COMLEX LEVEL 3 HIGH YIELDS 6
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
CSF analysis of Guillain Barre - ANSWER Albuminocytologic dissociation: lots of protein with no WBC
DtaP immunization contraindication - ANSWER previous seizures
Initial scoliosis screen - ANSWER Forward bending test
-Hump on the left = RlSr
-If hump disappear with left sidebending then it's not structural scoliosis
CDM case: UTI - ANSWER initial testing: UA, pregnancy test, chlamydia & neisseria gonorrhea screen
Risk factors for colorectal cancer - ANSWER alcohol use, tobacco use, obesity, insulin resistance,
red/processed meat consumption
Management of colorectal carcinoma - ANSWER Abdominal CT scan for staging. Tx = surgical resection
and adjuvant chemotherapy. Routine serum CEA evaluation to assess for recurrence.
Healthy 11-12 yo child screening - ANSWER 1. Depression
2. Ilegal substance use (alcohol and drug use): CRAFFT or HEADSS screening
Routine pre-teen immunization are: - ANSWER 1. Meningococcal vaccine (1st dose at 11 with booster at
16)
2. 9 valent HPV vaccine
3. Influenza vaccine
Acute interstitial nephritis management - ANSWER 1. Discontinue offenders (antibiotics, NSAIDs) and do
renal U/S
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
CSF analysis of Guillain Barre - ANSWER Albuminocytologic dissociation: lots of protein with no WBC
DtaP immunization contraindication - ANSWER previous seizures
Initial scoliosis screen - ANSWER Forward bending test
-Hump on the left = RlSr
-If hump disappear with left sidebending then it's not structural scoliosis
CDM case: UTI - ANSWER initial testing: UA, pregnancy test, chlamydia & neisseria gonorrhea screen
Risk factors for colorectal cancer - ANSWER alcohol use, tobacco use, obesity, insulin resistance,
red/processed meat consumption
Management of colorectal carcinoma - ANSWER Abdominal CT scan for staging. Tx = surgical resection
and adjuvant chemotherapy. Routine serum CEA evaluation to assess for recurrence.
Healthy 11-12 yo child screening - ANSWER 1. Depression
2. Ilegal substance use (alcohol and drug use): CRAFFT or HEADSS screening
Routine pre-teen immunization are: - ANSWER 1. Meningococcal vaccine (1st dose at 11 with booster at
16)
2. 9 valent HPV vaccine
3. Influenza vaccine
Acute interstitial nephritis management - ANSWER 1. Discontinue offenders (antibiotics, NSAIDs) and do
renal U/S
