COMSAE Form 113 Practice Exam Questions And Correct
Answers (Verified Answers) Plus Rationales 2025 Q&A | Instant
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And Correct Answers (Verified Answers) Plus Rationales 2025
Q&A | Instant Download Pdf
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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ alendronate to prevent
osteoporosis (Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
,What is the Pearson correlation value for this data set? - CORRECT ✔✔✔✔✔
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 ✔✔✔✔✔ 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 ✔✔✔✔✔
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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔
inhibiting serotonin reuptake. Patient presents with serotonin syndrome due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory
infections. DX - CORRECT ✔✔✔✔✔ adenotonsilar hypertrophy. Enlarged tonsils and
adenoids more common in kids. Not cystic fibrosis b/c they would have lower resp
infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is
a cattle farmer who has recently been working in an enclosed hay storage barn. His
serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are
present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules
sparing the apices and bases. DX - CORRECT ✔✔✔✔✔ hypersensitivity pneumonitis.
(Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for - CORRECT
✔✔✔✔✔ conversion of dUMP to dTMP. (limits neural tube risk)
, Nausea, headache, breast tenderness. Mother of 4 and taking monophasic combine
oral contraceptive therapy for 3 months. Consider a different contraceptive. Switch her
to - CORRECT ✔✔✔✔✔ administer depot medroxyprogesterone acetate injections.
(estrogen is causing issues - switch to a progesterone only med)
62 yr old tired by the end of the day. More breathless and burning sensation in legs
when he jogs. PMH HTN for 20 yrs untreated. Labs- NA ↑, BUN↑, glucose ↑, GFR↓.
Exercise tolerance impaired b/c - CORRECT ✔✔✔✔✔ arterial blood oxygen content is
reduced. Chronic kidney disease leading to anemia. He wouldn't be able to jog is there
was a ↓in cardiac output.
5 day history of R elbow pain that began shortly after tennis tournament. Winces when
shaking hands/ Diminished flexion of the wrist and tender end point at the R lateral
epicondyle. Additional tender point is found at - CORRECT ✔✔✔✔✔ extensors of the
wrist. Extensors connect directly to the lateral epicondyle, pronator teres is wrong
because that attaches to the medial epicondyle.
54 yr old man present with increasing difficulty initiating urination, which results in
multiple nocturnal attempts to void. Which receptor should the pharm aim for to provide
relief - CORRECT ✔✔✔✔✔ block of alpha 1 adrenergic receptor in the prostate.
Pt has HTN. Multiple medication has not allowed for control. She has no meds currently.
Exam reveals edema with LOW potassium. Etiology - CORRECT ✔✔✔✔✔ renal artery
stenosis. No EDEMA IN CUSHING SYNDROME!
You review article result sin which 1,000 patient s with and without heart disease had
this test performed with 900 positive results (p value of 0.5). you conclude that -
CORRECT ✔✔✔✔✔ the observed difference is due to chance. No type 1 error present
b/c you didn't incorrectly reject the null hypothesis.
45 yr old man has L lower extremity edema. Surgical history reveals a L inguinal hernia
repair 2 weeks ago. Anterior innominate rotation present. Edema most likely because -
CORRECT ✔✔✔✔✔ mechanical obstruction to absorptive flow. Obstruction most likely
due to PMH of recent surgery.
History of palpitations and dyspnea + PMH of coronary artery disease and HTN. Lungs
are clear to auscultation. Most appropriate pharm agent to control the HR - CORRECT
✔✔✔✔✔ diltiazem. Adenosine is a short-acting agent that temporarily blocks AV nodal
conduction. It's primarily used for paroxysmal supraventricular tachycardia (PSVT),
especially in cases of reentrant arrhythmias involving the AV node (like AV nodal
reentry tachycardia).
