COMLEX LEVEL 2 Complete (Original)
Questions With Complete Solutions
__ are done if there are short runs or ventricular tachycardia or
unexplained syncope and you want to see if you can induce
sustained ventricular tachycardia.
What does a swan-ganz cath do? Correct Answers EP studies
Swan-Ganz is a right heart catheter that assesses intracardiac
pressure and cardiac output.
__ is a common cause of low back pain during pregnancy and
after delivery
What is the thompson test? Correct Answers bilateral sacral
flexion
Squeeze the calf to see if it plantar flexes --> If it doesn't, than
this is an indication of achilles tendon rupture
__ pushes the trachea away from the involved lung, and __ pulls
the trachea toward the involved lung.
What requires chest tube placement?
What requires needle decompression prior to chest tube
placement?
Which one allows air into the lungs but not out (one way valve)
,Which one is associated w/ trauma and mechanical ventilation
Correct Answers Tension pneumothorax
atelectasis
-Pneumothorax
-Tension pneumothorax
Tension pneumothorax
Tension pneumothorax
___ antibiotics have better coverage than any other class
List them Correct Answers Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
___ dilate afferent arteriole
___ constrict afferent arteriole
Best test for renal artery stenosis?
- Treatment? Correct Answers Prostaglandins
NSAIDs
Duplex U/S
- This does not do any damage to kidneys
- Do CT w/ contrast if there is clear sign that kidney is not
damaged
,Treat w/ statin to prevent further development of atherosclerotic
plaques
- Use ACEi if there's unilateral artery stenosis. Do not use ACEi
if there are bilateral renal artery stenosis as this may precipitate
heart failure
___ is a benzodiazepine antagonist
- What's a major side effect of this drug?
- What situation will u use this drug?
What's the treatment for amphetamine and cocaine intoxication
- What do you use for withdrawal symptoms? Correct Answers
Flumazenil
- Seizures
- Only in acute overdose. Don't use for chronic dependence (can
lead to tremors or seizures)
Antipsychotic or benzo
- Bupropion and/or bromocriptine
___ is a much more severe disease than ___ because it occurs at
a deeper level in the skin.
- What are the most likely bug for each of these disease
Treatment of all skin infections are pretty much the same. What
are the treatments? Correct Answers Erysipelas --> Strep
impetigo --> Staph
Mild disease with topical agents:
• Mupirocin
, • Retapamulin
• Bacitracin
Severe disease with oral agents:
• Dicloxacillin or cephalexin
Community-acquired MRSA with:
• Doxycycline
• Clindamycin
• Trimethoprim/sulfamethoxazole (TMP/SMZ)
___ is a preleukemic disorder presenting in older patients (over
60) with a pancytopenia despite a hypercellular bone marrow.
- Usually complications like infection and bleeding lead to death
before leukemia develops
Blood smear shows
Severity is based on ____ Correct Answers Myelodysplastic
syndrome (MDS)
ringed sideroblast or pelger-huet cells
___ is a thought disorder that impairs judgment, behavior, and
the ability to interpret reality.
- What drug screen is important to rule out in this population?
In emergency situation where intramuscular medication is
needed, consider __
Questions With Complete Solutions
__ are done if there are short runs or ventricular tachycardia or
unexplained syncope and you want to see if you can induce
sustained ventricular tachycardia.
What does a swan-ganz cath do? Correct Answers EP studies
Swan-Ganz is a right heart catheter that assesses intracardiac
pressure and cardiac output.
__ is a common cause of low back pain during pregnancy and
after delivery
What is the thompson test? Correct Answers bilateral sacral
flexion
Squeeze the calf to see if it plantar flexes --> If it doesn't, than
this is an indication of achilles tendon rupture
__ pushes the trachea away from the involved lung, and __ pulls
the trachea toward the involved lung.
What requires chest tube placement?
What requires needle decompression prior to chest tube
placement?
Which one allows air into the lungs but not out (one way valve)
,Which one is associated w/ trauma and mechanical ventilation
Correct Answers Tension pneumothorax
atelectasis
-Pneumothorax
-Tension pneumothorax
Tension pneumothorax
Tension pneumothorax
___ antibiotics have better coverage than any other class
List them Correct Answers Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
___ dilate afferent arteriole
___ constrict afferent arteriole
Best test for renal artery stenosis?
- Treatment? Correct Answers Prostaglandins
NSAIDs
Duplex U/S
- This does not do any damage to kidneys
- Do CT w/ contrast if there is clear sign that kidney is not
damaged
,Treat w/ statin to prevent further development of atherosclerotic
plaques
- Use ACEi if there's unilateral artery stenosis. Do not use ACEi
if there are bilateral renal artery stenosis as this may precipitate
heart failure
___ is a benzodiazepine antagonist
- What's a major side effect of this drug?
- What situation will u use this drug?
What's the treatment for amphetamine and cocaine intoxication
- What do you use for withdrawal symptoms? Correct Answers
Flumazenil
- Seizures
- Only in acute overdose. Don't use for chronic dependence (can
lead to tremors or seizures)
Antipsychotic or benzo
- Bupropion and/or bromocriptine
___ is a much more severe disease than ___ because it occurs at
a deeper level in the skin.
- What are the most likely bug for each of these disease
Treatment of all skin infections are pretty much the same. What
are the treatments? Correct Answers Erysipelas --> Strep
impetigo --> Staph
Mild disease with topical agents:
• Mupirocin
, • Retapamulin
• Bacitracin
Severe disease with oral agents:
• Dicloxacillin or cephalexin
Community-acquired MRSA with:
• Doxycycline
• Clindamycin
• Trimethoprim/sulfamethoxazole (TMP/SMZ)
___ is a preleukemic disorder presenting in older patients (over
60) with a pancytopenia despite a hypercellular bone marrow.
- Usually complications like infection and bleeding lead to death
before leukemia develops
Blood smear shows
Severity is based on ____ Correct Answers Myelodysplastic
syndrome (MDS)
ringed sideroblast or pelger-huet cells
___ is a thought disorder that impairs judgment, behavior, and
the ability to interpret reality.
- What drug screen is important to rule out in this population?
In emergency situation where intramuscular medication is
needed, consider __
