COMLEX Level 1 Questions With Verified Answers
Graded A+ Updated To Pass
Black widow spider and alpha latrotoxin - ANSWER -mom was
outback gardening and got bit by a bug. It hurt initially and then lead to
a swollen finger along with muscle twitching and Gi symptoms. What
bug bit her and what was the exotoxin associated?
3-8 weeks (first trimester) - ANSWER -during embryogenesis,
teratogens such as retinoid acid have their greatest effect. At how many
weeks quantifies embryogenesis
Klebsiella granulomatis( gram negative bacillus) aka granuloma
inguinale - ANSWER -patient presents with ulcerated lesions on
genitalia.
-they are friable with an erythematous base
-ulcer exudate reveals macrophages containing bodies highlighted by
bipolar stain
What is this patient infected with?
H. ducreyi - ANSWER -manifests as a painful lesion with
lymphadenopathy and on light microscopy forms clumps and long
parallel strands producing a school of fish appearance
above, so C6 nerve root exits between C5 and C6, below - ANSWER -
cervical nerve roots exit one level _____ their vertebrae, except for C8
which exits ______ vertebrae and between T1
,schedule regular medical evaluations - ANSWER -how should a person
with illness anxiety disorder be treated?
exogenous hyperthyroidism - ANSWER -young patient presents with
signs of hyperthyroidism but there is no enlargement of the thyroid
gland, he is worried about maintaining his weight and his mother also
has a thyroid condition. What does this patient have?
Francisella tularensis and ulcer with swollen regional glands -
ANSWER -patient presents with fever, malaise and myalgia after a
hunting trip. He consumed rabbit and deer meat and was bitten by ticks.
He has anorexia, nausea, vomiting and abdominal pain. He has a high
fever but *normal* heart rate. There are elevations in WBC count, AST
and ALT and buffered charcoal yeast extract agar identify a *gram
negative pleomorphic rod*. What was this patient infected with? and
what would be seen?
pre-synaptic membrane (Ca2+ channels) - ANSWER -morning
weakness of proximal muscles of legs and arm and difficulty elevating
arms. Weakness can be overcome with repeated attempts at activity. X-
ray reveals mass in the left lung. Patient has LEMS which are antibodies
against....
1. routine admin at 28 weeks gestation
2. immediately following invasive procedures (amniocentesis or
chorionic villus sampling)
3. elective abortion or spontaneous miscarriage
4. ectopic pregnancy
5. threatened abortion at 12 weeks gestation
,6. within 72 hours after delivery of Rh positive fetus - ANSWER -what
are the indications for RhoGAM admin? (6)
Subacute Granulomatous (De Quervain) Thyroiditis - ANSWER -
patient with a recent flu-like illness develops weight loss, diarrhea, chest
pain, fever and chills. Patient also has tachycardia and a painful enlarged
thyroid. What does this patient have?
celiac disease - ANSWER -malabsorption syndrome caused by an
immune reaction to gliadian protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine mucosa and causes
steatorrhea, diarrhea, bloating and abdominal pain
-*also associated with other autoimmune disorders like hashimotos
thyroiditis*
make NPO, Place on an NG tube and suction obstruction out--> this
will usually resolve obstruction - ANSWER -after a patient comes to the
ER with sudden onset of pain and abdominal distention W/O peritoneal
signs and after x-ray you diagnose her with a small bowel obstruction.
What do you do next?
Low total calcium due to low albumin levels from cirrhosis (95% of
Ca2+ is bound to albumin) and normal ionized Ca2+ because PTH
regulates free ionized Ca2+ independently--> that is why there are no
signs go hypocalcemia - ANSWER -In a patient with liver cirrhosis
what calcium levels would you expect to see?
Would there be signs of hypocalcemia--> tetany, paresthesias,
abdominal cramps?
, T5-T11 - ANSWER -where would you find a viserosomatic reflex
resulting in placatory changes of the pancreas?
Deferoxamine (Desferal) - ANSWER -iron chelating agent used in the
treatment of iron intoxication
short leg syndrome - ANSWER -when a patient presents with a flexible
scoliotic curve it is important to evaluate for...
inferior trunk--> encompasses broadmann areas 22,39,40 which are in
the temporal region - ANSWER -Infarct to what trunk of the Left MCA
results in Wernicke's aphasia?
Superior division--> encompasses brooks area, frontal eye field,
primary motor cortex and primary somatosensory cortex - ANSWER -
Infarct to what trunk of the Left MCA results in Broca's aphasia?
Osteosarcoma - ANSWER -bone tumor that is present in young adult
males that involves the metaphysis of the long bones
Ewing's sarcoma t(11;22) - ANSWER -bone tumor that is present in
young adult males that involves the *diaphysis(mid-shaft)* of the long
bones.
fibrosarcoma - ANSWER -malignant fibroblasts within a collagenous
matrix
Graded A+ Updated To Pass
Black widow spider and alpha latrotoxin - ANSWER -mom was
outback gardening and got bit by a bug. It hurt initially and then lead to
a swollen finger along with muscle twitching and Gi symptoms. What
bug bit her and what was the exotoxin associated?
