COMSAE Form 113 Frequently Tested Exam
Questions With Verified Multiple Choice and
Conceptual Actual 100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. What type of fibroids are most likely to cause infertility?
A. Subserosal
B. Submucosal
C. Intramural
D. Pedunculated
2. Best method to secure the airway in a patient with multiple facial fractures?
A. Orotracheal intubation
B. Nasotracheal intubation
C. Cricothyroidotomy
D. Tracheostomy
3. Woman with a history of radioactive iodine ablation for hyperthyroidism presents with
milky white nipple discharge. Likely diagnosis?
A. Hyperprolactinemia due to hypothyroidism
B. Pituitary adenoma
C. Galactorrhea from dopamine agonist
D. Ductal carcinoma
4. Management of Ménière’s disease includes all EXCEPT:
A. Antihistamines
B. Anticholinergics
C. High-sodium diet
D. Diuretics
,5. Tumor marker for Granulosa Cell Tumor:
A. AFP
B. β-hCG
C. Inhibin
D. CA-125
6. Patient with asthma, allergic rhinitis, eosinophilia, and +p-ANCA. Likely diagnosis?
A. Goodpasture’s syndrome
B. Churg-Strauss syndrome (Eosinophilic granulomatosis with polyangiitis)
C. Wegener’s granulomatosis
D. Polyarteritis nodosa
7. “Floppy baby” with active eye movements and tongue fasciculations. Diagnosis?
A. Infantile botulism
B. Werdnig-Hoffman disease (SMA type 1)
C. Duchenne muscular dystrophy
D. Hypothyroidism
8. “Floppy baby” with sluggish eye movements. Diagnosis?
A. Infantile botulism
B. Werdnig-Hoffman disease
C. Hypoxic encephalopathy
D. Pompe disease
9. “Floppy baby” with retinal hemorrhages and subdural hematoma. Likely cause?
A. Vitamin K deficiency
B. Shaken Baby Syndrome
C. Birth trauma
D. Retinoblastoma
10. Patient with tea-colored urine, normal C3, and gross hematuria after a URI 2 days ago.
Diagnosis?
A. Post-strep GN
,B. Berger’s disease (IgA nephropathy)
C. RPGN
D. Minimal change disease
11. Same presentation but C3 is low, and URI occurred 10–14 days ago. Diagnosis?
A. Post-streptococcal GN
B. Berger’s disease
C. Lupus nephritis
D. MPGN
12. Newborn with soft swelling over the occiput that crosses suture lines. Likely diagnosis?
A. Cephalohematoma
B. Caput succedaneum
C. Subgaleal hemorrhage
D. Skull fracture
13. Newborn with firm swelling that does not cross suture lines. Diagnosis?
A. Caput succedaneum
B. Cephalohematoma
C. Subgaleal hemorrhage
D. Encephalocele
14. Newborn with boggy scalp swelling that crosses sutures and expands. Diagnosis?
A. Subgaleal hemorrhage
B. Cephalohematoma
C. Caput succedaneum
D. Epidural bleed
15. Nephropathy associated with analgesics, sickle cell disease, or diabetes; UA shows
necrotic tissue. Diagnosis?
A. ATN
B. Renal papillary necrosis
, C. Pyelonephritis
D. Interstitial nephritis
16. Which kidney stones are radiolucent on X-ray?
A. Calcium oxalate and struvite
B. Uric acid and cystine
C. Calcium phosphate and uric acid
D. Cystine and struvite
17. Algorithm for diagnosis of primary hyperaldosteronism begins with:
A. Elevated renin and aldosterone
B. HTN + hypernatremia + hypokalemia
C. Low sodium + low renin
D. High renin:aldosterone ratio
18. Neonate with ambiguous genitalia, hypoglycemia, hyponatremia, and hyperkalemia.
Likely diagnosis?
A. 11β-hydroxylase deficiency
B. 21-hydroxylase deficiency (CAH)
C. 17α-hydroxylase deficiency
D. Addison disease
19. What is the initial diagnostic test for 21-hydroxylase deficiency?
A. Serum cortisol
B. 17-hydroxyprogesterone
C. Serum ACTH
D. Aldosterone level
20. Immediate management for suspected CAH in crisis?
A. Dexamethasone only
B. IV fluids + hydrocortisone
C. Fludrocortisone only
D. Observation
Questions With Verified Multiple Choice and
Conceptual Actual 100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. What type of fibroids are most likely to cause infertility?
