COMLEX II HIGH YIELD QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Initial study for osteomyelitis
How is treatment monitored? - ANSWER x-ray, but MRI if it is equivocal (more sensitive, so will rule IN
the dx)
Follow ESR and CRP(prognostic) (WBC is usually normal!!)
Pacer required for these blocks - ANSWER Mobitz type II (3:1 pattern of P to QRS, regular R to R)
3rd degree block (P's and QRSs are "divorced)
First line for OCD - ANSWER SSRIs
acute dystonia (timing after drug initiation) - ANSWER starts hrs to days after initiation of antipsychotics
when does tardive dyskinesia arise
Tx? - ANSWER months to years after a typical antipsychotic med is initiated
switch to an Atypical Antipsychotic
acute akathasia (timing after drug initiation) - ANSWER restlessness/urge to move within hours to days of
typical antipsychotic initiation
Acute pericarditis in SLE presents with ____ - ANSWER (all the normal pericarditis sx) and
1. Leukopenia
2.Thrombocytopenia
X-ray in PDA
,Diagnostic murmur - ANSWER Incresed vascular markings 2/2 L -->R shunt, increased volume in the pulm
system
MACHINE-LIKE @ 2nd Left ICS!!!
early post-valve endocarditis:
late post-valve endocarditis:
native valve endocarditis: - ANSWER early (within 1 yr): S. aureus, S. epidermidis
late: S. aureus
HACEK: H. flu, Actinobacillus, Cardioacterium, Eikenella, Kingella
Sleep walking and enuresis are treated with - ANSWER TCAs like Imipramine (shorten stages 3-4 of
sleep)Use
Used to augment tx when MDD is resistant to monotx with antidepressants - ANSWER Lithium
Pts with CHD or an equivalent should be started on a statin if LDL is >_____?
If LDL is below ______, but they have a CHD equivalent, what should be done? - ANSWER >130
Lifestyle modification
Tx for panic disorder
Tx for GAD - ANSWER SSRI
,Anxiolytic like buspirone
Tx for acute gout - ANSWER NSAIDs!!
Dx a hemotx with ____________ - ANSWER x-ray
14 y/o with palpable pupura, abd pain, arthritis- Dx?
Renal Bx will show - ANSWER HSP
Mesangial deposits of IgA
Mood reactivity + 2 of the following: hypersomnia, wt gain, leaden paralysis, sensitivity to rejection -
ANSWER atypical depression
Most specific tests for RA? - ANSWER X-ray and anti-CCP Abs (RF is not specific and does not rule out
seronegative RA)
R to R in a-fib? - ANSWER irregular! (also look for p-waves that are hard to define)
R vs L BBB? - ANSWER WiLLiaM MaRRoW
LBBB: V1: W, V6:M
RBBB: V1: M, V6: W
Electrolyte disturbance seen in Conn syndrome? - ANSWER Conn syn: Primary hyperaldosteronism, will
have a metabolic alkalosis
, Isolated hypoHDL....tx? - ANSWER Niacin (ASA before!)
2 murmurs that increase with Valsalva - ANSWER 1. HOCM (systolic ejection murmure)
2. MVP (mid-systolic click)
How is HOCM treated? - ANSWER Beta-blocker or verapamil (non-dihydro)
PCWP is low in all types of shock exept: - ANSWER cardiogenic shock
SVR is high in all types of shock except - ANSWER Neurogenic
Septic (fever, white count, tachy, tachypnea)
High CO seen in this type of shock: - ANSWER Septic, but may be normal
Medical management of PVD - ANSWER Cilostazol
How is spondylolithesis graded? - ANSWER 3 grades,
below and above 26-50%
Hip drop tests __________ - ANSWER sidebending of the lumbar spine
Standing flxn tests _______ - ANSWER Iliosacral dysfunction
AP compression and Seated flxn test ______ - ANSWER Sacroiliac dysfunction
Straight leg raising tests _________ - ANSWER Sciatic nerve compression, could be from a herniated disc
Viscerosomatics: (major organs) - ANSWER S-stomach/spleen: 5-9
L-liver: 6-9
AND ANSWERS WITH SOLUTIONS 2024
Initial study for osteomyelitis
How is treatment monitored? - ANSWER x-ray, but MRI if it is equivocal (more sensitive, so will rule IN
the dx)
Follow ESR and CRP(prognostic) (WBC is usually normal!!)