6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA reveals
too numerous to count erythrocytes. Hematuria is due to - CORRECT ✔✔✔✔✔
Answers (Verified Answers) Plus Rationales 2025 Q&A | Instant
Download Pdf///COMSAE Form 113 Practice Exam Questions
And Correct Answers (Verified Answers) Plus Rationales 2025
Q&A | Instant Download Pdf
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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ alendronate to prevent
osteoporosis (Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
,What is the Pearson correlation value for this data set? - CORRECT ✔✔✔✔✔
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 ✔✔✔✔✔ 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 ✔✔✔✔✔
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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔
inhibiting serotonin reuptake. Patient presents with serotonin syndrome due to SSRI.
7yr old has lethargy, daytime somnolence, nighttime snoring, increased respiratory
infections. DX - CORRECT ✔✔✔✔✔ adenotonsilar hypertrophy. Enlarged tonsils and
adenoids more common in kids. Not cystic fibrosis b/c they would have lower resp
infections and thick mucus production.
50 yr old man acute episode cough, dyspnea, fever, and chest pain. Reveals that he is
a cattle farmer who has recently been working in an enclosed hay storage barn. His
serum IgE level is normal. High serum precipitating antibody levels to actinomycetes are
present. Restrictive pattern and reducing diffusing capacity. Multiple bilateral nodules
sparing the apices and bases. DX - CORRECT ✔✔✔✔✔ hypersensitivity pneumonitis.
(Type III/IV hypersensitivity)
Folic acid will ensure fetus has adequate methylene tetrahydrofolate for - CORRECT
✔✔✔✔✔ conversion of dUMP to dTMP. (limits neural tube risk)
, Nausea, headache, breast tenderness. Mother of 4 and taking monophasic combine
oral contraceptive therapy for 3 months. Consider a different contraceptive. Switch her
to - CORRECT ✔✔✔✔✔ administer depot medroxyprogesterone acetate injections.
(estrogen is causing issues - switch to a progesterone only med)
62 yr old tired by the end of the day. More breathless and burning sensation in legs
when he jogs. PMH HTN for 20 yrs untreated. Labs- NA ↑, BUN↑, glucose ↑, GFR↓.
Exercise tolerance impaired b/c - CORRECT ✔✔✔✔✔ arterial blood oxygen content is
reduced. Chronic kidney disease leading to anemia. He wouldn't be able to jog is there
was a ↓in cardiac output.
5 day history of R elbow pain that began shortly after tennis tournament. Winces when
shaking hands/ Diminished flexion of the wrist and tender end point at the R lateral
epicondyle. Additional tender point is found at - CORRECT ✔✔✔✔✔ extensors of the
wrist. Extensors connect directly to the lateral epicondyle, pronator teres is wrong
because that attaches to the medial epicondyle.
54 yr old man present with increasing difficulty initiating urination, which results in
multiple nocturnal attempts to void. Which receptor should the pharm aim for to provide
relief - CORRECT ✔✔✔✔✔ block of alpha 1 adrenergic receptor in the prostate.
Pt has HTN. Multiple medication has not allowed for control. She has no meds currently.
Exam reveals edema with LOW potassium. Etiology - CORRECT ✔✔✔✔✔ renal artery
stenosis. No EDEMA IN CUSHING SYNDROME!
You review article result sin which 1,000 patient s with and without heart disease had
this test performed with 900 positive results (p value of 0.5). you conclude that -
CORRECT ✔✔✔✔✔ the observed difference is due to chance. No type 1 error present
b/c you didn't incorrectly reject the null hypothesis.
45 yr old man has L lower extremity edema. Surgical history reveals a L inguinal hernia
repair 2 weeks ago. Anterior innominate rotation present. Edema most likely because -
CORRECT ✔✔✔✔✔ mechanical obstruction to absorptive flow. Obstruction most likely
due to PMH of recent surgery.
History of palpitations and dyspnea + PMH of coronary artery disease and HTN. Lungs
are clear to auscultation. Most appropriate pharm agent to control the HR - CORRECT
✔✔✔✔✔ diltiazem. Adenosine is a short-acting agent that temporarily blocks AV nodal
conduction. It's primarily used for paroxysmal supraventricular tachycardia (PSVT),
especially in cases of reentrant arrhythmias involving the AV node (like AV nodal
reentry tachycardia).
6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA reveals
too numerous to count erythrocytes. Hematuria is due to - CORRECT ✔✔✔✔✔
