COMLEX 2 TRUELEARN QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Squamous Cell Carcinoma of the lung (_____ pearls seen) can have high ____ (PTHrP), is usually a U/L
hilar mass, and presents with a ___ hx - ANSWER keratin, calcium, smoking
Richter phenomenon: CLL transforming into an aggressive lymphoma, most commonly _____ - ANSWER
diffuse large B cell lymphoma
___ amyloidosis can be a long-term complication of RA - ANSWER AA
best test to order in a stable patient with a possible anterior urethra injury is a _____. patients who
underwent high grade trauma should get a CT to rule out life-threatening injuries first as well - ANSWER
retrograde urethrogram
___ works almost immediately to stabilize myocardial cells by opposing depolarizing effects of
potassium. it is the most important initial therapy in patients with ECG changes from hyperkalemia. -
ANSWER calcium gluconate
acute onset of respiratory distress and interrupted bronchus sign-> ____ - ANSWER airway foreign body
first line treatment for carpal tunnel syndrome=nighttime ____ in ____ position - ANSWER nighttime
split with wrist in a neutral position
immediate treatment in a stable patient with ventricle tachycardia (wide QRS) is ____
unstable and pulseless-> ___
unstable and has a pulse-> ____ - ANSWER antiarrythmic drugs (lidocaine, procainamide, amiodarone)
defib
, cardiovert
Adenosine is used to treat which condition? - ANSWER Paroxysmal supraventricular tachycardia (PSVT)
when vagal maneuvers failed
Erythrasma is a superficial cutaneous bacterial infection of Cornyebacterium Minutissimum that presents
as hyperpigmented scaling plaques in intertriginous area. Wood's lamp shows characteristic ___
fluorescence
tx is benzoyl peroxide or topical antibiotics (clindamycin) - ANSWER coral-red
ulnar nerve entrapment at the wrist (Guyon's Canal) results in hypothenar eminence atrophy and
weakness in the 4th and 5th digit ____/____. If ulnar nerve entrapment occurs at the elbow (cubital
tunnel), ___ of 4th and 5th digits will also be impaired - ANSWER abduction/adduction, flexion
The Rai and Binet classification systems for staging are used for ___ commonly. both require a CBC and
physical exam - ANSWER CLL
EIEC (Enteroinvasive E. coli) has fecal ___ while EHEC (hemorrhagic) does not - ANSWER leukocytes
hepatitis B is an enveloped, partially ds-DNA virus (hepadnavirus) that uses a ___ ___ to replicate via an
RNA intermediate - ANSWER reverse transcriptase
_____ abortion-> vaginal pain, bleeding or both; cervix is dilated, products of conception are in the
cervical canal or uterus (passage of some tissue); still a fetal heart beat - ANSWER incomplete
Spike and dome on EM - ANSWER membranous glomerulonephritis (membranous nephropathy)
____ Electron microscopy findings-> thinning and SPLITTING of the basement membrane ("basket
weave") - ANSWER alport syndrome
AND ANSWERS WITH SOLUTIONS 2024
Squamous Cell Carcinoma of the lung (_____ pearls seen) can have high ____ (PTHrP), is usually a U/L
hilar mass, and presents with a ___ hx - ANSWER keratin, calcium, smoking
Richter phenomenon: CLL transforming into an aggressive lymphoma, most commonly _____ - ANSWER
diffuse large B cell lymphoma
___ amyloidosis can be a long-term complication of RA - ANSWER AA
best test to order in a stable patient with a possible anterior urethra injury is a _____. patients who
underwent high grade trauma should get a CT to rule out life-threatening injuries first as well - ANSWER
retrograde urethrogram
___ works almost immediately to stabilize myocardial cells by opposing depolarizing effects of
potassium. it is the most important initial therapy in patients with ECG changes from hyperkalemia. -
ANSWER calcium gluconate
acute onset of respiratory distress and interrupted bronchus sign-> ____ - ANSWER airway foreign body
first line treatment for carpal tunnel syndrome=nighttime ____ in ____ position - ANSWER nighttime
split with wrist in a neutral position
immediate treatment in a stable patient with ventricle tachycardia (wide QRS) is ____
unstable and pulseless-> ___
unstable and has a pulse-> ____ - ANSWER antiarrythmic drugs (lidocaine, procainamide, amiodarone)
defib
, cardiovert
Adenosine is used to treat which condition? - ANSWER Paroxysmal supraventricular tachycardia (PSVT)
when vagal maneuvers failed
Erythrasma is a superficial cutaneous bacterial infection of Cornyebacterium Minutissimum that presents
as hyperpigmented scaling plaques in intertriginous area. Wood's lamp shows characteristic ___
fluorescence
tx is benzoyl peroxide or topical antibiotics (clindamycin) - ANSWER coral-red
ulnar nerve entrapment at the wrist (Guyon's Canal) results in hypothenar eminence atrophy and
weakness in the 4th and 5th digit ____/____. If ulnar nerve entrapment occurs at the elbow (cubital
tunnel), ___ of 4th and 5th digits will also be impaired - ANSWER abduction/adduction, flexion
The Rai and Binet classification systems for staging are used for ___ commonly. both require a CBC and
physical exam - ANSWER CLL
EIEC (Enteroinvasive E. coli) has fecal ___ while EHEC (hemorrhagic) does not - ANSWER leukocytes
hepatitis B is an enveloped, partially ds-DNA virus (hepadnavirus) that uses a ___ ___ to replicate via an
RNA intermediate - ANSWER reverse transcriptase
_____ abortion-> vaginal pain, bleeding or both; cervix is dilated, products of conception are in the
cervical canal or uterus (passage of some tissue); still a fetal heart beat - ANSWER incomplete
Spike and dome on EM - ANSWER membranous glomerulonephritis (membranous nephropathy)
____ Electron microscopy findings-> thinning and SPLITTING of the basement membrane ("basket
weave") - ANSWER alport syndrome
