COMLEX II High Yield
_______ is a potential existence-threatening worry of crucial line placement: surprising-onset
dyspnea with the presence of a "mill wheel" murmur on PE - ANS-Venous air embolism -->acute
cerebral ischemia if the air passes through a patent foramen ovale
____________ is a complication of choledocholithiasis and should be treated with
____________ - ANS-ascending cholangitis
IV Abs, IV fluids, ERCP w/ sphincterotomy/stone removal or bile duct decompression
10 yr hx of operating inside the mining, glass, concrete, sandblasting industry with fever dry
cough and DOE....Dx? X-ray findings - ANS-Silicosis
Nodular opacities within the higher lobes
14 y/o with palpable pupura, abd pain, arthritis- Dx?
Renal Bx will show - ANS-HSP
Mesangial deposits of IgA
1st and second line tx for lichen sclerosus et atrophicus - ANS-topical corticosteroids
calcineurin inhibitors, like tacrolimus ointment
1st line tx for SIADH?
2nd line tx?
Third? - ANS-fluid restricion
demeclocycline
PO tolvaptan
2 murmurs that growth with Valsalva - ANS-1. HOCM (systolic ejection murmure)
2. MVP (mid-systolic click)
three ligaments of the lateral ankle: 1, 2, three
Typing of ankle sprains:
Grading machine - ANS-1. ATF
2. FC
3. PTF
,Type I: ATF handiest
Type II: ATF and FC
Type III: ATF, FC, and PTF
Grade I: harm
Grade II: laxity
Grade III: tear
four or greater episodes of MDD, mania, hypomania, mixed in twelve months -
ANS-Rapid-biking bipolar d/o
A 45 12 months-vintage Caucasian male affords to your office complaining of periumbilical pain
for one week. The affected person also reports experiencing headache, weight reduction,
fevers, weak spot, and malaise all through this time (flu-like sx). His important signs encompass
a blood pressure of a hundred forty five/100 mm Hg, a pulse of 86 bpm, and a temperature of
37.6 C. The affected person additionally admits to taking Tylenol earlier inside the day. On
bodily examination you word an unwell-appearing male who seems older than his stated age.
His abdomen is diffusely tender with out peritoneal signs and symptoms. Rovsing's sign and
tenderness at McBurney's point are both terrible. Needle tracts of diverse a while are visible
during the affected person's hands. Angiogram of the stomach famous a couple of aneurysms
inside the mesenteric and renal arteries. - ANS-Polyarteritis nodosa (PAN) is a disorder of small
and medium-sized arteries that maximum generally includes the pores and skin, joints,
peripheral nerves, kidneys, and the gastrointestinal (GI) tract. Although there are numerous
manifestations of PAN, you need to bear in mind this prognosis in all sufferers imparting with
signs and symptoms together with fever, malaise, weight reduction, and anorexia. Peripheral or
relevant worried symptoms, dermatologic findings (vascular purpura, subcutaneous nodules,
livedo reticularis), myalgias, and orchitis are also possible offering signs of PAN. Approximately
20% of patients with classic PAN are tremendous for p-ANCA. A patient is said to have PAN if
he/she has three of the 10 following symptoms:
1. Weight loss more than/identical to 4 kg
2. Livedo reticularis, which seems as a mottled, crimson discoloration over the extremities or
torso
3. Testicular pain in adult males (orchitis)
4. Myalgias or weak point
five. Elevated BUN and creatinine
6. Hepatitis-positive serology (needle tracts??)
7. Central or peripheral neuropathy
8. Diastolic blood strain greater than ninety mm Hg
nine. Arteriogram showing aneurysms in small or medium-sized vessels
10. Biopsy-nice tissue
,Abandonment - ANS-Abandonment - Medical abandonment effects whilst the caregiver-patient
courting is terminated without making affordable arrangements with the correct individual so that
care through others may be continued.
Abd ache after discharge for acute pancreatitis...Dx? Tx? - ANS-pseudocyst
commentary
abd pain, diarrhea, steatorrhea, cholelithiasis, DM...Dx? Tx? - ANS-Dx: Somatostatinoma
inflicting somatostatinoma syndrome; CT
Tx: surgical resection
abd pain, hallucinations, constipation, tachycardia, triggered by using stress, vomiting, urine
indicates aminolevulinic acid and ______; Dx? - ANS-porphobilinogen
AIP (no rash!!)