3-8 weeks (first trimester) - ANSWER -during embryogenesis,
teratogens such as retinoid acid have their greatest effect. At how many
weeks quantifies embryogenesis
Klebsiella granulomatis( gram negative bacillus) aka granuloma
inguinale - ANSWER -patient presents with ulcerated lesions on
genitalia.
-they are friable with an erythematous base
-ulcer exudate reveals macrophages containing bodies highlighted by
bipolar stain
What is this patient infected with?
H. ducreyi - ANSWER -manifests as a painful lesion with
lymphadenopathy and on light microscopy forms clumps and long
parallel strands producing a school of fish appearance
above, so C6 nerve root exits between C5 and C6, below - ANSWER -
cervical nerve roots exit one level _____ their vertebrae, except for C8
which exits ______ vertebrae and between T1
,schedule regular medical evaluations - ANSWER -how should a person
with illness anxiety disorder be treated?
exogenous hyperthyroidism - ANSWER -young patient presents with
signs of hyperthyroidism but there is no enlargement of the thyroid
gland, he is worried about maintaining his weight and his mother also
has a thyroid condition. What does this patient have?
Francisella tularensis and ulcer with swollen regional glands -
ANSWER -patient presents with fever, malaise and myalgia after a
hunting trip. He consumed rabbit and deer meat and was bitten by ticks.
He has anorexia, nausea, vomiting and abdominal pain. He has a high
fever but *normal* heart rate. There are elevations in WBC count, AST
and ALT and buffered charcoal yeast extract agar identify a *gram
negative pleomorphic rod*. What was this patient infected with? and
what would be seen?
pre-synaptic membrane (Ca2+ channels) - ANSWER -morning
weakness of proximal muscles of legs and arm and difficulty elevating
arms. Weakness can be overcome with repeated attempts at activity. X-
ray reveals mass in the left lung. Patient has LEMS which are antibodies
against....
1. routine admin at 28 weeks gestation
2. immediately following invasive procedures (amniocentesis or
chorionic villus sampling)
3. elective abortion or spontaneous miscarriage
4. ectopic pregnancy
5. threatened abortion at 12 weeks gestation
,6. within 72 hours after delivery of Rh positive fetus - ANSWER -what
are the indications for RhoGAM admin? (6)
Subacute Granulomatous (De Quervain) Thyroiditis - ANSWER -
patient with a recent flu-like illness develops weight loss, diarrhea, chest
pain, fever and chills. Patient also has tachycardia and a painful enlarged
thyroid. What does this patient have?
celiac disease - ANSWER -malabsorption syndrome caused by an
immune reaction to gliadian protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine mucosa and causes
steatorrhea, diarrhea, bloating and abdominal pain
-*also associated with other autoimmune disorders like hashimotos
thyroiditis*
make NPO, Place on an NG tube and suction obstruction out--> this
will usually resolve obstruction - ANSWER -after a patient comes to the
ER with sudden onset of pain and abdominal distention W/O peritoneal
signs and after x-ray you diagnose her with a small bowel obstruction.
What do you do next?
Low total calcium due to low albumin levels from cirrhosis (95% of
Ca2+ is bound to albumin) and normal ionized Ca2+ because PTH
regulates free ionized Ca2+ independently--> that is why there are no
signs go hypocalcemia - ANSWER -In a patient with liver cirrhosis
what calcium levels would you expect to see?
Would there be signs of hypocalcemia--> tetany, paresthesias,
abdominal cramps?
, T5-T11 - ANSWER -where would you find a viserosomatic reflex
resulting in placatory changes of the pancreas?
Deferoxamine (Desferal) - ANSWER -iron chelating agent used in the
treatment of iron intoxication
short leg syndrome - ANSWER -when a patient presents with a flexible
scoliotic curve it is important to evaluate for...
inferior trunk--> encompasses broadmann areas 22,39,40 which are in
the temporal region - ANSWER -Infarct to what trunk of the Left MCA
results in Wernicke's aphasia?
Superior division--> encompasses brooks area, frontal eye field,
primary motor cortex and primary somatosensory cortex - ANSWER -
Infarct to what trunk of the Left MCA results in Broca's aphasia?
Osteosarcoma - ANSWER -bone tumor that is present in young adult
males that involves the metaphysis of the long bones
Ewing's sarcoma t(11;22) - ANSWER -bone tumor that is present in
young adult males that involves the *diaphysis(mid-shaft)* of the long
bones.
fibrosarcoma - ANSWER -malignant fibroblasts within a collagenous
matrix
