answer: C. L5/S1
Rationale: Sciatica with pain radiating down posterior thigh and calf is typically
due to herniation at L5-S1.
4.
A 45-year-old man presents with jaundice, pruritus, and dark urine. Labs show
conjugated hyperbilirubinemia and elevated alkaline phosphatase. Which is the
most likely diagnosis?
A. Gilbert syndrome
B. Hemolytic anemia
C. Obstructive cholestasis
D. Viral hepatitis
Correct Answer: C. Obstructive cholestasis
Rationale: Conjugated hyperbilirubinemia with pruritus and dark urine indicates
biliary obstruction.
5.
,A 6-year-old boy presents with sore throat, fever, and difficulty swallowing. Exam
reveals a muffled "hot potato" voice and deviation of the uvula. What is the
diagnosis?
A. Viral pharyngitis
B. Peritonsillar abscess
C. Retropharyngeal abscess
D. Epiglottitis
Correct Answer: B. Peritonsillar abscess
Rationale: Uvular deviation and muffled voice are classic for peritonsillar abscess.
6.
A 55-year-old man presents with chest pain relieved by leaning forward. ECG
shows diffuse ST-segment elevation. What is the most likely diagnosis?
A. STEMI
B. Acute pericarditis
C. Stable angina
D. Pulmonary embolism
Correct Answer: B. Acute pericarditis
Rationale: Chest pain improved by leaning forward and diffuse ST elevation is
classic for pericarditis.
7.
A 22-year-old woman presents with dysuria and frequency. Urinalysis shows
positive leukocyte esterase and nitrites. Which is the most likely pathogen?
A. Staphylococcus saprophyticus
B. Escherichia coli
C. Proteus mirabilis
D. Klebsiella pneumoniae
Correct Answer: B. Escherichia coli
Rationale: E. coli is the most common cause of urinary tract infection in young
women.
, 8.
A 70-year-old man with COPD presents with increased sputum production,
purulence, and worsening dyspnea. What is the best next step in management?
A. High-dose steroids
B. Antibiotics
C. Intubation immediately
D. Bronchodilators only
Correct Answer: B. Antibiotics
Rationale: Acute COPD exacerbation with increased purulent sputum requires
antibiotics in addition to bronchodilators and steroids.
9.
A 30-year-old pregnant woman presents with hypertension and proteinuria at 34
weeks gestation. Which complication is most concerning?
A. Gestational diabetes
B. Placenta previa
C. Eclampsia
D. Placental abruption
Correct Answer: C. Eclampsia
Rationale: Preeclampsia (HTN + proteinuria) can progress to eclampsia with
seizures, which is life-threatening.
10.
A 25-year-old man is diagnosed with infectious mononucleosis. Which physical
exam finding is most characteristic?
A. Hepatomegaly only
B. Posterior cervical lymphadenopathy
C. Splenomegaly without lymphadenopathy
D. Axillary lymphadenopathy only
