Maya started with the "easy" misses. She realized she’d fallen for the classic COMSAE traps. On a question about a sudden-onset "thunderclap" headache, she’d picked Migraine because the patient had nausea. she whispered, scribbling in red ink.

She stood up, stretched her sore back—noting her own T-spine felt a bit "extended, rotated, and sidebent right"—and packed her bags. She wasn't afraid of the real exam anymore. Form 107 had been a brutal teacher, but she was finally starting to speak its language. Are you currently reviewing a specific system

"If they’re crashing, you go for the bedside Echo or empiric treatment if the suspicion is high enough."

As the sun began to peek through the library windows, the patterns started to emerge. COMSAE wasn't just testing her knowledge of rare diseases; it was testing her ability to be a safe, efficient intern. It wanted to know if she could recognize a surgical abdomen, if she knew when to screen for colon cancer (now age 45!), and if she could find the Chapman point for the kidneys (1 inch superior and 1 inch lateral to the umbilicus). The Aftermath