Absolute symptoms for hemodialysis - ANS-A-metabolic acidosis
E-electrolytes: hyperkalemia
I-intoxications (methanol, ethylene glycol, Li, ASA)
O-overload (hypervolemia, CHF not otherwise controlled)
U-uremia (uremic pericarditis
Abx management of open fractures
If allergic to the DOC, give ____ - ANS-Type I: first gen ceph
Type II: first gen ceph
Type III: first gen ceph and AMG
allergic to ceph: clinda
acute akathasia (timing after drug initiation) - ANS-restlessness/urge to move inside hours to
days of usual antipsychotic initiation
acute dystonia (timing after drug initiation) - ANS-starts hrs to days after initiation of
antipsychotics
Acute pericarditis in SLE affords with ____ - ANS-(all of the ordinary pericarditis sx) and
1. Leukopenia
2.Thrombocytopenia
, Acute, painless monocular loss of vision; Fundoscopic: faded retina with a cherry-purple macula
- ANS-Retinal art. Occlusion
Adult Parkland method - ANS-Head: nine%
Upper extremities: 18%
Trunk: 36%
Lower extremities: 36%
Affect of CV4 - ANS-will enhance the cranial rhythmic impulses
AFP is most effective valid all through what gestational window? - ANS-sixteen to 18 wks
after diagnosing and starting inital tx of a PCC, what do you do subsequent? - ANS-CHECK
FOR OTHER MEN PATHOLOGIES!!!!! CHECK A CALCIUM LEVEL!!!!!
Aggressive neoplasm generally in the placenta that spreads hematogenously, regularly to the
lungs - ANS-choriocarcinoma
Algorithm for determining the sort of RTA - ANS-1. Determine RTA: non-AG, hyperchloremic
acidosis with close to everyday GFR and no diarrhea
2. HyperK+? Yes -->RTA IV, if decrease, NOT type IV
three. Urine pH <5.5 -->RTA II if now not, go to step 4
four. Bicarb near regular: RTA I, if Bicarb in reduced (below 24) RTA II
amphetamine OD or delerioius pt - ANS-Haldol (diet "H"!!)
AMS, hypothermia, hypotention, hypoventilation, hardship of thyroid disorder
Dx? Tx? - ANS-Myxedema coma
IV T3, T4, hydrocortisone, blanket, breathing remedy
An anterior cerebral artery occlusion could bring about - ANS-contralateral hemiparesis with the
leg extra affected than the arm
Analysis of amniotic fluid index - ANS-■Oligohydramnios — zero to <5 cm
■Normal — 5 to 25 cm
■Polyhydramnios — greater than 25 cm
Angle that defines scoliosis
_______ is a potential existence-threatening worry of crucial line placement: surprising-onset
dyspnea with the presence of a "mill wheel" murmur on PE - ANS-Venous air embolism -->acute
cerebral ischemia if the air passes through a patent foramen ovale
____________ is a complication of choledocholithiasis and should be treated with
____________ - ANS-ascending cholangitis
IV Abs, IV fluids, ERCP w/ sphincterotomy/stone removal or bile duct decompression
10 yr hx of operating inside the mining, glass, concrete, sandblasting industry with fever dry
cough and DOE....Dx? X-ray findings - ANS-Silicosis
Nodular opacities within the higher lobes
14 y/o with palpable pupura, abd pain, arthritis- Dx?
Renal Bx will show - ANS-HSP
Mesangial deposits of IgA
1st and second line tx for lichen sclerosus et atrophicus - ANS-topical corticosteroids
calcineurin inhibitors, like tacrolimus ointment
1st line tx for SIADH?
2nd line tx?
Third? - ANS-fluid restricion
demeclocycline
PO tolvaptan
2 murmurs that growth with Valsalva - ANS-1. HOCM (systolic ejection murmure)
2. MVP (mid-systolic click)
three ligaments of the lateral ankle: 1, 2, three
Typing of ankle sprains:
Grading machine - ANS-1. ATF
2. FC
3. PTF
,Type I: ATF handiest
Type II: ATF and FC
Type III: ATF, FC, and PTF
Grade I: harm
Grade II: laxity
Grade III: tear
four or greater episodes of MDD, mania, hypomania, mixed in twelve months -
ANS-Rapid-biking bipolar d/o
A 45 12 months-vintage Caucasian male affords to your office complaining of periumbilical pain
for one week. The affected person also reports experiencing headache, weight reduction,
fevers, weak spot, and malaise all through this time (flu-like sx). His important signs encompass
a blood pressure of a hundred forty five/100 mm Hg, a pulse of 86 bpm, and a temperature of
37.6 C. The affected person additionally admits to taking Tylenol earlier inside the day. On
bodily examination you word an unwell-appearing male who seems older than his stated age.