Pacer required for these blocks - ANSWER Mobitz type II (3:1 pattern of P to QRS, regular R to R)
3rd degree block (P's and QRSs are "divorced)
First line for OCD - ANSWER SSRIs
acute dystonia (timing after drug initiation) - ANSWER starts hrs to days after initiation of antipsychotics
when does tardive dyskinesia arise
Tx? - ANSWER months to years after a typical antipsychotic med is initiated
switch to an Atypical Antipsychotic
acute akathasia (timing after drug initiation) - ANSWER restlessness/urge to move within hours to days of
typical antipsychotic initiation
Acute pericarditis in SLE presents with ____ - ANSWER (all the normal pericarditis sx) and
1. Leukopenia
2.Thrombocytopenia
X-ray in PDA
,Diagnostic murmur - ANSWER Incresed vascular markings 2/2 L -->R shunt, increased volume in the pulm
system
MACHINE-LIKE @ 2nd Left ICS!!!
early post-valve endocarditis:
late post-valve endocarditis:
native valve endocarditis: - ANSWER early (within 1 yr): S. aureus, S. epidermidis
late: S. aureus
HACEK: H. flu, Actinobacillus, Cardioacterium, Eikenella, Kingella
Sleep walking and enuresis are treated with - ANSWER TCAs like Imipramine (shorten stages 3-4 of
sleep)Use
Used to augment tx when MDD is resistant to monotx with antidepressants - ANSWER Lithium
Pts with CHD or an equivalent should be started on a statin if LDL is >_____?
If LDL is below ______, but they have a CHD equivalent, what should be done? - ANSWER >130
Lifestyle modification
Tx for panic disorder
Tx for GAD - ANSWER SSRI
,Anxiolytic like buspirone
Tx for acute gout - ANSWER NSAIDs!!
Dx a hemotx with ____________ - ANSWER x-ray
14 y/o with palpable pupura, abd pain, arthritis- Dx?
Renal Bx will show - ANSWER HSP
Mesangial deposits of IgA
Mood reactivity + 2 of the following: hypersomnia, wt gain, leaden paralysis, sensitivity to rejection -
ANSWER atypical depression
Most specific tests for RA? - ANSWER X-ray and anti-CCP Abs (RF is not specific and does not rule out
seronegative RA)
R to R in a-fib? - ANSWER irregular! (also look for p-waves that are hard to define)
R vs L BBB? - ANSWER WiLLiaM MaRRoW
LBBB: V1: W, V6:M
RBBB: V1: M, V6: W
Electrolyte disturbance seen in Conn syndrome? - ANSWER Conn syn: Primary hyperaldosteronism, will
have a metabolic alkalosis
, Isolated hypoHDL....tx? - ANSWER Niacin (ASA before!)
2 murmurs that increase with Valsalva - ANSWER 1. HOCM (systolic ejection murmure)
2. MVP (mid-systolic click)
How is HOCM treated? - ANSWER Beta-blocker or verapamil (non-dihydro)
PCWP is low in all types of shock exept: - ANSWER cardiogenic shock
SVR is high in all types of shock except - ANSWER Neurogenic
Septic (fever, white count, tachy, tachypnea)
High CO seen in this type of shock: - ANSWER Septic, but may be normal
Medical management of PVD - ANSWER Cilostazol
How is spondylolithesis graded? - ANSWER 3 grades,
below and above 26-50%
Hip drop tests __________ - ANSWER sidebending of the lumbar spine
Standing flxn tests _______ - ANSWER Iliosacral dysfunction
AP compression and Seated flxn test ______ - ANSWER Sacroiliac dysfunction
Straight leg raising tests _________ - ANSWER Sciatic nerve compression, could be from a herniated disc
Viscerosomatics: (major organs) - ANSWER S-stomach/spleen: 5-9
L-liver: 6-9
