COMLEX level 2 Qbanks/COMSAE: COMQUEST,
COMBANK, form D & 105B/ 1,021 Q&A.
drug for UC/Crohns - Answer: sulfasalazine
Complex Regional Pain Syndrome (CRPS) I vs. II - Answer: CRPS I = pain without identifiable
nerve lesion often of the extremities
CRPS II = pain with identificable nerve lesion
Nail involvement in Psoriasis - Answer: Onycholysis
How is fluid resuscitation calculated in burn victims? How is this administered? - Answer:
Parkland Formula = BW (kg) x % of burn (up to 50%) x 4 cc RL + 2,000 D5W
Infuse 1/2 first 8 hrs and 1/2 next 16 hrs
History of pancreatitis with abdominal pain after eating - Answer: Pancreatic pseudocyst
Page 1 of 145
,Most common location of Berry Aneursym - Answer: Anterior Communicating and Anterior
Cerebral Arteries
2 things that can cause scrotal transillumination - Answer: 1) Hydrocele
2) Epididymitis
How to interpret Romberg Test? - Answer: 1) Positive (loss of balance) = loss of proprioception
2) Negative = cerebellar dysfunciton
How to determine vestibular problem? - Answer: Presence of Nystagmus (Dix-Hallpike
Maneuver)
Obstructive PFT findings - Answer: Increased TLC, FRC, and RV
Decreased FVC, FEV1, and FEV1/FVC ratio
Restrictive PFT findings - Answer: Normal or increased FEV1/FVC ratio
Decreased TLC, FVC, RV, FRC, and FEV1
Blood pressure goals for 4 different populations - Answer: Goal: SBP <140 and DBP <90
1) <60 y/o
2) >18 y/o with CKD
3) >18 y/o with Diabetes
Goal: SBP <150 and DBP <90
1) >60 y/o
Treatment of ITP - Answer: Steroids and IVIG
"onion skinning" on radiography - Answer: Ewing's Sarcoma
Page 2 of 145
,Staging of Sarcoidosis - Answer: 1 = bilateral hilar lymphadenopathy
2 = bilateral hilar lymphadenopathy with infiltrates
3 = infiltrates only
4 = fibrosis
4 viruses associated with DM-1 - Answer: 1) Coxsackie B Virus
2) Mumps
3) CMV
4) Rotavirus
What parameter is important when fluid resusitating a patient? What is the goal? - Answer:
Urine Output at 0.5 mL/kg/hr
red stools, colicky abdominal painm bilious vomitting, sausage shaped mass in child - Answer:
intussesception
target sign on ultrasound
Systolic ejection murmur along sternal border that increases with valsalva - Answer: HOCM
Diastolic, decrescendo, low-pitch, blowing murmur that increases with handgrip - Answer:
Austin Flint murmur
Aortic insufficiency
widened pulse pressure
Systolic crescendo/decrescendo murmur that radiates to neck and increases with squatting -
Answer: Aortic Stenosis
Page 3 of 145
, Holosystolic murmur that radiates to the axilla and increases with handgrip - Answer: Mitral
regurgitation
Rumbling diastolic, mid-late, low pitch murmur with an opening snap - Answer: Mitral stenosis
Rheumatic
leads to CHF and a fib
Indication for surgical correction of AAA - Answer: > 5.5 cm
rapidly enlarging
symptomatic
ruptured
Metabolic syndrome - Answer: Abdominal obesity
TGL > 150
HDL < 40
Elevated BP
Fasting glucose > 100
Water bottle shaped heart - Answer: Pericardial effusion
Look for pulsus paradoxus
Flat, itchy, violet papules - Answer: Lichen planus
treat w/ topical steroids, UV light
can be caused by ACE-i or thiazides
Hashimoto's thyroiditis - Answer: antibodies to TPO
Page 4 of 145
COMBANK, form D & 105B/ 1,021 Q&A.
drug for UC/Crohns - Answer: sulfasalazine
Complex Regional Pain Syndrome (CRPS) I vs. II - Answer: CRPS I = pain without identifiable
nerve lesion often of the extremities
CRPS II = pain with identificable nerve lesion
Nail involvement in Psoriasis - Answer: Onycholysis
How is fluid resuscitation calculated in burn victims? How is this administered? - Answer:
Parkland Formula = BW (kg) x % of burn (up to 50%) x 4 cc RL + 2,000 D5W
Infuse 1/2 first 8 hrs and 1/2 next 16 hrs
History of pancreatitis with abdominal pain after eating - Answer: Pancreatic pseudocyst
Page 1 of 145
,Most common location of Berry Aneursym - Answer: Anterior Communicating and Anterior
Cerebral Arteries
2 things that can cause scrotal transillumination - Answer: 1) Hydrocele
2) Epididymitis
How to interpret Romberg Test? - Answer: 1) Positive (loss of balance) = loss of proprioception
2) Negative = cerebellar dysfunciton
How to determine vestibular problem? - Answer: Presence of Nystagmus (Dix-Hallpike
Maneuver)
Obstructive PFT findings - Answer: Increased TLC, FRC, and RV
Decreased FVC, FEV1, and FEV1/FVC ratio
Restrictive PFT findings - Answer: Normal or increased FEV1/FVC ratio
Decreased TLC, FVC, RV, FRC, and FEV1
Blood pressure goals for 4 different populations - Answer: Goal: SBP <140 and DBP <90
1) <60 y/o
2) >18 y/o with CKD
3) >18 y/o with Diabetes
Goal: SBP <150 and DBP <90
1) >60 y/o
Treatment of ITP - Answer: Steroids and IVIG
"onion skinning" on radiography - Answer: Ewing's Sarcoma
Page 2 of 145
,Staging of Sarcoidosis - Answer: 1 = bilateral hilar lymphadenopathy
2 = bilateral hilar lymphadenopathy with infiltrates
3 = infiltrates only
4 = fibrosis
4 viruses associated with DM-1 - Answer: 1) Coxsackie B Virus
2) Mumps
3) CMV
4) Rotavirus
What parameter is important when fluid resusitating a patient? What is the goal? - Answer:
Urine Output at 0.5 mL/kg/hr
red stools, colicky abdominal painm bilious vomitting, sausage shaped mass in child - Answer:
intussesception
target sign on ultrasound
Systolic ejection murmur along sternal border that increases with valsalva - Answer: HOCM
Diastolic, decrescendo, low-pitch, blowing murmur that increases with handgrip - Answer:
Austin Flint murmur
Aortic insufficiency
widened pulse pressure
Systolic crescendo/decrescendo murmur that radiates to neck and increases with squatting -
Answer: Aortic Stenosis
Page 3 of 145
, Holosystolic murmur that radiates to the axilla and increases with handgrip - Answer: Mitral
regurgitation
Rumbling diastolic, mid-late, low pitch murmur with an opening snap - Answer: Mitral stenosis
Rheumatic
leads to CHF and a fib
Indication for surgical correction of AAA - Answer: > 5.5 cm
rapidly enlarging
symptomatic
ruptured
Metabolic syndrome - Answer: Abdominal obesity
TGL > 150
HDL < 40
Elevated BP
Fasting glucose > 100
Water bottle shaped heart - Answer: Pericardial effusion
Look for pulsus paradoxus
Flat, itchy, violet papules - Answer: Lichen planus
treat w/ topical steroids, UV light
can be caused by ACE-i or thiazides
Hashimoto's thyroiditis - Answer: antibodies to TPO
Page 4 of 145