His abdomen is diffusely tender with out peritoneal signs and symptoms. Rovsing's sign and
tenderness at McBurney's point are both terrible. Needle tracts of diverse a while are visible
during the affected person's hands. Angiogram of the stomach famous a couple of aneurysms
inside the mesenteric and renal arteries. - ANS-Polyarteritis nodosa (PAN) is a disorder of small
and medium-sized arteries that maximum generally includes the pores and skin, joints,
peripheral nerves, kidneys, and the gastrointestinal (GI) tract. Although there are numerous
manifestations of PAN, you need to bear in mind this prognosis in all sufferers imparting with
signs and symptoms together with fever, malaise, weight reduction, and anorexia. Peripheral or
relevant worried symptoms, dermatologic findings (vascular purpura, subcutaneous nodules,
livedo reticularis), myalgias, and orchitis are also possible offering signs of PAN. Approximately
20% of patients with classic PAN are tremendous for p-ANCA. A patient is said to have PAN if
he/she has three of the 10 following symptoms:
1. Weight loss more than/identical to 4 kg
2. Livedo reticularis, which seems as a mottled, crimson discoloration over the extremities or
torso
3. Testicular pain in adult males (orchitis)
4. Myalgias or weak point
five. Elevated BUN and creatinine
6. Hepatitis-positive serology (needle tracts??)
7. Central or peripheral neuropathy
8. Diastolic blood strain greater than ninety mm Hg
nine. Arteriogram showing aneurysms in small or medium-sized vessels
10. Biopsy-nice tissue
,Abandonment - ANS-Abandonment - Medical abandonment effects whilst the caregiver-patient
courting is terminated without making affordable arrangements with the correct individual so that
care through others may be continued.
Abd ache after discharge for acute pancreatitis...Dx? Tx? - ANS-pseudocyst
commentary
abd pain, diarrhea, steatorrhea, cholelithiasis, DM...Dx? Tx? - ANS-Dx: Somatostatinoma
inflicting somatostatinoma syndrome; CT
Tx: surgical resection
abd pain, hallucinations, constipation, tachycardia, triggered by using stress, vomiting, urine
indicates aminolevulinic acid and ______; Dx? - ANS-porphobilinogen
AIP (no rash!!)
Absolute symptoms for hemodialysis - ANS-A-metabolic acidosis
E-electrolytes: hyperkalemia
I-intoxications (methanol, ethylene glycol, Li, ASA)
O-overload (hypervolemia, CHF not otherwise controlled)
U-uremia (uremic pericarditis
Abx management of open fractures
If allergic to the DOC, give ____ - ANS-Type I: first gen ceph
Type II: first gen ceph
Type III: first gen ceph and AMG
allergic to ceph: clinda
acute akathasia (timing after drug initiation) - ANS-restlessness/urge to move inside hours to
days of usual antipsychotic initiation
acute dystonia (timing after drug initiation) - ANS-starts hrs to days after initiation of
antipsychotics
Acute pericarditis in SLE affords with ____ - ANS-(all of the ordinary pericarditis sx) and
1. Leukopenia
2.Thrombocytopenia
, Acute, painless monocular loss of vision; Fundoscopic: faded retina with a cherry-purple macula
- ANS-Retinal art. Occlusion
Adult Parkland method - ANS-Head: nine%
Upper extremities: 18%
Trunk: 36%
Lower extremities: 36%
Affect of CV4 - ANS-will enhance the cranial rhythmic impulses
AFP is most effective valid all through what gestational window? - ANS-sixteen to 18 wks
after diagnosing and starting inital tx of a PCC, what do you do subsequent? - ANS-CHECK
FOR OTHER MEN PATHOLOGIES!!!!! CHECK A CALCIUM LEVEL!!!!!
Aggressive neoplasm generally in the placenta that spreads hematogenously, regularly to the
lungs - ANS-choriocarcinoma
Algorithm for determining the sort of RTA - ANS-1. Determine RTA: non-AG, hyperchloremic
acidosis with close to everyday GFR and no diarrhea
2. HyperK+? Yes -->RTA IV, if decrease, NOT type IV
three. Urine pH <5.5 -->RTA II if now not, go to step 4
four. Bicarb near regular: RTA I, if Bicarb in reduced (below 24) RTA II
amphetamine OD or delerioius pt - ANS-Haldol (diet "H"!!)
AMS, hypothermia, hypotention, hypoventilation, hardship of thyroid disorder
Dx? Tx? - ANS-Myxedema coma
IV T3, T4, hydrocortisone, blanket, breathing remedy
An anterior cerebral artery occlusion could bring about - ANS-contralateral hemiparesis with the
leg extra affected than the arm
Analysis of amniotic fluid index - ANS-■Oligohydramnios — zero to <5 cm
■Normal — 5 to 25 cm
■Polyhydramnios — greater than 25 cm
Angle that defines scoliosis