A. Subserosal
B. Submucosal
C. Intramural
D. Pedunculated
2. Best method to secure the airway in a patient with multiple facial fractures?
A. Orotracheal intubation
B. Nasotracheal intubation
C. Cricothyroidotomy
D. Tracheostomy
3. Woman with a history of radioactive iodine ablation for hyperthyroidism presents with
milky white nipple discharge. Likely diagnosis?
A. Hyperprolactinemia due to hypothyroidism
B. Pituitary adenoma
C. Galactorrhea from dopamine agonist
D. Ductal carcinoma
4. Management of Ménière’s disease includes all EXCEPT:
A. Antihistamines
B. Anticholinergics
C. High-sodium diet
D. Diuretics
,5. Tumor marker for Granulosa Cell Tumor:
A. AFP
B. β-hCG
C. Inhibin
D. CA-125
6. Patient with asthma, allergic rhinitis, eosinophilia, and +p-ANCA. Likely diagnosis?
A. Goodpasture’s syndrome
B. Churg-Strauss syndrome (Eosinophilic granulomatosis with polyangiitis)
C. Wegener’s granulomatosis
D. Polyarteritis nodosa
7. “Floppy baby” with active eye movements and tongue fasciculations. Diagnosis?
A. Infantile botulism
B. Werdnig-Hoffman disease (SMA type 1)
C. Duchenne muscular dystrophy
D. Hypothyroidism
8. “Floppy baby” with sluggish eye movements. Diagnosis?
A. Infantile botulism
B. Werdnig-Hoffman disease
C. Hypoxic encephalopathy
D. Pompe disease
9. “Floppy baby” with retinal hemorrhages and subdural hematoma. Likely cause?
A. Vitamin K deficiency
B. Shaken Baby Syndrome
C. Birth trauma
D. Retinoblastoma
10. Patient with tea-colored urine, normal C3, and gross hematuria after a URI 2 days ago.
Diagnosis?
A. Post-strep GN
,B. Berger’s disease (IgA nephropathy)
C. RPGN
D. Minimal change disease
11. Same presentation but C3 is low, and URI occurred 10–14 days ago. Diagnosis?
A. Post-streptococcal GN
B. Berger’s disease
C. Lupus nephritis
D. MPGN
12. Newborn with soft swelling over the occiput that crosses suture lines. Likely diagnosis?
A. Cephalohematoma
B. Caput succedaneum
C. Subgaleal hemorrhage
D. Skull fracture
13. Newborn with firm swelling that does not cross suture lines. Diagnosis?
A. Caput succedaneum
B. Cephalohematoma
C. Subgaleal hemorrhage
D. Encephalocele
14. Newborn with boggy scalp swelling that crosses sutures and expands. Diagnosis?
A. Subgaleal hemorrhage
B. Cephalohematoma
C. Caput succedaneum
D. Epidural bleed
15. Nephropathy associated with analgesics, sickle cell disease, or diabetes; UA shows
necrotic tissue. Diagnosis?
A. ATN
B. Renal papillary necrosis
, C. Pyelonephritis
D. Interstitial nephritis
16. Which kidney stones are radiolucent on X-ray?
A. Calcium oxalate and struvite
B. Uric acid and cystine
C. Calcium phosphate and uric acid
D. Cystine and struvite
17. Algorithm for diagnosis of primary hyperaldosteronism begins with:
A. Elevated renin and aldosterone
B. HTN + hypernatremia + hypokalemia
C. Low sodium + low renin
D. High renin:aldosterone ratio
18. Neonate with ambiguous genitalia, hypoglycemia, hyponatremia, and hyperkalemia.
Likely diagnosis?
A. 11β-hydroxylase deficiency
B. 21-hydroxylase deficiency (CAH)
C. 17α-hydroxylase deficiency
D. Addison disease
19. What is the initial diagnostic test for 21-hydroxylase deficiency?
A. Serum cortisol
B. 17-hydroxyprogesterone
C. Serum ACTH
D. Aldosterone level
20. Immediate management for suspected CAH in crisis?
A. Dexamethasone only
B. IV fluids + hydrocortisone
C. Fludrocortisone only
D. Observation
